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

S279

scale (ETOS), Difficulty Implementing Adherence Strategies (DIAS);

Medication Alliance Beliefs Questionnaire (MABQ).

Results

Two convenience samples were composed by 150

patients with MHD (mean age: 39.7; SD

±

9.8) and 65 MHP (mean

age: 37.0; sd 8.3) working in a variety of settings is being collected.

From the perspective of patients, the most important reason for

adherence is to accept the illness (54,7%,

n

= 82). 50.8% (

n

= 33) of

MHP believes that if patients are unmotivated for treatment, adher-

ence strategies are unlikely to be effective. 43.1 (

n

= 28) of MHP

agrees that if patients do not accept their illness, any adherence

strategies that result.

Conclusion

With this study, we expect to gain further knowledge

on the factors related patients and MHP that might influence com-

pliance and, therefore, contribute to the development of effective

strategies to promote treatment adherence in MHD.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.587

EW470

A neuropsychological group

rehabilitation program with

institutionalized elderly

L. Lemos

, H. Espírito-Santo , S. Simões , F. Silva , J. Galhardo ,

M. Oliveira , M. Costa , S. Martins , F. Daniel

Miguel Torga institute, psychology, Coimbra, Portugal

Corresponding author.

Introduction

Elderly institutionalization involves an emotional

adaptation and the research shows that the risk of depression

increases.

Objectives

Evaluate the impact of a neuropsychological group

rehabilitation program (NGRP) on depressive symptomatology of

institutionalized elderly.

Aims

NGRP influences the decrease of depressive symptoms.

Methods

Elderly were assessed pre- and post-intervention with

the Geriatric Depression Scale (GDS) and divided into a Rehabili-

tated Group (RG), a Waiting List Group (WLG), and a Neutral Task

Group (NTG).

Results

In this randomized study, before rehabilitation, 60

elderly people (RG; 80.31

±

8.98 years of age; 74.2% women) had

a mean GDS score of 13.33 (SD = 9.21). Five elderly included in the

NTG (80.13

±

10.84 years; 75.0% women) had a mean GDS score

of 10.60 (SD = 4.72). Finally, 29 elderly in the WLG (81.32

±

6.68

years; 69.0% women) had a mean GDS score of 14.93 (SD = 6.02).

The groups were not different in GDS baseline scores (F = 0.74;

P

= 0.478). ANCOVA has shown significant differences (

P

< 0.05) in

GDS scores between the three groups after 10 weeks. Sidak adjust-

ment for multiple comparisons revealed that elderly in the WLG

got worse scores in GDS, comparing with elderly in RG (

P

< 0.01),

and with elderly in NTG (

P

< 0.05).

Conclusions

Elderly that are not involved in a task get worse in

depressive symptomatology. Being involved in a structured group

taskmeans lower depressive symptoms and being in a NGRPmeans

even greater results.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.588

EW471

Cognitive training using a web-based

tailor-made program for first-episode

psychosis patients: An exploratory

trial

B. Moura

1 ,

, T. Mendes

1

, F. Antunes

1

, R. Barandas

1

, M. Croca

1

,

P. Frade

1

, L. Linhares

1

, J. Vian

1

, P. Levy

1

, M.L. Figueira

2

1

Santa Maria hospital, psychiatry department, Lisboa, Portugal

2

Faculty of medicine- university of Lisbon, department of psychiatry,

Lisbon, Portugal

Corresponding author.

Introduction

Cognitive deficits are a core feature of the first psy-

chotic episode patients and could be an obstacle to functional

ability. Cognitive stimulation could be a promising method to sur-

pass neuropsychological deficits.

Objectives

–to implement an online training protocol to stable

first psychotic episode outpatients;

–to assess adherence to the intervention;

–to measure neurocognitive, psychopathological and functional

outcomes pre- and post-training.

Aims

To investigate the feasibility of an online-based resource for

cognitive stimulation (COGWEB

®

) and explore possible benefits in

different domains.

Methods

Fifteen patients were enrolled from the Early Psychosis

Intervention Program (PROFIP) at the Department of Psychiatry

of Santa Maria Hospital, Lisbon. The training consisted on 30-

40-minute online sessions performed every weekday during 6

months at home. Assessmentswere performed at baseline and after

programcompletion and included: psychopathological scores; per-

sonal and social functioning scores; Clinical Global Impression and

a neuropsychological battery.

Results

Every participant had some kind of impairment on base-

line. Mean training time was 36 h. Six patients left the program

before completion (half of them because they got employed).

The program showed overall good feasibility and safety with no

reported significant psychiatric occurrences or hospitalizations.

Results regarding final neuropsychological, psychopathological

and functioning showed a tendency for stability or improvement

on an individual case analysis.

Conclusions

Our results show that cognitive training using an

online-based stimulation software is a feasible intervention for

first-episode psychosis patients with possible benefits for this pop-

ulation. However, results should be analyzed very carefully because

of different participant trajectories and of study limitations.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.589

EW472

Effectiveness and factors predicting

success of therapeutic patient

education in obese patients

candidates for bariatric surgery

D. Piacentino

1 ,

, E. Prosperi

2

, G. Guidi

2

, R. Asprino

2

, A. Pinto

2

,

L. Gnessi

2

, A. Lenzi

2

1

Sapienza - university of Rome, NESMOS neuroscience- mental

health- and sensory organs department, Rome, Italy

2

Sapienza - university of Rome, C.A.S.C.O–center of high

specialization for the cure of obesity EASO collaborating centres for

obesity management COMs- experimental medicine department-

food science and human nutrition research unit, Rome, Italy

Corresponding author.

Introduction

Obesity is an increasingly common chronic disease.

Its biopsychosocial basis provides the rationale of multidisci-

plinary interventions, such as Therapeutic Patient Education (TPE,

WHO 1998), which is effective for lifestyle change and aware-

ness improvement, thus reducing the disease’s prevalence and

its health care-related financial burden. However, patients’ socio-

demographic and psychopathological factors may influence TPE’s

effectiveness.

Objectives/Aims

We aimed to assess the effectiveness of an 8-

week TPE program in obese patients candidates for bariatric

surgery and identify factors predicting its success.