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

S333

2

National Taras Shevchenko University of Kyiv, Educational and

Scientific Centre “Institute of Biology”- Department of Physiology of

Brain and Psychophysiology, Kiev, Ukraine

3

High School 6, Student Government, Chernihiv, Ukraine

4

High School 6, Department of Biology, Chernihiv, Ukraine

Corresponding author.

Media influence on a person qualifies in the context of negative

evaluations of a person’s dependence, especially children, on the

media. The aim of this study was to reveal the influence of TV

news on psycho-emotional state of youth audience, and the extent

to which psychological traits determine their propensity for tele-

vision watching. Forty-two healthy volunteers aged 14–17 years,

the senior pupils of one of high schools in Chernihiv, Ukraine, par-

ticipated in this study. Participants recorded the time they spend

watching TV news and commercials during the month. We used

Temperament and Character Inventory by Cloninger, Cloninger

Tridimensional Personality Questionnaire, Technique of Diagnos-

tics of Ability to Predict by Regush, School Anxiety Test by Philips,

Beck Depression Inventory, Technique of Diagnostics of a Poten-

tial of Communicative Impulsiveness by Losenkov, the Method of

Diagnostics of the Level of Empathic Abilities by Boyko, Maddi Har-

diness Survey, and the Emotional Intelligence Self-Evaluation by

Hall. We found that excessive TV viewing has been linked to the

development of depression among the participants. There was an

inverse correlation between the cognitive-affective and somatic

symptoms of depression and the reward dependence, mediated

by the noradrenergic brain system. The main independent deter-

minants influencing excessive TV viewing were low levels of the

reward dependence and the novelty seeking (which reflects the

activity of dopaminergic brain system). We argue that the propen-

sity for watching TV and depression development can be predicted

by psychological traits, related to the activity of monoaminergic

brain systems.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.738

Treatment Practice

EW621

Working alliance and its relationship

with treatment outcome

A. Cardoso

1 ,

, P. Aguiar

2

, M. Byrne

3

, M. Xavier

1

1

Nova Medical School, Mental Health, Lisbon, Portugal

2

Escola Nacional de Saúde Pública, Public Health, Lisbon, Portugal

3

University of Wollongong, Clinical Psychology, Wollongong,

Australia

Corresponding author.

Introduction

The therapeutic alliance might be the most impor-

tant part of beginning clinical relationship and may have an

important impact in treatment adherence. In fact, many studies

indicate that the therapeutic alliance is the best predictor of treat-

ment outcome.

Objectives

To assess clinical skills and attitudes in mental health

professionals(MHP).

Aims

This study explore the impact of clinical skills and

socio-demographic factors related MHP may have on treatment

adherence of patients with mental health disorders (MHD).

Methods

In this cross sectional study, we use a convenience

sample of MHP working in the mental health departments of

three general hospitals in Lisbon great area. Data is being col-

lected through individual interviews. We used a optimism scale

(ETOS), Medication Alliance Beliefs Questionnaire (MABQ), and

socio-demographic and clinical questionnaire.

Results

A convenience sample composed of sixty-five mental

health clinician working in a variety of settings is being collected.

We don’t found statistically significant differences between the

therapeutic optimismand the socio-demographic and clinical char-

acteristics of MHP. The average values of optimism found in MHP

with additional training in skills training it was higher (

t

test = 1,64).

The results demonstrate that the most of clinicians (

n

= 42; agree

64,6%; strongly agree,

n

= 19; 29,2%) believe that have the capacity

to positively influence outcomes for people with mental disorders.

Conclusion

This topic, along with a detailed examination of the

relationship between therapeutic alliance and treatment adher-

ence, will be the subject of future research projects.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.739

EW622

Antipsychotic prescribing patterns in

outpatients with severe mental illness

P. Kizilay Cankaya

1 ,

, A. Tiryaki

2

1

Fatih State Hospital, Psychiatry, Trabzon, Turkey

2

Karadeniz Technical University, Psychiatry, Trabzon, Turkey

Corresponding author.

Introduction

Prescribingmore thanone antipsychotic at the same

time is becoming common in the treatment of patients with

severe mental illness (SMI), although most guidelines recommend

monotherapy.

Objectives

The aim of this study was to examine the prevalence

of antipsychotic polypharmacy and to compare the practices of

polypharmacy and monotheraphy in terms of the rationale and

compatibility of the treatment.

Methods

This study included 235 patients with SMI between 18

and 65 years of age who were followed at KTU Psychiatry Depart-

ment Schizophrenia-Bipolar Disorder outpatient clinic between

January 2007 and December 2014. The sociodemographic and clini-

cal data were evaluated by a chart review formwhichwas prepared

by the researcher and designed according to American Psychiatric

Association treatment algorithm and National Associated Mental

Health Program Directors polypharmacy classification.

Results

138 patients (58.7%) were diagnosed with schizophre-

nia, 75 patients (31.9%) were diagnosed with bipolar disorder and

22 patients (9.4%) were diagnosed with schizoaffective disorder.

62 patients (26.4%) were receiving antipsychotic polypharmacy.

Combinations of two second-generation antipsychotics were most

common. Anticholinergic drug use was significantly more com-

mon in patients on antipsychotic polypharmacy. Reported adverse

events were more common in patients on polypharmacy but did

not reach the level of statistical significance. Patients on antipsy-

chotic polypharmacy were more likely to be diagnosed with

schizophrenia. Polypharmacy patients were also more likely to

receive clozapine and amisulpride whereas monotherapy patients

were more likely to receive olanzapine.

Conclusion

Our results confirm previous reports that indicate

patientswith SMI aremost likely to receive antipsychotic polyphar-

macy.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.740