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S256

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

of Military Psychology and Battle Psychiatry between May 2012

and May 2013. The study sample included 22 control and 22 inter-

vention group patients with PTSD who admitted to participate in

the study and who were asked to receive the drug treatment by

staying in the clinic. Psychoeducation was only performed on the

intervention group. In the collection of research data, “Sociode-

mographical Information Form”, “Trait-Trait Anger Expression

Inventory”, “Problem Solving Inventory” and “The Impact of Event

Scale” were used. Data were assessed by Repeated Measures Vari-

ance Analysis via SPSS (15.0). Problem solving skills of the patients

who had high-school and up to the level of high-school educa-

tion were identified to be more insufficient than the ones having

undergraduate and graduate educations. Before receiving psychoe-

ducation, it was identified that the levels of trait anger of the

patients were high, and that they perceived themselves as mild

insufficient individuals in problem solving skills. It was identified

that trait anger increased the anger control and problem-solving

skills while it decreased inward and outward anger levels in the

intervention group of psychoeducation. As a consequence, it has

been recommended that the continuity of psychoeducations the

psychiatry nurses applied have been provide in psychiatry clinic.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.524

EW407

Post-traumatic stress disorder:

Women – Ecuador

V. Valdez

, J. Veloz , D. Rueda , C. Santana

Universidad Catolica de Guayaquil, Ecuador

Corresponding author.

Objectives

To determine the incidence of traumatic events in

Ecuadorian women exposed to domestic violence and other com-

plex social situations and their relationship with PTSD.

Methods

We applied a transversal descriptive study accom-

plished by the INEC (National Institute of Statistics and Census). The

INEC recruited Ecuadorian women from 15 years old and more, the

surveys were focused on this population. In total, 18,800 rural and

urban housings were selected all over the country, 24 provinces.

Date of the survey: November 16–December 15 of 2011. A, D and

G were taken as references for guidelines following the criteria

diagnosis of DSM V (Diagnostic and Statistical Manual of Mental

Disorders) to determine a Traumatic Event.

Results

The average age of the sample was 28 years old. The

standard deviation was 21, ages: 15–25 years old: 14.265 (21.6%),

25–35 years old: 9.324 (14.1%), 35–45 years old: 8.132 (12.3%),

45–55 years old: 6.283 (9.5%), 55–65 years old: 4.302 (6.5%), > 65

years old: 23.745 (35.9%). Prevalence of the traumatic event (DSM-

V) 4.6%. Women experienced any kind of violence 60.6%: 61.4%

urban, 58.% rural. Types of abuse: psychological: 53.9%, physical:

38.0; sexual, patrimonial: 35.3%. Domestic violence 76.0% y other

types of violence 24.0%.

Conclusion

Domestic violence rate is high, also, in this study, we

determined that women face an important index of violence dur-

ing their daily activities. Psychological abuse is the highest abuse,

higher in the urban areas. These results based on acute traumatic

events may predispose women to develop PTSD. The prevalence of

traumatic events must be an alert to the Mental Health Organiza-

tions, not only in Ecuador but also in Latin American.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.525

Prevention of mental disorders

EW408

Psychotic experiences,

alcohol–cannabis abuse, stressful

events and familial risk is associated

with onset of clinical psychosis:

Evidence from a 6-year longitudinal

population-based cohort

U. Kirli

1 ,

, T. Binbay

2

, H. Elbi

1

, B. Kayahan

1

, J. van Os

3

,

H. Onay

4

, F. Ozkınay

4

, D.K. Gokcelli

1

, K. Alptekin

2

1

Ege University School of Medicine, Department of Psychiatry, Izmir,

Turkey

2

Dokuz Eylul University School of Medicine, Department of

Psychiatry, Izmir, Turkey

3

Maastricht University Medical Centre School of Mental Health and

Neuroscience, Department of Psychiatry and Neuropsychology,

Maastricht, Netherlands

4

Ege University School of Medicine, Department of Medical Genetics,

Izmir, Turkey

Corresponding author.

Introduction

Both clinical and subclinical psychosis is probably

a consequence of underlying genetic and environmental interac-

tions.

Objectives

Defining differential impact of environmental/familial

risk factors and psychotic experiences across the onset of clinical

psychosis.

Aims

To assess mental health outcomes in a 6-year follow-up of

a representative general population sample with a special focus on

extended psychosis phenotype.

Methods

Addresses were contacted in multistage clustered area

probability sampling frame covering 9 districts and 302 neighbour-

hoods (

n

: 4011) at baseline (

T

1

) and 6 years after (

n

: 2142) (

T

2

).

Psychotic experiences were screenedwith Composite International

Diagnostic Interview and probable cases were re-interviewed with

SCID-I. Relations were tested using logistic regression models.

Results

Of subclinical psychotic symptoms at baseline, 6.4% tran-

sitioned to clinical psychosis; 44.4% persisted, 90.2% transitioned to

any DSMdisorder. Of newly onset clinical psychosis at

T

2

, 62.8% had

subclinical psychotic expressions at baseline. The risk of develop-

ing clinical psychosis was greater in those with baseline subclinical

psychotic experiences, alcohol–cannabis abuse, stressful-forensic

event history and family history of mental disorders. Most of risk

factors associated with psychosis proneness at

T

1

were also asso-

ciated with clinical psychotic outcome at

T

2

( Table 1 ).

Conclusions

Psychotic experiences takes attention for the risk to

develop psychosis due to underlying genetic and environmental

interactions; also may be an important risk factor to develop any

mental disorder.