European Psychiatry - Volume 33 - March 2016

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S554 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Introduction Delusional disorder has reached an entity of grow-
ing interest with a prevalence in developed countries between 1
and 4% of the psychiatric consultations.
Objective To describe various socio-demographic and clinical
variables that characterize patients diagnosed with delusional dis-
order in Andalucía according to DSM-5 criteria.
Methods Reviewing common medical history digital records.
First, it has been proved whether it complies DSM-5 criteria for
the diagnosis of delusional disorder. Then, there have been differ-
ent epidemiological variables collected: age, sex, family psychiatric
history, and marital status, and employment status, age of onset of
illness, number of years of follow-up by specialized care, the num-
ber of visits to your computer, and number of hospitalizations in a
psychiatric inpatient unit among others.
Of the 1927 patients studied, 1452 met the criteria for diagnosis
of delusional disorder. These patients live in Andalusia and come
to different mental health care units, with an average follow-up
period of 9 years and 1 month.
Results About half of the sample were women and half men (49%
versus 51%).
Forty-seven percent of the sample are married or have a couple,
and 19% are in active employment.
Thirty-two percent have a family history of psychiatric mental dis-
order written in his digital clinical record.
Seventy-five percent of the sample meets criteria F22, while 25%
are diagnosed as other psychoses.
Conclusion This is the largest record of cases registered with
delusional disorder to date, in which we describe the biopsychoso-
cial characteristics of this group of patients in the largest Spanish
region.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV640
Socio-demographic analysis of an
early psychosis intervention
programme
C.M. Carrillo de Albornoz Calahorro ∗, J.A. Rodrigo Manzano ,
B. Girela Serrano
Hospital Santa Ana, Unidad de Salud Mental, Motril, Granada, Spain
∗ Corresponding author.
Introduction During the first 5 years of the onset of schizophrenia,
the majority of the clinical and psychosocial deterioration takes
place.
This period of time is critical in terms of diagnosing the illness and
providing effective psychosocial and pharmacological treatment.
Objectives/aims Knowing the demographic profile of users of an
Early Psychosis Intervention Programmeto adapt the intervention
to their specific needs.
Methods A descriptive statistical analysis of the records of every
patient on admission program during year 2014 was carried out.
There have been various socio-demographic variables collected
such as: sex, age, initial diagnosis, drug consumption, educational
level, labor situation, referral source and origin.
Results We found an average age of 26, near the normal curve
between 15 and 35 years distribution.
Eighty percent of our simple were men.
Eighty percent were non-affective psychosis as their initial diagno-
sis.
Abuse toxic in 70%, in all cases cannabis or derivatives.
Education level: 56% primary studies. Thirty percent reached sec-
ondary studies. Fourteen percent higher educational level.
In terms of job-training situation: 30% were working, 40% unem-
ployed and 30% studying.
Sixty-five percent were referred from primary care centers, 20%
from drug abuse centers and 15% from hospitalization units.
Main nationalities were Spanish 65%, 30% were Moroccan, and 5%
other came from other nationalities.
Conclusion It stresses the importance of intervening on dual
diagnosis, the need for greater coordination with primary care to
improve the detection of cases and the development of the training-
labor area in the recovery process.
It is also necessary to evaluate the different characteristics of immi-
grants included in the program.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV641
Physicians’ burnout: Can we make a
difference?
C.A. Moreira ∗, G. Sobreira , J.M. Oliveira , M.A. Aleixo
Centro Hospitalar Psiquiátrico de Lisboa, Psychiatry, Lisbon, Portugal
∗ Corresponding author.
Introduction Burnout is a commonly observed syndrome in
healthcare workers and it has been defined as a psychological con-
dition involving a continuous exposure to stressful work events
leading to adverse consequences both in physical and mental
health. Persistent pressure can lead to exhaustion, psychological
and/or physical distress and may increase the risk of medical errors
and decrease job satisfaction, which incites early retirement.
Objective The authors pretend to make a brief review regarding
Physicians’ burnout, its prevention and management.
Aims To understand and to be capable of dealingwith physicians’
burnout.
Methods The review was based in papers published on PubMed
using the following terms: “burnout”, “risk factors”, “healthcare
professionals” and “physicians coaching”.
Results Twenty-five to 60% of physicians report burnout across
all specialties. Changes in the healthcare environment have cre-
ated marked and growing external pressures. Numerous studies
suggest that the difficulty that physicians face with balancing their
personal and professional lives is a major contributor to distress.
To reduce stress at work, one should consider two levels of inter-
vention: the individual and the environmental. Multidisciplinary
actions that include changes in the work environmental factors
along with stress management programs that teach people how
to cope better with stressful events showed promising solutions to
manage burnout.
Discussions/conclusions Burnout among physicians is a common
and serious issue with potentially devastating personal and pro-
fessional consequences. More interventional research is needed
in order to improve psychological well-being, professional career
enjoyment as well as the quality of care provided to patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV642
Victimization of the mentally ill
A. El-Missiry
Ain Shams University, Neurology & Psychiatry, Cairo, Egypt
Background Persons with mental disorders living in the commu-
nity are liable for victimization and are considered as a high-risk
group.
Objective To explore the socio-demographic variables and clin-
ical characteristics related to victimization of patients with
schizophrenia in comparison to their non-victimized counterparts.
Subjects and methods One hundred patients were recruited from
the inpatient wards and outpatient clinics of the Institute of Psy-
chiatry, Ain Shams University. They were subjected to Structured
Clinical Interview for DSM-IV Axis I diagnosis (clinical version);