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S304

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

Objectives

To explore possible subtypes among people with

schizophrenia before discharge by their self-management ability,

self-efficacy and cognitive function status.

Aims

To identify possible subtypes among people with

schizophrenia before discharge.

Methods

Totally, 150 Chinese people with schizophrenia before

discharged from a tertiary psychiatric hospital in Beijing

were assessed by Self-management Instrument for People with

Schizophrenia and Repeatable Battery for the Assessment of Neu-

ropsychological Status (RBANS). Cluster analysis using SPSS 20.0

packagewas performed to categorize subjects basedon their scores.

Results

Four different types of subjects were revealed. Type I low

cognition with no participation (

n

= 25), patients’ self-management

ability, self-efficacy and cognitive function were very poor; type

II medium cognition with blind confidence (

n

= 42), patients’ self-

efficacy was good, while self-management ability was poor and

cognitive function is medium; type III high cognition with high

level skill (

n

= 46), patients’ cognitive function, self-management

ability and self-efficacy were good; type IV low cognition with

medium level skill (

n

= 37), patients’ cognition was very poor, while

self-management ability and self-efficacyweremedium. These four

types of subjects had significant differences in long-term use of

antipsychotics and primary caregivers’ education level (

P

< 0.05).

Conclusions

The finding of different subtypes of people with

schizophrenia presenting in this sample may help health profes-

sionals give effective screening and targeted discharge measures

which can further promote patients’ recovery and reduce readmis-

sion rates.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.653

EW536

Perceived and anticipated stigma in

patients with schizophrenia according

with the length of illness

B. Reneses

1 , L. G

allego

1 , C. L

ópez-Micó

2 ,

,

A. Fernández del Moral

1 , R. R

odríguez

1 , I. A

rgudo

1 ,

C. Carrascosa

1

, S. Ochoa

3

1

Hospital Clínico San Carlos, Psiquiatría, Madrid, Spain

2

Hospital Clínico San Carlos, Madrid, Spain

3

Hospital Sant Joan de Déu, Psiquiatría, Barcelona, Spain

Corresponding author.

Introduction

Perceived and anticipated stigma are relevant issues

in patients with schizophrenia. Stigma has negative consequences

both in quality of life and in the course of illness.

Objectives

To analyze differences in perceived and anticipated

discrimination in two groups of patients with schizophrenia: one

with a recent diagnosis of illness and another with a long course of

disease.

Methods

A cross-sectional study was carried out in a sample of

100 patients with diagnosis of schizophrenia, 18 or more years old,

clinically stabilized, without axis I DSM-IV comorbidity. Patients

received treatment in the outpatient services of a catchment area

in Madrid. Perceived and anticipated discrimination was evalu-

ated trough the DISC-12 (Discrimination and Stigma scale). Other

study variables were: socio-demographic status, length of dis-

ease, symptoms of depression (Calgary Scale) and functionality

degree measured by Global Assessment of Function (GAF). Two

sub-groups of patients were compared: one with a length of ill-

ness below 5 years and a second one with a length of illness over

5 years.

Results

Patients with a length of illness longer than 5 years

showed elevated degree of perceived and anticipated discrimina-

tion comparedwith patientswith less than 5 years of illness course.

In the same way, patients with a recent diagnosis of illness showed

increased scores in the measure of face the stigma.

Conclusions

Preventive strategies to avoid the stigma in

schizophrenia should consider some differences in patients in rela-

tionship with the length of evolution of illness in order to be more

accurate. Early intervention programs about stigma are necessary.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.654

EW537

Perceived and anticipating stigma in

schizophrenia in relationship with

depressive symptoms and

functionality degree

C. López-Micó

, B. Reneses , L. Gallego , G. Maria Sagrario ,

R. Fernandez , Á. Huidobro , L. Reyes , P. Gómez

Hospital Clínico San Carlos, Psiquiatría, Madrid, Spain

Corresponding author.

Introduction

Perceived and anticipated stigma is relevant issues

in patients with schizophrenia. Stigma has negative consequences

both in quality of life and in the course of illness.

Objectives

To analyze the degree of perceived and antici-

pated stigma and discrimination in patients with schizophrenia

and their relationship with clinical and socio-demographic

variables.

Methods

A cross-sectional study was carried out in a sample of

100 patients with diagnosis of schizophrenia, 18 or more years old,

clinically stabilized, without axis I DSM-IV comorbidity. Patients

received treatment in the outpatient services of a catchment area

in Madrid. Perceived and anticipated discrimination was evaluated

trough the DISC-12 (Discrimination and Stigma scale). Other study

variables were: socio-demographic characteristics, symptoms of

depression (Calgary Scale) and functionality degree measured by

Global Assessment of Function (GAF).

Results

The presence of symptoms of depression evaluated by

the Calgary Scale and low degree of functionality measured by

GAF are associated with greater feelings of discrimination and

stigma, especially in the sub-scales of experienced and antici-

pated discrimination of the DISC 12. Anticipated stigma is higher

in men than in women while the rest sub scales of the DISC-

12 do not correlate with gender or other sociodemographic

variables.

Conclusions

Preventive strategies to avoid the stigma in

schizophrenia should consider some characteristics associated

with disease, especially the degree of functionality and presence

of depressive symptoms.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.655

EW538

First-episode psychosis: What does it

mean?

S. Marques

, F. Godinho , A.L. Melo , D. Barrocas

Hospital do Espírito Santo de Évora, Department of Psychiatry and

Mental Health, Évora, Portugal

Corresponding author.

Introduction

First-Episode Psychosis (FEP) is a variable condi-

tion, characterized by the emergence of new psychotic features

for a period of at least 1 week. The majority of existing stud-

ies about FEP only address schizophrenia spectrum psychosis

(SSP), which may limit the capacity to fully characterize this

entity.

Objectives/Aims

Report the clinical and socio-demographic char-

acteristics of patients with FEP in real-world setting, and compare

the differences among SSP and affective FEP.