European Psychiatry - Volume 33 - March 2016

260 / 812

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.
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.
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 ∗, T. Binbay , H. Elbi , B. Kayahan , J. van Os ,
H. Onay , F. Ozkınay , D.K. Gokcelli , K. Alptekin
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 (T1) and 6 years after (n : 2142) (T2).
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 T2, 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 T1 were also asso-
ciated with clinical psychotic outcome at T2
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.