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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1646

EV662

Patients’ needs as an outcome

measure in schizophrenia

P. Stefanatou

1 ,

, G . K

onstantakopoulos

1 , E. G

iannouli

1 ,

N. Ioannidi

1 , V. M

avreas

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1647

EV663

The relationship between insight and

internalized stigma in persons with

sever mental illness

D. Szczesniak

1 ,

, I. Wojciechowska

2

, M. Kłapci ´nski

2

,

E. Zwyrtek

2

, J. Rymaszewska

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1648

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

1 ,

, T. MacLaren

2

, V. Argent

1

, L. de Ridder

3

,

S. Shanmugham

1

, A. Venkataraman

1

, M. Clarke

1

, M. Khwaja

1

1

Central & North West London NHS Foundation Trust, General Adult

Psychiatry, London, United Kingdom