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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

1 ,

, B.A

. Ola

2 , R.J.

E. Ndom

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.282

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 21

st

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.283

EW166

Anthropology and psychiatry –

perspectives on healing and metaphor

B. Lourenco

1 ,

, M. Duarte

2

, M. Gonc¸ alves

1

, M.A. Nobre

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.284

EW167

Religious and spiritual implication in

the assessment and management of

bipolar disorder

L. Maia

1 ,

, A. C

outinho

2 , I. C

arvalho

1 , B. B

aptista

1 , L. C

arneiro

3

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