European Psychiatry - Volume 33 - March 2016

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S336 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
to society. Due to linguistic and cultural barriers, BSAwomen do not
access health care services.
Objectives To conduct an exploratory trial to test the feasi-
bility and acceptability of a culturally adapted group Cognitive
Behavioural Therapy (CBT) intervention (Positive Health Pro-
gramme (PHP).
Aim We aimed to determine if depressed BSA women receiving
the PHP intervention will show significant improvements in terms
of severity of depression, marital support, and social support as
compared to the control group.
Methods We used a two-armpragmatic single-blind randomised
controlled design. Women meeting the inclusion criteria were
randomised either to the experimental group receiving PHP or
treatment as usual (TAU) that is standard care usually provided
by the GP.
Results A total of 615 mothers were screened for participation
in the trial, of these 137 were assessed further to determine eli-
gibility. Eighty-three mothers were randomized to receive either
PHP (n = 42) or treatment as usual (TAU) (n = 41). Mothers found the
intervention to be acceptable and felt an overall positive change in
their attitudes, behaviour and confidence level.
Conclusion The recruitment and retention figures (70%) highlight
the ability of the research team to engage with the population.
The findings suggest the acceptability of the culturally adapted
PHP intervention for British South Asian women with postnatal
depression.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW629
Comparison of the expected outcome
of the mastectomy with perceived
treatment outcomes based on
self-efficacy in women with breast
cancer
S.S. Hoseini Omam ∗ avoodi Habibi Asgaraabadi
F. Richard
1 Semnan university, Psychology, Tehran, Iran
2 Shahid Beheshti university, Family Therapy, Tehran, Iran
3 University of Hong kong, Centre for Psycho-Oncological Research
and Training, Hong Kong, China
∗ Corresponding author.
Aim Breast cancer causes concerns about treatment, complica-
tions, hospital stay and cost in patients which are common. Because
self-efficacy is one of the unique factors, can affect an individ-
ual’s ability and understanding of what to expect before, during,
and after Brest cancer surgery. In the Present study the expected
outcome of the mastectomy compared with perceived treatment
outcomes based on self-efficacy in women with breast cancer.
Method In the current study, 300 female patientswithbreast can-
cer were studied before and after mastectomy using the General
Self-efficacy Scale and Expectancy Outcome Incongruence.
Results The finding yielded that there was significant difference
between patients with the high and low self-efficacy based on
the expectation of the result of surgery and perceived outcome of
surgery. Similarly there is significant difference between the level
of disease progression based on the expectation of the surgery
outcome and perceived outcome of surgery. In addition, there
was significant difference between breast tumor size based on the
expected outcome of surgical treatment and perceived outcome
of surgery. There was significant difference between elderly and
non-elderly women self-efficacy.
Conclusions Results show the higher level of self-efficacy can
be useful in establishing primary social adjustment but lead to
underestimate the negative effects of surgery and may disturb
psychological adjustment. Thus, high self-efficacy indirectly plays
a significant role in increasing problems after mastectomy.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW630
Gender differences in
benzodiazepines prescription in old
age patients
M. Martinez-Cengotitabengoa ∗ esga
C. Bermudez-Ampudia arcia-Alocen onzalez-Ortega
M.P. Lopez , M.J. Diaz , N. Chicote , J. Enriquez , A. Abrain ,
R. Olles , S. Esnal , H. Salem , E. Cuesta , M. Duenas ,
A. Gonzalez-Pinto
1 CIBERSAM-University Hospital of Alava- National Distance
Education University, Psychiatry, Vitoria, Spain
2 CIBERSAM-University Hospital of Alava, Psychiatry, Vitoria, Spain
3 University Hospital of Alava, Psychiatry, Vitoria, Spain
4 Community Pharmacist, Getxo, Vizcaya, Spain
5 University Hospital of Alava, Emergency Departmen, Vitoria, Spain
6 University Hospital of Alava, Emergency Deparment, Vitoria, Spain
7 CIBERSAM-University Hospital of Alava- Universidad del País Vasco,
Psychiatry-Neurosciences, Vitoria, Spain
∗ Corresponding author.
Objectives To assess the prescription of benzodiazepines (BZD)
in elderly patients, and to explore any gender differences.
Methods Six hundred and fifty-four patients (≥ 65) admitted in
an emergency service of a general hospital due to a fall. BZD use
information was collected (dose, half-life profile).
Results BZD are significantly more prescribed to women (47.6%)
than men (36.1%) (X2 = 8.097, P = 0.004). We conducted a logistic
regression analysis using as dependent variable taking or not BZD
and sex as the independent one, covariating the model by age.
We noted that sex remains significant despite enter the age vari-
able in the model (OR = 1.5, P= 0.013). A total of 21.6% of patients
consumed intermediate or long half-life BZDs, appearing a greater
tendency to prescribe such BZD to women (X2 = 3.606, P = 0.058).
In the 58.0% of prescriptions, prescribed dose was higher than the
recommended for the elderly. The percentage is significantly higher
formen (70.0%) thanwomen (53.1%). Furthermore, a total of 54 pre-
scriptions (15.8%) were even higher than the recommended adult
dose, with no significant differences between men and women.
Conclusions We found evidence of a higher prescription of BZD
in women independently of age. Despite not being recommended,
prescription of intermediate or long half-life BZD continues, in a
slightly higher manner in women. BZD are prescribed above the
recommended dose for elderly in a large number of patients, espe-
cially in men. A considerable proportion of elderly patients (15.8%)
consume BZD doses even higher than the recommended for adults.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW631
Motherhood and postnatal disorder in
an Italian sample
L. Rollè ∗ erino . Caldarera Merlone Lyrakos
P. Brustia
1 University of Torino, Psychology, Torino, Italy
2 Filistos Psychosocial Testing and Consluting, Psychology, Athens,
Greece
∗ Corresponding author.
Introduction Motherhood is a very intense psychological expe-
rience because it implies a deep reorganization of identity (Rollè