European Psychiatry - Volume 33 - March 2016

176 / 812

S172 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
EW164
Gender differences in the
manifestation of brain fag, depression
and indices of anxiety among
secondary school students in Nigeria
D. Igbokwe ∗ . Ola E. Ndom
1 Covenant University, Psychology, Ota, Nigeria
2 Lagos State University College of Medicine, Department of
Behavioural Medicine- Faculty of Clinical Sciences, Lagos, Nigeria
3 University of Ilorin, Behavioural Sciences, Ilorin, Nigeria
∗ Corresponding author.
Introduction Secondary school students in Nigeria are under
intense pressure to perform well in their academics so as to have
competitive advantage in advancing their studies. This pressure
has been linked to western derived psycho-pathologies such as
depression, anxiety and culture bound syndrome such as brain fag
syndrome.
Aim To examine gender differences in themanifestation of brain-
fag syndrome, depression, and anxieties among students about to
participate in Junior Secondary Certificate Examination (JSCE) and
West African Senior School Certificate Examination (WASSCE) in
Nigeria.
Methods Two hundred and nine (209) students (X age = 14.27,
SD = 2.18) were administered a battery of tests comprising of
the Brain Fag Syndrome Scale, Brain Fag Propensity Scale, State
Trait Anxiety Inventory, Patient Health Questionnaire, Mathemat-
ics Anxiety Inventory and Test Anxiety Inventory. The data was
subjected to a multivariate analysis of variance (MANOVA).
Results The result showed no significant gender differences in the
manifestation of brain-fag syndrome, depression, and anxieties, F
(6, 202) = 0.947, P≥ 0.01; Pillai’s Trace = 0.03, partial 2 = 0.02. In
consonance with earlier studies, males reported higher brain fag
mean scores than female participants (X = 5.46, SD = 2.06; X = 4.88,
SD = 2.43).
Conclusions The study has shown that adolescents who are about
to take their final examinations manifest brain fag propensity and
go on to manifest symptoms of the brain fag syndrome. But, there
is no significant gender difference in the manifestation of brain fag
syndrome among males and females.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW165
A brief exploratory synthesis of
portrayal of mental health issues in
the script and characters of TV series
Wallander (Swedish Version)
S. Kumar
Liverpool, United Kingdom
Introduction The modern Swedish crime drama series Wallan-
der by Henning Mankell presents a good portrayal of mental health
issues in 21st century post modern world, including the contribu-
tion of biological, psychological and social issues in predisposing,
perpetuating and maintaining them.
Aim The aim of the exploratory synthesis is to study the charac-
ters in Wallander focusing on the portrayal of their mental health
with a view on formulating biological, psychological and social fac-
tors that play a role in their development. Furthermore, mental
health is reviewed in first world culture acclimatizing itself to the
themes emerging from post-modern globalised world.
Method The episodes of Wallander (Swedish Version) are
reviewed focusing on the characters and the plots for each episode
matching them with mental health diagnoses offered in Interna-
tional classification of diseases.
Discussion The results are collated and a general commentary is
offered on the observations and motifs revealed in the portrayal.
The focus will be on individual character formulations (both recur-
ring main characters as well other side characters). In addition,
there is a commentary on contributing to mental health problems
in a post-modern industrial society.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EW166
Anthropology and psychiatry –
perspectives on healing and metaphor
B. Lourenco ∗, M. Duarte , M. Gonc¸ alves , M.A. Nobre
1 Centro Hospitalar Psiquiátrico de Lisboa, CP5, Lisbon, Portugal
2 Centro Hospitalar Psiquiátrico de Lisboa, CP6, Lisbon, Portugal
∗ Corresponding author.
Introduction Despite different theoretical backgrounds, psychia-
try and anthropology, alwaysmaintained an enriched dialogue. The
understanding of cultural conceptualizations of disease and heal-
ing shed light on the symbolic dimension and the role of metaphor
in the healing systems.
Objectives and aims To understand the effectiveness of the sym-
bolic dimension and the role of metaphor in healing. To critically
discuss the contribution of Anthropology to the field of Psychiatry.
Methods Review of selected literature.
Results Levi-Strauss (1958) formulates a theory of symbolic heal-
ing, where the myth plays a major role. The attempt to relive the
experience through the reconstruction of the social myth allows its
verbal expression. Without this language, the experience would be
“chaotic and inexpressible”. The myth provides a coherent inter-
pretation of the world system and thus enables a “psychological
manipulation of the sick organ”. Recent studies suggest an hierar-
chical organization of bio-psycho-social levels on which different
healing mechanisms act (Kirmayer, 2004). The metaphor, although
it is a cognitive process, will mobilize motivational, emotional and
even sensory aspects, working as an information vehicle between
the different levels.
Conclusions Symbolic dimension is a highly pervasive aspect in
all healing systems, even the biomedical. The hierarchical organi-
zation of bio-psycho-social levels, provides a convenient way of
conceptualizing the efficacy of different healing sistems, such as
psychotherapy or shamanism.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW167
Religious and spiritual implication in
the assessment and management of
bipolar disorder
L. Maia ∗ outinho arvalho aptista arneiro
1 Hospital Center of Vila Nova de Gaia and Espinho, Department of
Mental Health, Vila Nova de Gaia, Portugal
2 Hospital Center of Vila de Gaia, Department of Mental Health,
Department of Mental Health, Portugal
3 Hospital Center of Vila Nova de Gaia and Espinho, Department of
Mental Health, Department of Mental Health, Portugal
∗ Corresponding author.
Introduction Religion/spirituality and medicine have been
related in one way or another sense the beginning of our know
History. Patients’ beliefs, values and practices influence the way
disease is perceived and managed. In order to provide adequate
care the physician must have proper knowledge of the patients’
spiritual/religious context, otherwise it may fall prey to errors