European Psychiatry - Volume 33 - March 2016

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S332 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
(ST) of ex-POWs’ wives. However, a question remains regarding the
possible SI among ex-POWs’ wives.
Objectives Understanding of SI phenomena among wives of
severely traumatized ex-POWs in a longitudinal dyadic designed
study.
Aims Assessment of SI among ex-POWs’ wives and the longitu-
dinal associations with their husbands’ PTSD. We also aim to assess
the moderating role of the couple’s dyadic adjustment in these
associations.
Method A sample of 233 Israeli couples (142 ex-POWs couples
and a comparison group of 91 veteran couples) completed self-
report measures at two time points: T1 30 (2003-4) and T2 37
(2010) years after the ‘Yom Kipur’ 1973 war.
Results Surprisingly, no significant differences were found
between ex-POWs wives and veterans’ wives, with and without
husbands’ PTSD, in SI at T1 and T2. Only among ex-POW couples,
an increase in the husband’s level of PTSD and SI was related to a
moremoderate increase in their wives’ SI between T1 and T2. Inter-
estingly, the more a wife reported positive dyadic adjustment, the
more moderate the increase in her SI between T1 to T2, regardless
of the study group.
Conclusions Suicidal ideation among ex-POWs’ wives is closely
related to their husbands’ PTSD and is moderated by their percep-
tion of marital adjustment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
TeleMental Health
EW618
Online destigmatization of
schizophrenia: A Romanian
experience
M. Ladea Bran ∗ arcel Claudiu
1 University of Medicine and Pharmacy “Carol Davila”, Psychiatry,
Bucharest, Romania
2 Coltea Clinical Hospital, Psychiatry, Bucharest, Romania
3 CMI Marcel Sarpe, Psychiatry, Focsani, Romania
∗ Corresponding author.
Introduction Mental illness stigma existed long before psychi-
atry, although sometimes the institution of psychiatry has not
helped enough in reducing either stereotyping or discrimina-
tory practices. Stigma of mental illness involves problems with
knowledge, attitudes, and behavior and has important negative
consequences for patients and their families. As new technologies
become more reliable and accessible, mental health specialists are
developing new and innovative methods through which they may
provide services. Internet has an important role in the delivery of
information because of its ability to reach a large number of people
in a cost-effective manner.
Objectives In order to reduce stigma an online platform with
relevant information about schizophrenia was developed. Simul-
taneously a social media campaign to increase awareness was
launched.
Methods A multidisciplinary team of psychiatrists, web-
developers, IT specialists and designers developed the platform
. The platform is intended to be simple
and with a great visual impact and it gathers general information
about schizophrenia. The social media campaign used emotional
messages like “Diagnosis is not the end of the road” or “I’m a
person not a diagnosis” combined with high impact images.
Results From 1st January to end of September 2015 the platform
had about 22,500 users and about 70,500 page views. The social
media campaign had a reach of approximately 9700 people in just
2 months.
Conclusions The WorldWide Web is increasingly recognized as a
powerful tool for prevention and intervention programs and could
also play an important role in destigmatization campaigns.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW619
Therapist-guided internet-based
cognitive-behavioural therapy for
adult obsessive-compulsive disorder:
A meta-analysis
A. Pozza ∗, G. Andersson , D. Dèttore
1 University of Florence, Department of Experimental and Clinical
Medicine, Florence, Italy
2 Linköping University, Department of Behavioural Sciences and
Learning, Linköping, Sweden
3 University of Florence, Department of Health Sciences, Florence,
Italy
∗ Corresponding author.
Introduction Cognitive-behavioural therapy (CBT) is the first-line
psychological treatment for obsessive-compulsive disorder (OCD).
However, most individuals suffering from OCD do not receive
CBT. An innovative approach to improve access to evidence-based
care is the use of the Internet to deliver effective treatments.
Therapist-guided Internet-based cognitive-behavioural therapy
(iCBT) involves the administration of structured online lessons
that provide the same information and skills typically taught in
clinician-administered CBT, often with email support from a ther-
apist. Accumulating evidence on iCBT for OCD has been produced,
but a meta-analysis has not been conducted.
Objectives Through meta-analytic methods, the present study
summarized evidence on iCBT for OCD.
Aims Efficacy onOCD symptoms and comorbiddepression versus
control conditions at post-treatment and follow-up was evaluated.
Methods A PRISMAmeta-analysis was performed on randomized
controlled trials. Treatments were classified as iCBT if they included
CBT components for OCD (eg, exposure and response prevention)
delivered through the Internet with or without email/phone sup-
port from a therapist.
Results Four trials were included (n = 238), which were classified
at low bias risk. At post-treatment iCBT outperformed control con-
ditions with a high effect size on OCD symptoms (d = 0.85, P<.05)
and a medium on comorbid depression (d = 0.52, P <.05). Treatment
effects were stable at 4-month follow-up with a high effect size
on OCD (d = 1.45, P<.05), but not on comorbid depression (d = 0.33,
P<.05).
Conclusions iCBT seems a promising treatment modality for OCD.
Further trials should assess log-term outcomes and effects on qual-
ity of life.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW620
Psychological factors of excessive TV
viewing in senior pupils
A. Vasylchenko ∗, S. Tukaiev , G. Abbasova , L. Derevinskaya
1 National Taras Shevchenko University of Kyiv, Educational and
Scientific Centre “Institute of Biology”, Kiev, Ukraine