European Psychiatry - Volume 33

S170

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

Radboud University Medical Centre, Psychiatry, Nijmegen,

Netherlands

∗

Corresponding author.

Introduction

When the heart is in danger – as is true during a

myocardial infarction (MI) – this is life-threatening and as such

can provoke specific fear: so-called cardiac anxiety. Both general

anxiety and depression are associated with cardiac prognosis in

MI-patients. However, as most treatment studies have not shown

beneficial effects on cardiac prognosis, the need to examine specific

aspects of anxiety and depression post-MI has been advocated.

Methods

We examined whether cardiac anxiety can be reliably

assessed with the Cardiac Anxiety Questionnaire (CAQ) in 237 hos-

pitalized MI-patients. Cross-sectional associations were explored,

as well as possible trajectories of cardiac anxiety in the year post-

MI (by latent class-analysis) and its association with quality of life.

Finally, the prognostic association of cardiac anxiety with major

adverse cardiac events (MACE) including all-cause mortality was

examined with cox-regression-survival analysis.

Results

The CAQ is a valid and reliable instrument in MI-patients

and assessed fear, attention, avoidance of physical exercise, and

safety-seeking behavior. Higher cardiac anxiety was associated

with more psychological distress but lower severity in cardiac

injury. In the year post-MI four cardiac anxiety trajectories were

identified; higher cardiac anxiety was associated with worse

quality of life. CAQ score significantly predicted MACE in a five-

year-follow-up period, even after adjustment for age, cardiac

disease severity and depressive symptoms (HR

baseline

: 1.60 [95%

CI: 1.05–2.45],

= 0.029; HR

3-months

: 1.71 [0.99–2.59];

= 0.054).

Conclusion

Cardiac anxiety is an important and potentially mod-

ifiable factor in the treatment of MI-patients: it is prevalent and

associated with quality of life and cardiac prognosis.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.276

Cultural Psychiatry

EW159

The experience and impact of stigma

in Saudi people with a mood disorder

D. Alateeq

1 ,

∗

, A. AlDaoud

, A. AlHadi

1 , 2

, H. AlKhalaf

King Saud University- College of Medicine, Department of

Psychiatry, Riyadh, Kingdom of Saudi Arabia

King Saud University- College of Medicine, SABIC Psychological

Health Research & Applications Chair, Riyadh, Kingdom of Saudi

Arabia

∗

Corresponding author.

Introduction

Self-stigma plays a powerful role in attitudes

towardmental illness and seeking psychological services. Assessing

stigma from the perspective of people with mood disorders is

important as they were ranked as major causes of disability.

Objectives

To determine the extent and the impact of stigma

experience in Saudi patients with mood disorder and compare

them between depression and bipolar disorder patients. To test

if stigma is a universal experience and has similar psychosocial

impact across cultures.

Aim

It’s a part of multicenter international study comparing its

results to the universal experiences inthe perspectives of individ-

uals with mood disorder.

Methodology

We randomly interviewed 94 individuals with

mood disorder at King Khalid University Hospital using valid

reliable tool, Inventory of Stigmatizing Experiences (ISE), which

has two components: Stigma Experiences Scale (SES) and Stigma

Impact Scale (SIS).

Results

ISE was validated in a population of Saudi patients with

mood disorder. There were no significant differences in stigma

between patients with bipolar or depressive disorder on SES or SIS.

However, over 50% of all respondents tried to hide their mental ill-

ness from the others, and to avoid situations that might lead them

to be stigmatized. In comparison with the Canadian population,

Saudi participants scored lower on both SES and SIS, which may be

due to cultural differences.

Conclusion

Stigma associated with mood disorder is serious and

pervasive. It’s important first to understand how patients perceive

stigma in order to conduct successful anti-stigma programs. The

ISE is a highly reliable instrument among cultures.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.277

EW160

Social skills training group with

Turkish immigrants: Results of a pilot

study

U. Altunoz

∗

, S. Bozkurt , V. Bannasch , S. Castro-Nunez ,

I.T. Graeff-Calliess

Klinikum Wahrendorff Psychiatry Hospital, Transcultural Psychiatry,

Hannover, Germany

∗

Corresponding author.

Introduction

Social skills training (SST) is an element of cognitive-

behavioral therapy, which focuses to improve verbal-nonverbal

behaviors involved in social interactions.

Aims-objectives

To assess the effectiveness of a standard-

ised 8–sessions-SST-group therapy (Hinsch&Pfingsten) in Türkish

Immigrants who have anxiety/depressive disorders.

Method

German-Turkish transations-backtranslations of

contents and materials of the standardised 8–sessions-SST-

group therapy were performed. These weekly eight group sessions

applied by two Turkish-psychotherapists to 8 voluntary Turkish-

Immigrants (F/M= 4/4, age = 50

5.4), who were in treatment

for anxiety/depressive disorders in our transcultural outpatient-

clinic in Hannover, Germany. Symtom-Checklist-90 (SCL-90)

and Insecurity Questionnaire (I-Q) administered before and after

the treatment programm. Seven patients completed pre-post

scales.

Results

Table 1 p

resents the scale scores. Therewas no significant

improvement in global-symptom-severity and insecurity-profiles

after the SST. One of the psychotherapists and one of the patients

were interviewed to discuss qualitatively possible reasons of that.

Psychoherapist

I think patients were not comfortable with many

pencil-paper homeworks. Daily-life-examples were too close to

German culture. Therefore it’s crucial to culturally modify the ses-

sions.

Patient

I found the sessions-homeworks strict and different from

my thinking style and culture.

Conclusions

Qualitative data of this study stated that no

improvement may be caused by eurocentristic nature of the

psychotherapeutic approach. Berry (2006) suggested that such

interventions may generate/exacerbate acculturative-stress and

may not be beneficial for the patient. Further studies should

investigate effectiveness of culturally-modified SST in Turkish

immigrants.