(Doc - II.C.6.23) - ANAIS 23

European Psychiatry S555
Objectives: This study was conducted to investigate the levels of Results: The sample was closed with 10 pregnant adolescents.
depression and interdependence in caregivers of patients with Three categories emerged from the analysis: (1) emotional mean-
chronic heart failure and to examine the relationship of the patient’s ings of the non-use the access to health service as a listening space:
depression level with caregiver depression and co-dependence scores. affective obstacles and social shame; (2) the relationship of com-
Methods: The sample of the research, which is descriptive and plicity with the maternal figure in “competition” with a possible
relationship seeking, consists of 219 volunteer patients with chronic broad psychological relationship with the clinical team; (3) recur-
heart failure and caregivers who meet the research criteria. The data rence of teenage pregnancy in the family as a possible obstacle.
were collected using Personal Information Form, Beck Depression Conclusions: The finding so far that the adolescent’s personal
Scale and Co-Dependency Assessment Tool, and were evaluated with reference is reported as the mother figure is also accentuated
descriptive statistical analyzes, Kolmogorow-Smirnov, student-t, one- because the affective relationship with the doctor figure is more
n
way ANOVA, Pearson correlation analysis and Mann Whitney U Test. fragile. The bond of adolescents is established with the health
Results: The average age of caregivers was 47.36 12.46 and 60.3% institution and not with the reference health team.
were women. The average age of the patients is 60.70 16.30 and There is a mismatch between the psychic maturation, still evolving,
itio
57.1% are male. Depression was found in 85.8% of patients accord- to the adult identity and the demands of social roles of the pregnant
ing to the Beck depression scale score. The presence of depression in teenager already demanded as an adult. The teenager captures it,
the patient and the total depression score of the caregiver (p <0.001), and the medical consultation becomes an act that occurs by inertial
total co-dependency score (p <0.001), self-value (p = 0.001), medical force. There is a perception of access to the health service and not
problem (p <0.001) and self neglect (p = 0.005) subscale scores were access to the doctor as someone qualified for the adolescent to talk
higher than those who did not have depression. Co-dependence and about relevant personal matters.
depression scores are related in caregivers (r=0.367).
Disclosure of Interest: None Declared
Ed
Conclusions: There was a positive and significant correlation
between the depression levels of the patients and caregivers and the
codependence levels of the caregivers, and according to the presence of
depression, the mean scores of co-dependence in the caregiver differ. EPP0816
Disclosure of Interest: None Declared Are We Adequately Assessing Delirium? An Analysis
Of Liaison Psychiatry Referrals
EPP0815 E. Tripp*, M. Aremu Falade, M. Alves, M. Davies, J. H. Tan and
ed
L. Premalatha
Psychological meanings of access to guidance on family
Croydon Liaison Psychiatry, Croydon University Hospital, London,
relationships in prenatal consultations of a public United Kingdom
primary health care service in the context of the *Corresponding author.
COVID-19 pandemic: a clinical-qualitative study on doi:
reports of pregnant adolescents in Brazil
ex
Introduction: Delirium is characterised by an acute, fluctuating

E. R. Turato*, P. E. Ortolan, R. A. Bastos, M.-P. P. Lipi,
change in cognition, attention and awareness (Wilson et al. Nature
M. S. Borges and D. B. Vale
Reviews 2020; 6). This presentation can make the diagnosis of delir-
Laboratory of Clinical-Qualitative Research, State University of ium extremely challenging to clinicians (Gofton., Canadian Journal of
Campinas, Campinas, Brazil neurological sciences. 2011; 38 673-680). It is commonly reported in
ind
*Corresponding author. hospitalised patients, particularly in those over the age of sixty five
doi: (NICE. Delirium: prevention, diagnosis and management. 2010).
Objectives: Our aim is to identify which investigations and cogni-
Introduction: In prenatal clinical consultations, what do adoles- tive assessments are completed prior to a referral to the liaison
cents talk about, in addition to physical and affective conditions and psychiatry services in patients with symptoms of delirium.
acquiring information about the general state of the evolution of Methods: Referrals (N = 6012) to the liaison psychiatry team at
pregnancy? The symbolic psychological elements that emerge dur- Croydon University Hospital made between April and September
ing consultations are important for the handling of family guide-
Un
2022 were screened. Search parameters used to identify referrals

lines with the clinical team. related to a potential diagnosis of delirium were selected by the
Objectives: To interpret emotional meanings attributed by pregnant authors. The terms used were confusion; delirium; agitation;
adolescents, with the possibility of accessing public health care service aggression; cognitive decline or impairment; disorientation; chal-
in a Brazilian metropolitan city, about talking and listening about lenging behaviour. Data was collected on the completion rates of
Family relationships with the clinical team in prenatal consultations. investigations for delirium as advised by the NICE clinical know-
Methods: Clinical-qualitative design by Turato. Semi-directed ledge summaries. Further data was gathered on neuroimaging
interviews with open-ended questions in-depth conducted online (CT or MRI), cognitive assessment tools (MOCA/MMSE) and
during the pandemic. Sample closed by theoretical information delirium screening tools (4AT/AMTS).
saturation according to Fontanella. Interview material, fully tran- Results: The study sample identified 114 referrals (61 males and
scribed, was treated by Clinical-Qualitative Content Analysis of 53 females), with 82% over 65 years at the time of referral. In 96% of
Faria-Schützer, with Balintian psychodynamic concepts from Med- referrals, U&E and CRP were performed. Sputum culture (1%),
ical Psychology to generate categories of discussion after free-floating urine toxin screen (4%) and free T3/4 (8%) were the tests utilised
readings. Findings were validated by peers from the Laboratory of the least. Neuroimaging was completed in 41% of referrals (see
Clinical-Qualitative Research, at the State University of Campinas. Graph 1 for a full breakdown of results).
EPA 2023 provisional catalogue of accepted congress abstracts

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European Psychiatry S555

Introduction: Delirium is characterised by an acute, fluctuating

2022 were screened. Search parameters used to identify referrals

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