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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.746

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

1 ,

, J. D

avoodi

2 , M.

Habibi Asgaraabadi

2 ,

F. Richard

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.747

EW630

Gender differences in

benzodiazepines prescription in old

age patients

M. Martinez-Cengotitabengoa

1 ,

, A . B

esga

2 ,

C. Bermudez-Ampudia

2 , A. G

arcia-Alocen

3 , I. G

onzalez-Ortega

2 ,

M.P. Lopez

2

, M.J. Diaz

4

, N. Chicote

5

, J. Enriquez

5

, A. Abrain

5

,

R. Olles

5

, S. Esnal

5

, H. Salem

5

, E. Cuesta

5

, M. Duenas

6

,

A. Gonzalez-Pinto

7

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%) (X

2

= 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 (X

2

= 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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.748

EW631

Motherhood and postnatal disorder in

an Italian sample

L. Rollè

1 ,

, E . G

erino

1 , A.M

. Caldarera

1 , U.

Merlone

1 , D.

Lyrakos

2 ,

P. Brustia

1

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