European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S561
In 90th of 20 Russian psychiatrist Y.A. Alexandrovsky expressed
opinion of presence the group of so-called social-stress disorders
that was determined like psychogenic-actual for most people in
definite social, economic and political situation.
Used the method of clinic-psychopathological interview with
patients who applied outpatient psychological consultation on the
chair of psychiatry.
The main changes in psychic state include following behaviors and
clinical implications: loss of the value of human life, which is mani-
fested in indifference to death in lowering caution when hazardous
situations, willingness to sacrifice lives without any ideals. There is
unrestrained lost for pleasure and moral promiscuity, exacerba-
tion of personality typological traits, development of hyperstenic
reactions (to self-destructive non-expedient behavior), hypostenic
disorders, panic reactions, depression, dissociative and conversive
irregularities, loss of communicational plasticity, loss of the abil-
ity to adapt to what happens with the preservation prospects
of targeted actions, manifestations of cynicism, the tendency to
antisocial actions. Patients had complaints on increase anxiety, pes-
simistic attitudes, existential vacuum, sense of uselessness and loss
of perspectives, tendency to irrational perception of reality with
including mechanisms of autistic and archaic thinking.
Thus, psychological status of the population of Ukraine is a model
of social-stress disorder and can be considered like a basis, which
leads to the decreasing of the individual barrier of mental adapta-
tion with the next manifestation of different forms of psychological
maladjustment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV662
Patients’ needs as an outcome
measure in schizophrenia
P. Stefanatou ∗ onstantakopoulos iannouli
N. Ioannidi avreas
1 Athens University Medical School, First Department of Psychiatry,
Eginition Hospital, Athens, Greece
2 University Hospital of Ioannina, Department of Psychiatry,
Ioannina, Greece
∗ Corresponding author.
Introduction Outcome assessment has been highlighted as a cru-
cial factor in the evaluation and transformation of mental health
services, providing evidences for the improvement of clinical prac-
tice.
Objective This is the first clinical study in Greece to investigate
the relationship between the crucial outcome measures of needs,
quality of life, disability and psychopathology for patients suffering
from schizophrenia. Furthermore, service evaluation based on the
assessment of the above outcome measures has never taken place
in the country.
Aims To examine the associations between the patients’ needs
and other treatment outcome indicators:
– quality of life;
– disability;
– dimensions of schizophrenia symptomatology.
Method The CAN-R, WHOQOL-BREF, WHODAS 2.0 and PANSS
scales were administered to a sample of fifty-three schizophrenia
patients and the correlations between the above outcomemeasures
were computed.
Results (1) Significant negative correlations emerged between
the total number of needs and unmet needs and subjectively
assessed quality of life. (2) Significant positive correlations emerged
between the total number of needs and unmet needs and subjec-
tively assessed disability. (3) Significant positive correlations were
found between the dimensions of schizophrenia symptomatology
(positive/negative/general) and the total number of needs in our
sample.
Conclusion According to our findings:
– as the number of unmet needs increases patients’ quality of life
is lowered;
– a possible relationship exists between unmet needs and subjec-
tively assessed disability;
– a possible relationship exists between needs and all the dimen-
sions of schizophrenia symptomatology.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV663
The relationship between insight and
internalized stigma in persons with
sever mental illness
D. Szczesniak ∗, I. Wojciechowska , M. Kłapci ´nski ,
E. Zwyrtek , J. Rymaszewska
1 Wroclaw, Poland
2 Poland
∗ Corresponding author.
Introduction Stigma is a multistage process that makes person
marked by the stigma to be perceived as diminished or even as
“not fully human”. The internalized stigmatization is seen as one of
the levels of stigma to be present in persons with mental illness. A
new perspective to mediation models between internalized stigma
and illness-related factors is needed.
Aim To assess the relationship between insight in mental illness
and internalized stigma, as well to verify the knowledge of illness-
related factors on the phenomenon of internalized stigma among
patients with severe mental illnesses.
Methods A cross-sectional study design conducted among par-
ticipants of both sexes between 18 years old and 65 years old
with diagnosis of psychotic disorders (F20–29) andmood disorders
(F30–39), who after reading the information about the study, give
their written consent to participate. Among used methods were: a
questionnaire of Internalized Stigma of Mental Illness (ISMI) by Rit-
sher [Boyed] et al. translated into Polish version and self-prepared
interviews. Insight into mental illness was assessed using the Pos-
itive and Negative Syndrome Scale.
Results The preliminary results showed patients with the insight
into the mental illness have significantly higher scores on the ISMI
scale. Moreover, inpatient participants and those with the diagno-
sis of depression were characterized by higher level of stereotype
endorsement compared with outpatients and psychotic patients.
Conclusions The obtained results may contribute in the clinical
and therapeutic fields, assuming that insight and the type of treat-
ment are strongly linked with the process of recovery and the
internalized stigma.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV664
Knowledge and uptake of voting
rights by adults with mental illness
living in supported accommodation in
Westminster (London) during the
2015 UK general election
J. Townell ∗, T. MacLaren , V. Argent , L. de Ridder ,
S. Shanmugham , A. Venkataraman , M. Clarke , M. Khwaja
1 Central & North West London NHS Foundation Trust, General Adult
Psychiatry, London, United Kingdom