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S592

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

has been reported in up to 8.8% of institutionalized patients with

intellectual disability (ID). In severe cases, this can cause volvu-

lus and ileus, and even intestinal perforation. Currently, there is

limited information on this potentially life-threatening condition,

particularly for people with ID.

Aim

To review the up to date literature on the pathophysiology,

clinical features andmanagement strategies of pathologic aeropha-

gia in relation to people with ID.

Methods

A literature search of electronic database was per-

formed using specific keywords. Review articles were selected

using pre-defined criteria.

Results

Apart from a few small controlled trials on pharma-

cotherapy, most of the studies were case series or uncontrolled

studies. The understanding on pathophysiology is incomplete

but is thought to involve a reflex-induced movement of upper

oesophageal sphincter and may be associated with anxiety or

stress. A comprehensive history and physical examination as well

as an abdominal radiograph may be helpful in diagnosis. The

mainstay of treatment is reassurance and behaviour therapy. Med-

ications that are helpful include antacids, anti-reflux drugs and

benzodiazepines. Surgical treatment is recommended for patients

who do not respond to conservative treatment.

Conclusions

Pathologic aerophagia is not uncommon in people

with ID and can present with severe challenges in the assess-

ment and management. Further studies are necessary to provide

evidence-based treatment guidelines for the management of this

condition particularly in patients with ID.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1741

Mental Health Care

EV757

Real-life experience of mentally ill in

the seclusion room

C. Aarab

, R. Aalouane , I. Rammouz

Psychiatrist Hospital Ibn Alhassan, Psychiatry, Fès, Morocco

Corresponding author.

Introduction

Seclusion room (SR) is part of coercitive interven-

tions in psychiatric hospitals.

Aims

Describe the clinical data, and practical modalities of the

seclusion room in a psychiatric inpatient unit. Evaluating the expe-

rience of patients just after, and away from their exit from the

seclusion room to improve their management.

Methodology

It is a cross-sectional study evaluating the expe-

riences of patients placed in seclusion room during their

hospitalization. Data were collected by interviewing patients

directly and by consulting their medical records using an estab-

lished farm return. The patient placed in a seclusion room was

evaluated on day 1, day 7 and out.

Results

Of the 120 patients, 57.7% had schizophrenia, 20% of a

mood disorder, 14.2% of acute psychotic access and 4.2% a per-

sonality disorder. The average duration of the seclusion room was

3.4 days. Seventy-eight percent of patients felt that the conditions

of this measure were unbearable. After exiting the room, 60% of

patients maintained a good relationship with the team health care,

28% do not trust especially

vis-à-vis

the nurses and 18% experienced

a feeling of hatred and resentment.

Conclusion

This work has allowed us to take into consideration

the experience of patients to promote the care of the mentally

ill.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1742

EV758

The quality of life of chronic mental

patients

I. Adric

1 ,

, B . D

ragan

2 , M.

Pavlovic

2 , R. B

abi´c

2 , M.

Martinac

2

1

University of Mostar, Faculty of Medicine, Mostar, Bosnia and

Herzegovina

2

University Clinical Hospital Mostar, Department of Psychiatry,

Mostar, Bosnia and Herzegovina

Corresponding author.

Objective

Examine the quality of life (QOL) of chronic mental

patients due to the socio-demographic characteristics and compare

it with the QOL of chronic somatic patients.

Methods and subjects

The focus group consisted of 100 chronic

mental patients tested at the Department of Psychiatry at the Uni-

versity Clinical Hospital Mostar, and the control group made 60

chronic somatic patients tested at the Family Medicine medical

clinic at the Health Center in Mostar. The survey was con-

ductedwith a socio-demographic questionnaire and a standardized

questionnaire on the QOL of the World Health Organization

WHOQOL-BREF.

Results

In the mental patients group dominated male popula-

tion of unemployed individuals, which were living in rural areas. In

the somatic patients group, there were more married females of a

higher economic status. More than 70% of mental patients smoked

cigarettes, while in the second group, less than half of patients

smoked. Drinking alcohol was more prominent in the somatic

patient group. Nearly all mental patients have been hospitalized

at least once, while in the other group only half of the respondents

were hospitalized. The QOL of chronic mental patients was infe-

rior to the QOL of chronic somatic patients in all sub-categories:

physical health, psychological health, social relationships and envi-

ronment. The lowest rated subgroup of chronic mental patients

was social relations, while for chronic somatic patients that was

the environment.

Conclusion

The QOL of chronic mental patients was inferior to

the QOL of chronic somatic patients.

Keywords

Chronic mental patients; Chronic somatic patients;

Quality of life

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1743

EV759

Psychosocial factors associated with

frequent rehospitalization of patients

with mental health disorders

T. Amirejibi

, N. Zavradashvili

Ilia State University, Faculty of Arts and Sciences, Tbilisi, Georgia

Corresponding author.

International research, which focuses on frequent users of the psy-

chiatric services and on the psychosocial factors that are associated

with frequent rehospitalization, emphasize that the problem of

revolving door patient still stands and is severe. Research concern-

ing the above mentioned issue has not been conducted in Georgia,

therefore, this study aimed to explore the revolving door patients

and psychosocial factors that contribute to their relapse and fre-

quent readmission to acute psychiatric unit. Study was conducted

at psychiatric department of Ghudushauri National Medical Cen-

ter. Qualitative and quantitative analysis based on medical files of

34 adult patients with psychotic disorders, rehospitalized in acute

psychiatric unit 60 days after their last discharge in 2012–2014