European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S203
reporting that these influenced their attitudes towards migration,
positively.
Conclusions These findings show that short-term mobility has
a positive impact into future long-term migration, increasing its
probability.
Keywords Doctors; Training; Mobility; Migration
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW258
Depression course, functional
disability, and NEET status in young
adults with mental health problems
B. O’Dea , R. Lee ∗, P. McGorry , I. Hickie , J. Scott , R. Purcell ,
E. Killackey , A. Yung , D. Hermens , N. Glozier
1 University of New South Wales, Black Dog Institute, Randwick,
Australia
2 University of Sydney, Brain and Mind Centre, Sydney, Australia
3 University of Melbourne, Orygen, Melbourne, Australia
4 Newcastle University, Institute of Neuroscience,
Newcastle-upon-Tyne, United Kingdom
5 Swinburne University of Technology, Centre for Forensic
Behavioural Science, Melbourne, Australia
6 University of Manchester, Institute of Brain, Behaviour and Mental
Health, Manchester, Australia
∗ Corresponding author.
Introduction Role functioning is key to optimal health and inoc-
ulates against life-long inequality. Depression is a leading cause of
functional disability. Inmost cases, improved symptomatology cor-
responds with improved functioning; however, functioning does
not always return to “normal”, despite symptom remission. Fur-
thermore, the relationship between symptom remission and the
likelihood of being Not in Employment, Education or Training
(NEET) is unknown.
Objectives and aim To examine the temporal associations
between depression course, functioning, and NEET status in young
adults with mental health problems.
Methods A prospective and multisite clinical cohort study of
young people aged 15–25 years seeking help from a primary
mental health service (n = 448). Participants completed a clinical
interview (incl. QIDS-C16) and self-report battery (incl. WHODAS
2.0, employment, education) at baseline which was repeated at
12-month follow-up whilst continuing treatment as usual.
Results Remitted depression was significantly associated with
improved functioning; however, 12 month functioning was still
lower than the normative ranges for age-matched peers. Remit-
tance of depression did not change the likelihood of being NEET.
Only 10% of those who were NEET had received vocational support
during the study.
Conclusion Remittance of depression was associated with
improved functioning but it did not reduce the likelihood of being
NEET. This may be explained by economic influences or alterna-
tively, a time lag may exist where improvements in functioning do
not immediately correspond with reduced NEET rates. Lastly, there
may be a scarring effect of depression such that change in NEET
status requires an additional intervention to depression treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW259
Association of family stress with other
psychosocial factors in female
population 25–64 years in Russia:
WHO program MONICA-psychosocial
V. Gafarov , D. Panov∗, E. Gromova , I. Gagulin , A. Gafarova
FSBI Institute of Internal and Preventive Medicine, Collaborative
laboratory of cardiovascular diseases epidemiology, Novosibirsk,
Russia
∗ Corresponding author.
Aim To explore association of family stress with other psychoso-
cial factors in female population aged of 25–64 years in Russia.
Methods Under the third screening of the WHO “MONICA-
psychosocial” program random representative sample of women
aged 25–64 years (n = 870) were surveyed in Novosibirsk. Ques-
tionnaire “Awareness and attitude towards the health” was used
to estimate levels of family stress. Chi-square ( 2 ) was used for
assessment of statistical significance.
Results The prevalence of high family stress level in women aged
25–64 years was 20.9%.
High family stress was higher in age groups 25–34 years and
45–54 years: 27.6% and 30.5%, respectively. Among women with
family stress, 58.7% had high level of trait’s anxiety. Women with
stress at family had high rate of major depression (11%). There
were tendencies of higher prevalence of hostility and vital exhaus-
tion in those with stress (41.1% and 27.4%, respectively). Among
those in female population with stress at family, 60.6% had sleep
disturbances. Social support like close contacts and social net-
work tended to be lower in women with family stress: 59.1% and
80.3%, respectively. Rates of serious conflicts in family were more
often in younger age groups and reached 48.6%. In women aged
25–34 years, 54.9% have no possibilities to have a rest at home after
usual working day (P < 0.001).
Conclusions The prevalence of high stress in family in female
population aged 25–64 years is more than 20% in Russia. High fam-
ily stress closely associated with anxiety, major depression, high
hostility and vital exhaustion, poor sleep and low social support.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW260
Prenatal depression in women
hospitalized for threatened preterm
labour: A prospective study in Greece
G. Papazisis ∗, T. Dagklis , I. Tsakiridis , F. Chouliara ,
A. Mamopoulos , D. Rousso
1 Faculty of Medicine, Aristotle University of Thessaloniki,
Pharmacology and Clinical Pharmacology, Thessaloniki, Greece
2 Faculty of Medicine, Aristotle University of Thessaloniki, 3rd
Department of Obstetrics and Gynaecology, Hippokrateion hospital,
Thessaloniki, Greece
∗ Corresponding author.
Introduction Pregnancy complications may require admission in
a high-risk pregnancy unit (HRPU). A complicated pregnancy and
hospital admission might negatively affect the pregnant woman’s
mental health.
Objectives To screen for depressive symptoms in pregnant
women admitted in a high-risk pregnancy unit due to threatened
preterm labour and also to investigate for associated risk factors.