European Psychiatry - Volume 41 - April 2017

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S686 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709
Conclusions Kerner was very much influenced by Mesmer and
left volumes of psycho-pathological case histories that helped to
prepare a way for a medicine more psychotherapeutically founded.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0865
Anxiety and depression in patients
with gastroesophageal reflux disorder
S.A. Haji seyed javadi
Qazvin university of medical sciences, Psychiatry Psychiatry, Qazvin,
Iran
Introduction Evidence shows an influence relationship between
described symptoms of gastroesophageal reflux disorder (GERD)
and emotional state.
Objectives/aims The current study aimed to evaluate the relation-
ship between anxiety and depression with GERD in the patients
referred to the endoscopy unit of Bouali-Sina hospital of Qazvin.
Methods Two hundred individuals (100 patients with GERD
and 100 healthy individuals as control group) were enrolled into
the current study. All subjects completed the hospital anxiety
and depression questionnaire. GERD was diagnosed based on Los
Angeles classification system. Demographic and socioeconomic
characteristics in addition to clinical history of subjects were col-
lected and analyzed using proper statistical methods.
Results Among the recruited patients, 50 subjects had erosive
esophagitis (ERD) and 50 had non-erosive esophagitis (NERD). The
anxiety score was significantly higher in the NERD group than ERD
and control groups (P < 0.001; P = 0.017). In addition, the anxiety
score was significantly higher in the ERD group than the control
group (P = 0.014). The score of depressionwas higher inNERD group
than ERD and the control groups, but not significant regarding the
ERD group (P < 0.001). There was no significant difference among
the groups regarding age, gender and body mass index (BMI). The
number of smokers was significantly higher in the ERD group than
the ERD and control groups (X2 = 39.59, DF = 6, P < 0.001).
Conclusion The current study showed that mental factors (anx-
iety and depression) play important roles in the development of
GERD, especially NERD; therefore, it is recommended to consider
these factors to select suitable treatment plan.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0866
Psychiatric causes of unfitness for
military service
H. El Kefi ∗, M.A. Medeb , C. Bechikh Brahim , I. Bouzouita ,
W. Krir , S. Eddif , A. Oumaya
1 Hôpital militaire principal d’instruction de Tunis, PSYCHIATRY,
Tunis, Tunisia
2 Hôpital Maamouri Nabeul, Forensic medicine unit, Tunis, Tunisia
∗ Corresponding author.
Introduction The national service is a duty for every Tunisian
citizen. The knowledge of psychiatric causes of unfitness for mili-
tary service would enable developing standardized procedures for
selecting and psychiatric assessment of young candidates.
Objectives Determination of the diagnostic categories, frequency
and factors associated with psychiatric causes of unfitness for mil-
itary service.
Method This was a retrospective, descriptive study, performed
on medical files of candidates examined between the 1st of Jan-
uary and the 31st of December 2015 at the military hospital of
Tunis.
Results Eight hundred and seventy-two subjects were examined
as a part of an assessment for mental fitness for military service.
They were male, single, with an average age of 23.73 ±3.5 years.
Alcohol was consumed by 17.9% of subjects, cannabis by 12.8%
and psychotropic by 4.7%. Fourteen percent had self-mutilation,
8.5% had criminal record and 5.3% had tattoos. Military unfitness
was found in 80.8% of cases. The main causes of unfitness were
anti-social personality disorder (40.6%), hysterical neurosis (14.9%),
adjustment disorders (14.5%) and limited intellectual level (7.5%).
The average length of service before found unfit was 9.14months
for anti-social personality, 5.94months for adjustment disorders
and 1.78months for psychotic disorders. This period was signifi-
cantly longer for the personality disorders (8.62months) compared
to psychotic disorders (P = 0.013) or to non-psychotic disorders
(5.05months, P < 0.001).
Conclusion The evaluation on the mental ability of military per-
sonnel must be performed at an early date, given the financial,
material andhuman consequences thatwould result froma delayed
diagnosis.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0867
Assessing the risk of venous
thromboembolism in psychiatric
in-patients
N. Ellis , M. Quraishy , C.M. Grubb , S. Fitch , J. Harrison ∗
1 Cardiff University School of Medicine, Medical School, Cardiff,
United Kingdom
2 Cardiff and Vale University Health Board, General Adult Psychiatry,
Cardiff, United Kingdom
3 Cardiff University School of Medicine, MRC Centre for
Neuropsychiatric Genetics and Genomics, Cardiff, United Kingdom
∗ Corresponding author.
Introduction Venous thromboembolism (VTE) is a potentially
fatal condition. Hospital-associated VTE leads to more than 25,000
deaths per year in theUK. Therefore identificationof at-risk patients
is crucial. Psychiatric in-patients have unique factors which may
affect their risk of VTE (antipsychotic prescription, restraint) how-
ever there are currently noUK guidelineswhich specifically address
VTE risk in this population.
Objectives We assessed VTE risk among psychiatric inpatients in
Cardiff and Vale university health board, Wales, UK, and whether
proformas currently provided for VTE risk assessment were being
completed.
Methods All acute adult in-patient and old age psychiatric wards
were assessed by a team of medical students and a junior doctor
over three days. We used the UK department of health VTE risk
assessment tool which was adapted to include factors specific for
psychiatric patients. We also assessed if there were concerns about
prescribing VTE prophylaxis (compression stockings or anticoagu-
lants), because of a history of self-harm or ligature use.
Results Of the 145 patients included, 0% had a completed VTE risk
assessment form. We found 38.6% to be at an increased risk of VTE
and there were concerns about prescribing VTE prophylaxis in 31%
of patients.
Conclusions Our findings suggest that VTE risk assessment is not
being carried out on psychiatric wards. Staff education is needed
to improve awareness of VTE. Specific guidance for this population
is needed due to the presence of unique risk factors in psychiatric
in-patients and concerns regarding VTE prophylaxis.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.