European Psychiatry - Volume 33 - March 2016

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S494 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
3 Alhussien University Hospital-Azhar University, Psychiatry, Cairo,
Egypt
∗ Corresponding author.
Introduction Stigma and discrimination experienced by persons
suffering from mental illness, unlike other medical conditions,
recognized as a barrier in countries rich and poor, and in coun-
tries with well-developed mental health services and those with
limited services. It was hypothesized that depression may affect
patients’ attitude towards mental illness “public stigma” as well
as self-stigmatization and that there will be a difference between
Egyptians and Germans.
Aims This study sets out to identify and compare public–and self-
stigma among depressed women in two different communities.
Objectives To test findings from transcultural comparative study
of two patient groups of depressed women from two different
communities. Participants were 50 adult females diagnosed with
depression from Egypt and Germany.
Method Participants completed after clinical interviewing and
diagnosis with depression two questionnaires: the inventory of
attitude towards mental illness (Shokeer, 2002) and the explana-
tory model interview catalogue EMIC (Weis et al., 2001).
Results Analysis indicates that positive attitudes towards mental
illness were more for the German respondents than for the Egyp-
tians. There were significant differences between the two groups in
the causal attributions of mental illness. Psychotherapy was widely
accepted in the two groups as a helpful method for treatment of
mental illness.
Conclusion It was concluded that the traditional beliefs affect the
understanding of illness causality and that the subjective experi-
ence of depression may affect attitude towards mental illness and
mentally ill people. The effect of the social desirability is discussed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV455
The old concept of psychogenic
psychosis revisited from a
transcultural approach: A case series
J. Gómez-Arnau ∗ , R. Puente-García , S. García-Jorge ,
M. Benítez-Alonso , H. Dolengevich-Segal , J. Correas-Lauffer
Hospital Universitario del Henares, Psychiatry, Coslada Madrid, Spain
∗ Corresponding author.
Introduction The concept of psychogenic psychosis was intro-
duced by Wimmer in 1916 and subsequently extended by
Strömgren in the mid twentieth century. It typically describes a
polymorphic psychotic episode of abrupt onset and which follows
a trauma or stressful life situation. The duration of the episode is
usually brief and remission occurs ad integrum. In recent decades,
the notion has fallen into disuse in clinical psychiatry and interna-
tional classifications. This could be due to a general improvement
in living conditions, with less exposure to traumatic situations.
Objective We intend to study the characteristics of psychogenic
psychosis in immigrants. We believe that the condition could be
observed better in this population, given their greater vulnerabil-
ity to trauma. For this purpose, we chose a sample of Romanian
patients, who nevertheless have considerable cultural affinity with
the Spanish population.
Methods We collected the clinical and biographical data of four
cases of psychogenic psychosis admitted to our clinic between 2012
and 2015.
Results Four Romanian women aged 25 to 42 were diagnosed
with psychogenic psychosis in this period. Mean length of hospital-
ization was 5, 0 days. All patients reported familiar or occupational
stress prior to the onset of symptoms. Psychotic symptoms remit-
ted quickly with low doses of medication, despite being initially
intense.
Conclusions Reported cases fit remarkably well with the origi-
nal description of Wimmer. The concept of psychogenic psychosis,
along with similar brief psychotic entities, could be useful in
describing the psychopathology derived from new social models
and crises.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV456
Perceptual symptoms in the latino
psychiatric patients attending inner
city outpatient clinic
L. Gonzalez∗, A. Khadivi , W. Gu , P. Korenis
Bronx Lebanon Hospital Center, Psychiatry, Bronx, USA
∗ Corresponding author.
Introduction Psychotic symptoms occur in a variety of psychi-
atric disorders and medical conditions. In addition, a significant
proportion of the general population reports history of psychotic
symptoms in the apparent absence of a psychiatric disorder.
Reviewed literature suggests that Latino patients report certain
forms of visual and auditory hallucinations without other indi-
cations of psychotic illness. In addition, it is common that some
individuals with diverse religious or cultural backgrounds may
present with psychotic transient experiences, which can be cul-
turally normative.
Objective To determine the prevalence of hallucinations and
describe the nature of hallucinatory experiences in relation to cul-
tural belief in Latino and non-Latino psychiatric outpatients.
Methods We conducted a retrospective case control study of 146
patients who were admitted to the outpatient psychiatric clinic for
a period of tenmonths. We assessed clinical characteristics of these
patients and reviewed the extended mental status examination,
which contained questions about various form of hallucinations
and spiritual experiences. This poster will explore the prevalence of
hallucinations in the Latino population and determine the percent-
age of patients with a diagnosis of psychotic illness. A discussion of
the phenomenological hallucinatory experiences and its relation-
ship to cultural beliefs in the Latino psychiatric patients will also
be presented.
Conclusions Psychotic symptoms present differently across cul-
tures. The Latino population is most likely to have psychotic like
symptoms related to their cultural beliefs. Clinicians must under-
stand the diverse cultural experiences and beliefs of the patients
they work with to prevent misdiagnosis of culturally normative
experiences.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV457
Community psychiatry in
Mozambique – a transcultural
journey
A. Guerra ∗ Croca
Hospital de Santa Maria–Centro Hospitalar Lisboa Norte, Psychiatry
and Mental Health Department, Lisbon, Portugal
∗ Corresponding author.
Historically the psychiatric clinical practice in Mozambique
evolved from an eminently reclusive care setting (colonial period)
to a phase where the patients were rapidly deinstitutionalized into
their communities (post-independence years). In 1990, in order
to restructure the mental health care network, the National Men-
tal Health Plan was approved. Its main goal was to promote a
semi-open treatment setting, activating the community role in the