

S170
24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
4
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],
P
= 0.029; HR
3-months
: 1.71 [0.99–2.59];
P
= 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.2016.01.276Cultural Psychiatry
EW159
The experience and impact of stigma
in Saudi people with a mood disorder
D. Alateeq
1 ,∗
, A. AlDaoud
1, A. AlHadi
1 , 2, H. AlKhalaf
11
King Saud University- College of Medicine, Department of
Psychiatry, Riyadh, Kingdom of Saudi Arabia
2
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.2016.01.277EW160
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 presents 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.