European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S499
EV470
Attitude of attendants for E.C.T. to be
given in patients of psychiatric
disorders
S. Srivastava
Lucknow, India
Introduction Utilization of E.C.T. has diminished since the middle
of 20th century but, inspite of widespread use of pharmacological
agents for treatment of major psychiatric disorders, E.C.T. is still
treatment of choice for patients with severe suicidal symptoms,
catatonia and diseases resistant to various pharmacological agents.
But inspite of its excellent effect in various psychiatric disorders,
acceptance of E.C.T. is very poor in society.
Objective Objective of this study was to know the attitude of
attendants for E.C.T. and acceptance after detailed description of
procedure and discussing merits and demerits of E.C.T.
Aims As still it is the best treatment for certain psychiatric dis-
orders, so to increase the awareness about its benefits and try to
remove the negativity regarding E.C.T. in society.
Method In this study, 61 patients were randomly selected who
had indication for E.C.T. without any discrimination of male and
female. Their attendants were categorized by their socioeconomic
status. All the attendants were asked open questions regarding
their opinion for E.C.T. before taking consent.
Result Sixty patients were selected who had indication for E.C.T.
and their attendants were asked to give their opinion for E.C.T.
Amongst them 9.84% were from upper socioeconomic status,
68.86% were from middle socioeconomic status and 21.31% were
from lower socioeconomic status. Only 11.48% had a positive atti-
tude, 75.40% had a negative attitude and 16.39% had no comments.
Conclusion After developing good rapport and confidence with
attendants and detailed explanation of E.C.T. procedure, its merits
and demerits 75.40% had given a positive attitude, 22.95% had given
negative attitude and still 1.64% had no comments.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV471
Impact of language fluency level on
patients’ pathway and clinical
outcome of the Japanese psychiatric
service
A. Yuasa ∗, S. Nagasawa , A. Yu
1 Meijigakuin University, Clinical Psychology/Psychology, Tokyo,
Japan
2 Yotsuya Yui Clinic, Clinical Psychologist, Tokyo, Japan
∗ Corresponding author.
Language fluency often impacts on patients’ behaviors. It might
affect their pathways, how they find an available psychiatric
clinic, and the clinical outcomes, if they continue their treatments.
Multicultural services deficiency is serious concern in Japanese
psychiatric fields. According to the Ministry of Health, Labor and
Welfare in 2014, more than two million of foreign visitors live
in Japan, however, the psychiatric institutions providing multilin-
gual services are rare and inadequate comparing the situation in
Europe. The research sets the objective of analyzing the status quo
in a multi-language providing psychiatric clinic, how the pathways
and outcomes of language diffluent patients differ from these of
the local patients. It further aims to find the significance of foreign
patients, and strives the improvement of language services for
non-native patients in Japanese mental health cares. The research
utilized and quantitatively analyzed the retrospective research data
among 900 Japanese patients and 902 non-Japanese patients, who
have visited a psychiatric clinic located in Tokyo. The analysis
revealed that the significant proportion of foreign patients relied
on their acquaintances as their pathways, and that the lower their
language levels were, the higher proportion they had this path. For
the outcomes, the lower their language levels were, the higher con-
tinuity status they had. Our research suggested that two of the
common ways to find a psychiatric service when local patients
suffer from psychopathological maladjustments are researching
Homepages and neighboring clinics, however, the foreigners with
limited language abilities tended to follow the different pathways
and outcome patterns.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV472
The characteristic of auditory
hallucinations in patients with
schizophrenia, schizoaffective and
bipolar disorder with psychotic
features in Iran
S.M. Zamir∗, S.A. Haji Seyed Javadi , M. Majidi
Qazvin university of medical sciences, Psychiatry, Qazvin, Iran
∗ Corresponding author.
Introduction Auditory hallucinations are perceptional experi-
ments that occur in schizophrenia, schizoaffective disorder and
bipolar disorder with psychotic features. Characteristic of these
hallucinations may have relation with cultural factors.
Aim We have done this study to understand more about con-
tent and characteristic of auditory hallucinations in Schizophrenia,
schizoaffective and bipolar disorder with psychotic features in
Qazvin, a state in north-center of Iran.
Methods We used the questionnaire that prof. Romme and Escher
developed in 1987 for research purposes. Sixty patients diagnosed
with schizophrenia, schizoaffective and bipolar disorder with psy-
chotic features that admitted or attended at clinic of Qazvinmedical
science university hospital, psychiatry ward, were interviewed.
Results The 45 men and 15 women in three groups were inter-
viewed. The most were men, single, and in fourth decade of their
life. Most patients mentioned that they heard one voice. Mean
age of appearing voices in patients were 19 to 29 years old. Most
patients in the schizoaffective and bipolar group heard male voices
and in schizophrenia were both sexes. Eighty-five percent of bipo-
lar patients, 65% of patients with schizoaffective disorder heard
friendly voices. It was 30% in patients with schizophrenia. Fif-
teen percent of bipolar patients, 75% of schizophrenia and 45% of
schizoaffective stated that voice was hostile.
Conclusion Our study has revealed that culture affected content
and characteristic of auditory hallucinations. We suggested that
some complementary studies will be done in future from different
Iranian cultures not just people of Qazvin.
Keywords Auditory hallucination; Schizophrenia;
Schizophrenia; Bipolar disorder; Cultural factors
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.