European Psychiatry - Volume 33 - March 2016

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S36 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S18–S55
formed the control group. The data was obtained from various
national registers.
Results Diseases of the blood and blood forming organs (preva-
lence in SCZ was 17% versus 10% in controls, P < 0.001), endocrine,
nutritional and metabolic diseases (45% vs. 27%, P < 0.001), dia-
betes mellitus (7% vs. 3%, P < 0.001) and nervous diseases (33% vs.
25%, P = 0.018) were more common among individuals with SCZ
compared with controls. Diseases of musculoskeletal system and
connective tissue were less common in SCZ than among controls
(28% vs. 41%, P < 0.001).
People with other psychoses than SCZ had statistically signifi-
cant association with all the diagnostic groups classified in ICD-10
except with neoplasms. Infections and parasitic diseases (preva-
lence in other psychoses was 44% versus 32% in controls, P < 0.001),
diseases of the blood and blood forming organs (18% vs. 10%,
P < 0.001), endocrine, nutritional and metabolic diseases (42% vs.
27%, P < 0.001) including diabetesmellitus (9%vs. 3%, P < 0.001), ner-
vous diseases (40%vs. 25%, P< 0.001), diseases of the eye and adnexa
(32% vs. 21%, P < 0.001), diseases of the ear andmastoid process (58%
vs. 44%, P< 0.001), diseases of circulatory (50% vs. 37%, P < 0.001),
respiratory (70% vs. 60%, P < 0.001) and digestive system (77% vs.
68%, P = 0.004), diseases of skin and subcutaneous tissue (23% vs.
16%, P = 0.006), diseases of musculoskeletal system and connective
tissue (51% vs. 40%, P= 0.004) and diseases of genitourinary system
(41% vs. 31%, P= 0.003) were more common among people with
other psychoses than SCZ compared with controls.
Discussion A newfinding is that not only peoplewith schizophre-
nia but especially those with other psychoses show a greater
occurrence of somatic diseases compared with those without psy-
chosis. The increased occurrence of somatic comorbidity in other
psychoses should be noted by medical professional, and further
longitudinal studies are warranted to study its possible risk factors
during lifespan.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Market economy and its consequences for mental
health
S55
Overview of the EPA guidance paper
M.M. Carrasco
Instituto de Investigaciones Psiquiátricas, Fundación Ma Josefa Recio
Hermanas Hospitalarias, Bilbao, Spain
After several decades of Market Faith in Western societies and the
most severe financial crash several generations has known, there
has not really been a serious re-examination of the role of markets
and money in our society. A market economy may be a valuable
and effective tool for organizing productive activity. The problem
is whether we have become a “market society”. That is, if the eco-
nomic values have been transplanted to the whole of society –
not only economic life – and we have become a monetized soci-
ety: a society where just about everything is up for sale. That’s to
say, a way of life where market relations and market incentives
and market values come to dominate all aspects of life. Paradox-
ically, it is possible that the economic crisis has only increased
this trend. Administrations at different levels – European, States,
Local. . . – have demanded tremendous sacrifices from the popula-
tion intended to save the financial system, but on theway sacrificing
a Welfare state that took decades to build. In this presentation, we
will review the mental health consequences of the current eco-
nomic crisis. Also it examines how the change in social values and
sweeping assertion of economic values can affect the way we think
about Mental Health and Psychiatric Care.
Disclosure of interest The author has not supplied his declaration
of competing interest.
S56
Discussant: Ethical challenges
M. Kastrup
Own firm, Copenhagen, Denmark
Europe has undergone considerable economic changes that have
an impact on mental health of its citizens; have consequences for
the organization of mental health services; and raise ethical issues,
such as the distribution of wealth, and equity in access to care.
Furthermore, Europe is current undergoing serious economic prob-
lems that will produce adverse effects on the mental health of its
citizens, among them increase in substance abuse related disorders
as well as an increase in suicide.
The consequences that economic changes have on mental health
relate to the conditions of the particular country, as countries
with better health security nets would be less likely to experience
adverse effects. Different policy measures may reduce the impact
onmental healthnot onlywithin the health sector, but other sectors
of society have to be engaged in the process.
The symposium will consider these problems from different
selected perspectives.
An overview of the impact of economic policies on health services
will be followed by a presentation of the important role of interna-
tional organizations like EPA in outlining the problem and finally
a presentation of the initiative Choosing Wisely that focuses on
communication between health professionals and patients with
recommendations of decisions about the most appropriate care
based on the patient’s individual situation.
Disclosure of interest The author has not supplied his declaration
of competing interest.
S57
Mental health in context. Impact of
economic policies on health services
N. Sartorius (President)
Association for the Improvement of Mental Health Programs, Geneva,
Switzerland
The impact of economic policies on mental health services – and
with some differences also on general health services – will be
exemplified by an analysis of the current trend of governments’
withdrawal from funding the mental health services it provided
until now and the replacement of the government funded services
by privately owned services. The analysis will be made on the back-
ground of the current worldwide tendency of commoditification,
which posits that health care should be considered a commod-
ity and judged using indicators, which have proven their value in
commerce and handling of commodities. The analysis leads to the
conclusion that the both tendencies – of commoditification and
of increasing involvement of private capital in running health care
services are likely to lead to a deterioration of care for people with
mental illness.
Disclosure of interest The author has not supplied his declaration
of competing interest.