European Psychiatry - Volume 33 - March 2016

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S198 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
Introduction Schemas are the organized general representations
of the experience intended to facilitate information processing. Any
dysfunction in these schemas could affect the normal neurocogni-
tive abilities, as memory.
Aim To evaluate the forward and backward memory span abil-
ities among Moroccan students and to study the impact of
maladaptive schemas on the memory.
Methods The present study is a cross-sectional study conducted
among 212 students, aged 17 to 25 years, randomly selected from
the IBN TOFAIL University (Kenitra, Morocco). Two neurocogni-
tive tests are used; the first one is the short version of the Early
Maladaptive Schemas Questionnaire to evaluate the activated and
deactivated schemas and the sub-test of Wechsler to evaluate the
working memory among these subjects.
Results The obtained results of forward memory span showed
that 53% of students had a normal memory, 47% had an excellent
memory and no one had pathological forward memory. However,
63% of students had a pathologic backward memory span, 28% had
normal memory and 9% had an excellent backward memory. Also,
significant negative correlations are registered between good for-
ward memory span and activated schema of alienation (r = −0.17;
P < 0.05), self-sacrifice ( r = −0.17;P < 0.05), abandonment (r = −0.16;
P < 0.05). Moreover, significant negative correlations are registered
between good backward memory span and activated schema of
emotional deprivation (r= −0.14; P < 0.05).
Conclusion The students’ memory appeared in connection with
activation of some maladaptive schema. Deeper investigations are
needed to understand this relationship and also to study the other
possible factors that could affect this important neurocognitive
function.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW245
Unemployment and the rate of new
contacts with mental health services
in South London
V. Bhavsar ∗, M. Hotopf , J. Boydell ,
S. Hatch , SELCOH Investigator
1 Institute of psychiatry, department of psychosis studies, London,
United Kingdom
2 Institute of psychiatry, department of psychological medicine,
London, United Kingdom
∗ Corresponding author.
Introduction Unemployment is a risk factor for later development
of mental health problems, but characterisation of this in real world
clinical data is limited. This study aimed to investigate the associ-
ation between employment status and time-to-first-contact with
mental health services using survey data linked to electronic health
records(EHR).
Methods SELCoH (n = 1698, 2008–2010) was a representative
population survey of South East London, with a 71.9% household
participation rate. Anonymised survey data for participants was
linked with EHR, generating survival data for time-to-first-contact.
Cox regressionwas used to assess associations between unemploy-
ment and time to first contact with mental health services.
Results The rate in the unemployed was 22.84 contacts per 1000
person-years, and in those not unemployed, it was 10 contacts per
1000 person-years. The crude (age-adjusted) hazard ratio (HR) for
unemployment was 3.09 (95% CI: 1.66–5.75). The HR for contact
for unemployment, after adjusting for age, gender, ethnicity and
education, was 2.8 (95% CI: 1.44–5.47). On addition of symptoms of
commonmental disorder, post-traumatic stress, psychosis and sui-
cide attempts, to the model, unemployed participants remained at
elevated risk (HR:2.65, 95% CI: 1.33–5.27). Finally, illicit drugs and
alcohol hadminimal influence on estimates, giving a fully-adjusted
estimate for the association between unemployment and rate of
contact of 2.6 (95% CI: 1.31–5.14).
Conclusions Unemployment was associated with a greater than
two-fold increase in risk of accessing mental health care for
the first time within the observation time, after adjustment for
sociodemographic confounders, psychopathology, and substance
use. Explanations for this association could include unobserved
confounding, health behaviours associated with unemployment or
effects of unemployment on stress processing.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW246
Which social environment is more
important in the persistence of
psychotic experiences? Differential
impact of neighbourhood and family
context in a six-year longitudinal
population-based cohort
T. Binbay ∗, U. Kırlı , H. Elbi , B. Kayahan , H. Onay , Ö. Ferda ,
M. Drukker , J. van Os , K. Alptekin
1 Dokuz Eylul university, faculty of medicine, department of
psychiatry, Izmir, Turkey
2 Ege university, faculty of medicine, department of psychiatry, Izmir,
Turkey
3 Ege university, faculty of medicine, department of medical genetics,
Izmir, Turkey
4 Maastricht university medical centre- school of mental health and
neuroscience MHeNS, department of psychiatry and
neuropsychology, Maastricht, Netherlands
∗ Corresponding author.
Introduction Social environmentmay lead to emergence and per-
sistence of psychotic experiences.
Objectives Testing differential impact of social environments on
emergence and persistence of subclinical psychotic experiences.
Aims To assess different social environments that predicts emer-
gence and persistence of subclinical psychotic experiences in a
6-year follow-up of a representative general population sample.
Methods A longitudinal prospective cohort study (the TürkSch
- The Izmir Mental Health Survey for Gene-Environment in
Psychoses) was conducted with a general population sample
(n = 4011) from Izmir-Turkey, whowere 15-64 years of age at base-
line. Sociodemographic factors, social environmental exposures
(deprivation and social capital of neighbourhoods, and familial
dysfunction and relationships), and measures of psychopathol-
ogy (subclinical psychotic experiences) were assessed across two
waves (T1 -2008 and T2-2014; n = 2192) using the Composite Inter-
national Diagnostic Interview.
Results Measures of wider social environment at T1 (high social
control and social deprivation within neighbourhoods) was associ-
ated with emergence (OR = 1.6; 95% CI = 0.6-2.4) and persistence
(OR = 1.8; 95% CI = 0.6-2.4) of psychotic experiences at T2. Also,
measures of familial dysfunction and relationships were associ-
ated with emergence (OR = 2.1; 95% CI = 1.2-3.3) and persistence
(OR = 3.3; 95% CI = 1.4-6.7) at T2. The associations between wider
social environment and psychotic experiences were not significant
after adjusting for measures of family dysfunction relationship.
Conclusions The association between wider social environment
and psychosis may be partially a result of dysfunctional relation-
ships within the narrowenvironment including family. Current and
past difficult family relationshipsmay be an important contributing
factor.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.