Table of Contents Table of Contents
Previous Page  175 / 812 Next Page
Information
Show Menu
Previous Page 175 / 812 Next Page
Page Background

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

S171

Table 1

Scale scores before and after the SST.

Pre (

n

= 7)

Post (

n

= 7) Wilcoxon-Signed-

Ranks-Test

SCL-90-Global-

Symptom-

Index

2.76

±

0.5,

min–max =

1.84–3.21

2.73

±

0.8,

min–max =

1.50–3.63

Z = –0.507,

P

> 0.1

I-Q

203

±

44.6,

min–max =

137–264

216.7

±

44.8,

min–max =

128–265

Z = –1.183,

P

> 0.1

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.278

EW161

Ethnopsychiatry and anorexia

nervosa: Two clinical cases

N. Bragazzi

1 ,

, G. Del Puente

2

1

University of Genoa, School of Public Health-Department of Health

Sciences DISSAL, Genoa, Italy

2

University of Genoa, Section of Psychiatry-Department of

Neuroscience-Rehabilitation-Ophthalmology-Genetics- Maternal and

Child Health DINOGMI, Genoa, Italy

Corresponding author.

Introduction

Usually anorexia nervosa (AN) is considered to be

typical only ofWestern societies, such as Europe and the USA. How-

ever, nowadays, this ethnocentric point of view and this position

are no more valid, since more often new cases of AN are found

and described in China, Singapore, Malaysia, Japan, India and in the

Arabic countries. Subtle differences between the Western and the

non-Western symptoms presentation of AN can be found concern-

ing the psycho-pathological and psycho-dynamic mechanisms.

Objectives and aims

Here, in this contribution, we report and

compare the clinical cases of two African women from Tanzania

suffering from AN.

Methods

The diagnosis of AN was confirmed according to the

criteria of DSM-IV TR. After obtaining the consent from the two

women, they were administered a semi-structured interview. The

psycho-social and anthropological contexts were also taken into

account.

Results

The first patient was a woman that, after some months

spent in the USA, had adsorbedWestern stereotypes and had begun

to starve, obsessed by the skinny beauty of the American models.

Doing this, she underlined the distance between her and her tribal

identity and origin. The second patient refused to nourish after that

her family had imposed her a planned marriage. Starvation was

a strategy to lose her femininity and appeal, a kind of return to

infant-hood, and an escape from the marriage.

Conclusion

Cultural influences and ethnocultural models are of

fundamental importance for properly diagnosing and treating AN,

even though often overlooked or underestimated.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.279

EW162

Immigrants in emergency rooms:

The role of culture in the diagnostic

process and diagnostic certainty

F. Collazossp

1 ,

, C. Gutierrez

2

, P.D.R. ruth

3

, V.M. Carmen

3

,

L. William

4

1

Vall d’Hebron Institute of Research, Psychiatry, Barcelona, Spain

2

Hospital Sagrat Cor Martorell, Psychiatry, Barcelona, Spain

3

Fundación Jiménez Díaz, Psychiatry, Madrid, Spain

4

Disparities Research Unit Massachusetts General Hospital,

Psychology, Boston, USA

Corresponding author.

Introduction

Transnationalism provides a serious challenge in

mental health care, especially due to the crucial role of communica-

tion. Emergency room interactions offer an opportunity to analyze

the role of cultural competency among providers and how they

relate to immigrants in the clinical encounter.

Objectives

This study addresses three aims: to assess the level

of provider-perceived accuracy of diagnoses; to evaluate the use

of restraints; and to compare diagnoses rates between patients of

diverse racial/ethnic groups.

Methods

We examined patients’ race/ethnicity and their relation

to service use and perceived certainty of mental health diagnoses.

Three hundred and forty-seven migrants and 67 natives as well as

their providers were interviewed in psychiatry emergency rooms

in Barcelona (Spain).

Results

The perceived certainty of clinical diagnosis is lower

for Asians (OR = 0.2, 95% CI [0.07–0.63]), and higher when the

clinician feels comfortable with the patient (OR = 5.41, 95% CI

[2.53–11.58]). The probability of restraints is higher for Maghreb

patients compared to native born (OR = 3.56, 95% CI [1.03–12.26]).

The probability of compulsory admission is lower for Latinos com-

pared to native born (OR = 0.26, 95% CI [0.08–0.88]). The probability

of receiving a diagnosis of psychosis is lower when the clini-

cian can communicate in the patient’s language (OR = 0.37, CI 95%

[0.16–0.83]).

Conclusions

Cultural factors such as level of comfort and commu-

nication in the patient’s language play a central role indiagnosis and

treatment. This study highlights the importance of culture in psy-

chiatric diagnosis and the role of cultural competency for mental

health providers.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.280

EW163

Case report: Hallucinations as

depressive equivalents

E. Garcia

1 ,

, I. Vicente

2

, R. Martínez

2

1

Ciudad Real, Spain

2

Hospital General de Ciudad Real, USMIJ, Ciudad Real, Spain

Corresponding author.

We comment the case of a 12 years old girl who started with

visual and auditive hallucinations. Hallucinations are not a com-

mon symptom between children. They may also be linked to many

conditions, some of them with poor outcome as schizophrenia.

Symptoms appeared in a short time, after a previous normal devel-

opment. She talked about a man who followed her and that was

always behind, she also had heard some insults of undeterminated

voices. These symptomswere just of one-month duration andmade

her feel anxious and very afraid. After a normal organical study and

a first proposal of medication they asked for our consultation. We

found that the patient was alone at home every afternoon. Family,

from other country, hadn’t any social support, and the father had

had to travel away some days before the child began to suffer hal-

lucinations. Suspecting an affective disorder as the basis of anxious

symptoms, and hallucinations as a cultural presentation of them,

we started with a social intervention mixed with support therapy.

After some sessions the patient could talk about her loneliness and

fears, disappearing the other symptoms. We will resume this case

and literature about other cultural presentations that may difficult

diagnosis or treatment.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.281