European Psychiatry - Volume 33 - March 2016

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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.
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.
EV758
The quality of life of chronic mental
patients
I. Adric ∗ ragan Pavlovic abi´c Martinac
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.
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