Table of Contents Table of Contents
Previous Page  261 / 812 Next Page
Information
Show Menu
Previous Page 261 / 812 Next Page
Page Background

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

S257

Table 1

Associations between independent variables and newly

onset clinical psychosis at

T

2

.

*

Adjusted for age, sex, education level and health insurance

status.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.526

EW409

Perceived stigma in patients affected

by psychosis: Is there an impact on

relapse?

L. Sideli

1

, F. Seminerio

2 ,

, M.V. Barone

1

, A. Mulè

1

, C. La Cascia

1

,

C. Sartorio

1

, R. D’Agostino

1

, L. Ferraro

2

, G. Tripoli

3

,

A. Francomano

1

, M. Inguglia

4

, G. Vassallo

4

, C. Majorana

4

,

D. La Barbera

1

1

Università degli Studi di Palermo, Biomedicina Sperimentale e

Neuroscienze Cliniche BioNeC, Palermo, Italy

2

Università degli Studi di Palermo, Dipartimento Biomedico di

Medicina Interna e Specialistica DIBIMIS, Palermo, Italy

3

King’s College of London, Psychology and Neuroscience, London,

United Kingdom

4

Azienda Sanitaria Provinciale 6, Salute mentale e dipendenze

patologiche, Palermo, Italy

Corresponding author.

Introduction

The World Health Organization (WHO) considers

stigma of mental illness as a crucial problem (WHO, 2001). Stigma

contributes to the onset (Morgan et al., 2010) and the outcome of

people affected by schizophrenia (Himan, 2015).

Objectives

To evaluate the perception of patients affected by psy-

chotic disorders of being stigmatized by the community.

Aims

To compare the perception of stigma among subgroups of

patients at different stage of their disorder.

Methods

Thirty-five patients affected by a first-episode of psy-

chosis (FEP) and 96 patients affected by chronic psychosis were

recruited. The Devaluation of Consumers Scale (DCS) and the Deval-

uation of Consumer Families Scale (DCFS) were administered to

assess the perceived public stigma (Struening et al., 2001). The Pos-

itive And Negative Schizophrenic Symptoms Scale (PANSS) (Kay

et al., 1987) and the Global Assessment of Functioning (GAF) (Gold-

man et al., 1992) were administered to assess psychotic symptoms

and global level of functioning.

Results

Patients affected by chronic psychosis perceived higher

devaluation against mental disorders than patients with a

recent onset of psychosis (Mann–Whitney’s

U

= 910.500,

P

= 0.017).

DCS and DCFS correlated with increased voluntary admis-

sions (Rho = 0.355,

P

= 0.002; Rho = 0.257,

P

= 0.029) and DCS with

increased compulsory admissions (Rho = 0.349,

P

= 0.003). Only

among chronic patients, DCS factor 2 was related to global level

of functioning (Rho = 0.217,

P

= 0.041).

Conclusions

Patients affected by chronic psychotic disorders

perceived a more pessimistic attitude of the community towards

their participation in social and community life and this is related

to increased admissions and disability.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.527

EW410

Early detection and treatment of

mental illness in the workplace –

an intervention study

H. Sørensen

1 ,

, J. Valentin

1

, M.K. Bording

1

, J.I. Larsen

2

,

A. Larsen

2

, Ø. Omland

3

1

Aalborg University Hospital, Unit for Psychiatric Research, Aalborg,

Denmark

2

Aalborg University Hospital, Psychiatric Hospital, Aalborg, Denmark

3

Aalborg University Hospital, Occupational Medicine, Aalborg,

Denmark

Corresponding author.

Introduction

Conditions of depression and anxiety among

employees’ leads to increased absenteeism and decreased social

and professional function.

Objectives

To test a collaborative model for contributing to men-

tal health at work at the lowest interference and highest possible

availability among Danish workers.

Aims

To investigate the effect of early detection and treatment

in order to interrupt and improve conditions of clinical and sub-

clinical levels of mental illness.

Methods

Self-reporting questionnaires were used for identifi-

cation of clinical and sub-clinical cases of mental illness and for

follow-up. Four questionnaires were distributed to all employees

in six medium-large companies in Denmark (

n

= 1292) during a

period of 16 months. Employees meeting the screening criteria

were assessed diagnostically. Outpatient psychiatric treatment was

offered to employees diagnosed with mental illness and preven-

tive CBT-session to those assessed with sub-clinical conditions.

Follow-up questionnaires were filled out after 6 and 12 months.

Data were analysed using repeated measure mixed effects linear

regression.

Results

Of the 587 (55%) employees that returned the question-

naires, 58 were referred to either outpatient psychiatric treatment

(

n

= 38) or preventive treatment (

n

= 20). Levels of psychopathology

decreased significantly in both treated groups. Comparing with the

pre-treatment period, a significant positive difference in change in

psychopathology was detected for employees in psychiatric treat-

ment. Measured up to healthy controls, the self-perceived level of

stress also decreased significantly among employees in psychiatric

treatment.

Conclusions

An integrated collaborative model for early detec-

tion and treatment was beneficial in order to interrupt and improve

the course of mental health problems among Danish employees.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.528