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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S493

EV451

The impact of traditional healers on

the treatment of psychotic patents in

Alexandria, Egypt

S. Darwish

Mamoura Mental State Hospital, Adult Psychiatry and Addiction,

Alexandria, Egypt

Introduction

Psychotic symptoms in the Egyptian community

have always been mixed up with supernatural phenomena. This

makes patients and their families seek help from traditional healers

who can abuse them physically, financially and sexually.

Aim

The aim of the study was to assess the impact of the tradi-

tional healers on the psychotic patients in the Egyptian community.

Objectives

To measure the percentage of patients going to tradi-

tional healers and how much they pay and for how long.

Methods

The study was conducted on a total of 555 psychotic

patients. Four hundred and fifty-five psychotic patients from the

Mamoura Mental state Hospital and 100 psychotic patients from a

private hospital in Alexandria in duration of three months in 2006.

A special questionnaire was designed and was run for all patients

and their families.

Results

A total of 67.4% of male patients consulted healers while

88.4% of the females consulted healers. Only 9.4% of the females

whowent to the healerswere highly educated compared to 19.7% of

the male patients. The majority of the patients who improved were

illiterate or can only read and write. Lower socioeconomic groups

tend to have a higher percentage in consulting healers and a longer

duration of staying in treatment with them. Although therapy at the

first session tended to be for free, from the second session forward

patients pay more than they would pay seeing a psychiatrist.

Conclusions

Traditional healers have a negative impact on the

psychiatry practice and are sources of patient’s abuse in Egypt.

Disclosure of interest

The author has not supplied their declara-

tion of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1436

EV452

Stress management versus cognitive

restructuring: A randomized clinical

study on traumatized refugees

M. Ekstrøm

1 ,

, J. Carlsson

1

, C. Sonne

1

, E.L. Mortensen

2

1

Mental Health Centre Ballerup, Competence Centre for

Transcultural Psychiatry, Ballerup, Denmark

2

University of Copenhagen, Department of Public Health,

Copenhagen, Denmark

Corresponding author.

Background and aim

There is a lack of evidence regarding which

kind of psychotherapy that is the most effective when treat-

ing traumatized refugees. Studies on the effect of psychotherapy

among other patient groups with PTSD suggest a good effect using

cognitive behavioural therapy (CBT). The competence center for

transcultural psychiatry (CTP) has specialized in the treatment of

traumatized refugees. The objectives were to study the effect of CBT

with a focus on either stress management or cognitive restructur-

ing in a clinical sample of traumatized refugees with PTSD and to

identify predictors for the treatment effect.

Methods

All patients (

n

= 143) referred to CTP from June

2011–March 2012 and fulfilling the inclusion criteria were offered

to participate in the study. Participants were offered combined

treatment with a psychiatrist (psycho-education and psychophar-

macological treatment when needed) and a psychologist (CBT). The

duration of the treatment was 6–7 months. The participants were

randomized to either CBT with a focus on stress management or

cbt with focus on cognitive restructuring. The primary outcome

was PTSD measured by the Harvard Trauma Questionnaire.

Results

The results are presently being analyzed and will be pre-

sented at the congress.

Conclusions

Both research results and the clinical experience at

CTP suggest, that cognitive restructuring is not always a useful

tool and that stress reducing techniques could be more useful. This

hypothesis was tested in the present study.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1437

EV453

The treatment of traumatised

refugees with sertraline versus

venlafaxine in combination with

psychotherapy – a randomised

clinical study

M. Ekstrøm

1 ,

, C. Sonne

1

, J. Carlsson

1

, P. Bech

2

, A. Elklit

3

1

Mental Health Centre Ballerup, Competence Centre for

Transcultural Psychiatry, Ballerup, Denmark

2

University of Copenhagen, Psychiatric Center North Zealand,

Hillerod, Denmark

3

University of Southern Denmark, National Center of

Psychotraumatology, Odense, Denmark

Corresponding author.

Background and aim

Today we lack sufficient evidence to con-

clude which type of treatment approach that is most efficient

when it comes to trauma-affected refugees. That is a problem for

both patients and doctors as well as for society. Also there is a

lack of studies, which examine the relation between psychosocial

resources and treatment efficiency, in order to find reliable predic-

tors of treatment outcome. This study therefore aims to produce

new evidence within this field in order to optimise treatment for

trauma-affected refugees with complex PTSD.

Methods

The study included 207 patients referred to Compe-

tence Centre for Transcultural Psychiatry between April 2012

and September 2013. Patients were randomised into one of the

two treatment groups: a sertraline group (

n

= 109) or a venlafax-

ine group (

n

= 98). Patients in both groups received the same

manual based cognitive behavioural therapy, specially adapted

to this group of patients. The trial endpoints were PTSD-and

depression symptoms and social functioning, all measured on vali-

dated ratings scales. Furthermore the study examined the relation

between expected outcome of treatment from a range of predic-

tors and the relation to the treatment results for the individual

patient.

Results

Data are presently being analysed and results will be

ready for the conference.

Conclusion

The study is among the largest randomised studies

ever conducted on pharmacological treatment among traumatised

refugees. It is expected to bring forward new knowledge about

clinical evaluation and medical treatment of traumatised refugees.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1438

EV454

Stigma towards psychiatric disorders

in a sample of depressed females in

two different communities

M. Elsheikh

1 ,

, H. Haltenhof

2

, M.H. Bahary

3

1

Rhein-Jura-Klinik, Psychiatry and Psychotherapy, Bad Säckingen,

Germany

2

HBK-Zwickau-Teaching Hospital- Leipzig University, Psychiatry and

Psychotherapy, Zwickau, Germany