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

S557

Methods

The design is a community-based prospective cohort

study using data from the Swedish Lundby Study. Loneliness is

measured in 1997 with a singleton question during interview of a

psychiatrist. The outcome is deathbetween1997 and2011. Survival

analysis is used to estimate the relative risk of mortality. Stratifi-

cation of potential explanatory covariates examines if any of the

health indicators mediate the relationship.

Results

Significant more females, unmarried, unemployed, and

childless people feel lonely. Moreover, feeling lonely correlates to

being smoker or alcoholic when adjusting for age and gender. The

statistical work on the survival analysis is still in progress. However,

we expect to find a positive correlation between loneliness and

mortality corresponding to previous studies, and perhaps to reveal

some of the health indicators to cause the association.

Conclusions

With increasing prevalence, potential health con-

sequences, and a neglected role in the society, loneliness is an

important research area.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1633

EV649

More women are medicated while

more men are talked out: Persistent

gender disparities in mental health

care

P. Joseph

, A. Kazanjian

UBC School of Population & Public Health, Faculty of Medicine,

Vancouver, Canada

Corresponding author.

Introduction

Physician incentives have been shown in previous

studies to help reduce socioeconomic disparities in health care.

Its impact on gender disparities, however, has rarely been inves-

tigated.

Aim

The impact of physician incentives on gender disparities in

mental health care was investigated in this retrospective study.

Method

De-identified health administrative data from physician

claims, hospital separations, vital statistics, prescription database,

and insurance plan registries were linked and examined. Monthly

cohorts of individuals with depression who were residing in British

Columbia, Canada were identified and their use of mental health

services tracked for 12 months following receipt of initial diag-

nosis. Indicators that assess receipt of the following services were

created:

– counseling/psychotherapy (CP);

– minimally adequate counseling/psychotherapy (MACP);

– antidepressant therapy (AT);

– minimally adequate antidepressant therapy (MAAT).

Interrupted time series analysis was used to estimate changes

in these indicators before (01/2005–12/2007) and after

(01/2008–12/2012) physician incentives were introduced.

Results

At the beginning of the study period, the percentage

of individuals diagnosed with depression who received counsel-

ing/psychotherapy was higher, on average, among men (CP: 58.4%,

MACP: 13.6%) than women (CP: 57.1%, MACP: 10.9%). In con-

trast, the percentage who received antidepressant therapy was

higher among women (AT: 57.7%, MAAT: 47.4%) than men (AT:

53.6%, MAAT: 41.9%). Levels for these indicators have changed over

time but the statistically significant differences between men and

women were virtually the same before and after incentives were

introduced.

Conclusions

Gender disparities in mental health care persist

despite the introduction of physician incentives designed to

enhance access to mental health services in primary care.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1634

EV650

Chemtrails: An overview of the

phenomenon

C. Llanes Álvarez

1 ,

, A. San Roman Uría

1

, P. Nunes Nancabu

2

,

M. Ruiz Gippini

1

, P. López Landeiro

1

, M.Á. Franco Martín

1

1

Complejo Asistencial de Zamora, Psiquiatría, Zamora, Spain

2

Complejo Asistencial de Zamora, Medicina familiar y comunitaria,

Zamora, Spain

Corresponding author.

Introduction

The term contrail is a contraction of condensation

and trail, as chemtrail is of chemical and trail. The first one is used

to name trails left in the sky by aircrafts under certain atmospheric

conditions. Some people argue that when contrails do not dissipate

quickly is because contain substances added and sprayed for sinis-

ter purposes undisclosed to the population (weather modification

and biological and/or chemical war are the most common).

Objective

Exist various versions of the chemtrail theory, most of

them propagated via the Internet in discussions forums or web-

sites, and to a lesser degree by the mass media such as TV and radio

programs. The outspread popularity and diffusion of the theory

has already become a reality. Scientific community has repeatedly

rejected that chemtrails exist, insisting that are just contrails. We

analyze this phenomenon.

Methods

We made a exhaustive literature review in

Journals of

Meteorology and Aviation

, about the formation of condensation

trails, in

Social Pychology Journals

about the genesis and dissem-

ination of the chemtrails theory. Finally, we will make a brief

presentation of documentation built around the theory of chem-

trails in the province of Zamora (Spain), where is one of the most

active spots in southern Europe.

Conclusions

Official statements on the non-existence of chem-

trails have not discouraged the proponents of the theory of

chemtrails.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1635

EV651

Prevalence of adverse childhood

experiences and socioeconomic

disadvantage among Portuguese

prison inmates and its relationship

with current psychopathology

A. Machado

, D. Loureiro , T. Silva , J. Cerejeira

Centro Hospitalar e Universitário de Coimbra, Psychiatry, Coimbra,

Portugal

Corresponding author.

Introduction

Adverse childhood experiences such as emo-

tional/verbal abuse, sexual abuse, physical abuse, household

dysfunction and parental psychopathology play a role in the devel-

opment of chronic mental and physical diseases as well as in the

development of aggressive and criminal behavior.

Objectives/aims

Our aim was to explore the prevalence of child-

hood adversity and social disadvantage among prison inmates in

Portugal and its relationship with current psychopathology.

Methods

We conducted a cross-sectional study among crimi-

nal offenders in a high-security prison in Portugal. Socioeconomic

status was evaluated using the Graffar scale. Additionally, we

inquired our sample about topics concerning education level, work

experience and present social and economic situation. Childhood

adversity was measured using yes or no questions evaluating sex-

ual, physical, emotional and verbal abuse, neglect, family integrity

and household dysfunction, parental psychopathology and/or drug