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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.362

EW245

Unemployment and the rate of new

contacts with mental health services

in South London

V. Bhavsar

1 ,

, M. Hotopf

2

, J. Boydell

1

,

S. Hatch

2

, SELCOH Investigator

s 2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.363

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

1 ,

, U. Kırlı

2

, H. Elbi

2

, B. Kayahan

2

, H. Onay

3

, Ö. Ferda

3

,

M. Drukker

4

, J. van Os

4

, K. Alptekin

1

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 (T

1

-2008 and T

2

-2014;

n

= 2192) using the Composite Inter-

national Diagnostic Interview.

Results

Measures of wider social environment at T

1

(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 T

2

. 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 T

2

. 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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.364