Table of Contents Table of Contents
Previous Page  597 / 812 Next Page
Information
Show Menu
Previous Page 597 / 812 Next Page
Page Background

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

S593

years, was conducted. Results of the study are in line with inter-

national research findings concerning the psychosocial factors that

contribute to frequent rehospitalization of patients with psychotic

disorders, such as: unemployment (97%), lack of support system

(76,5%), non-compliance with treatment (91.2%), emotional reac-

tivity to stressful life events, etc. However, according to the study,

family atmosphere turned out to be the central problem which

influences the index of conflict and expressed aggression in the

family, has impact on the size of patient’s support system, on

substance abuse, on patient’s relapse and on their emergency

rehospitalization. According to the results of the study, family

atmosphere is one of the most active and multifaceted factors

that contribute to patient’s relapse and frequent rehospitalization

in Georgia. Therefore, implementing and developing interventions

discussed in the research paper that will target this factor is essen-

tial.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1744

EV760

Social representations about the

“mad” and the “madness”: Primary

care professionals concepts and

practices

E. Scherer

1 ,

, N. Sartory

2

, Z. Scherer

2

1

Ribeirão Preto Medical School Hospital of the University of São

Paulo, Neurosciences and Behavioral Sciences, Ribeirão Preto, Brazil

2

University of São Paulo at Ribeirão Preto College of Nursing,

Psychiatric Nursing and Human Sciences Department, Ribeirão Preto,

São Paulo, Brazil

Corresponding author.

Introduction

In Brazil, mental health care is based in asylum per-

spective and centered in the illness fragmenting the individual and

their needs.

Objectives

The goal of this studywas to know the social represen-

tations of primary care health professionals about mental disorder

and also the assistance provided to the mentally ill.

Methods

This is an exploratory-descriptive field study, whose

theoretical background of investigation was the Social Represen-

tation Theory. Twelve health professionals took part on this study.

Results

We identified that social representations about the “mad”

are based on discerning incapability, dangerousness, aggressive-

ness, incapability of interpersonal relationships. The stigmatizing

and excluding view were direct and indirectly present through-

out the speeches. Some professionals manage to be able to live

with mental disorder patients in social environments but not pri-

vate ones. Lack of autonomy has been related with the mentally

disordered patient, because of their dependency, incapability of

choosing and possibility of overcoming. “Madness” was repre-

sented as having a psychological, biological, spiritual, social or

multiple cause background. The therapeutic approach conceived

by most professionals as efficient and possible at the health cen-

ters was drug prescription. The doctors presence, medicalization,

alienation of the subject, stigma and lack of capability were the

weaknesses presented by the study.

Conclusion

We conclude that stigma is the biggest barrier for

patients to acquire autonomy and citizenship, that professional

practices are grounded in our social representations being only

possible to transform social process and practices when we admit

that our representations recognize these people as different and

marginalized.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1745

EV761

A three-month follow-up study

evaluating changes in clinical profile

and attitudes towards involuntary

admission

E. Bainbridge

1 ,

, B. Hallahan

2

, D. McGuinness

3

, A. Higgins

4

,

K. Murphy

5

, P. Gunning

6

, J. Newell

6

, C. McDonald

3

1

Galway, Ireland

2

National University of Ireland, Department of psychiatry, Galway,

Ireland

3

National University of Ireland, Psychiatry, Galway, Ireland

4

Trinity College Dublin, School of nursing and midwifery, Dublin,

Ireland

5

National University of Ireland, Nursing and midwifery, Galway,

Ireland

6

National University of Ireland, Biostatistics Department, Galway,

Ireland

Corresponding author.

Introduction

Involuntary admission and treatment is often a

traumatic experience for patients and there is a wide variation in

attitudes towards care even when patients are recovered.

Objectives/aims

The purpose of this large prospective study was

to identify clinical predictors of attitudes towards care during invol-

untary admission.

Methods

Three hundred and ninety-one consecutively admitted

involuntarily patients to three psychiatric inpatient units over a

30-month period were invited to participate in the study. Compre-

hensive assessments at admission and 3 months after discharge

were attained including measures of symptoms, insight, func-

tioning, attitudes towards involuntary admission and coercive

experiences. Multiple linear regression modelling was used to

determine the optimal explanatory variables for attitudes towards

care.

Results

Two hundred and sixty-three individuals participated at

baseline and 156 (59%) successfully completed follow-up assess-

ments. Individuals improved significantly over time clinically and

in their attitudes towards their care. At baseline greater insight

(

P

< 0.001) and less symptoms (

P

= 0.02) were associated with more

positive attitudes towards care as was older age (

P

= 0.001). At

follow-up, greater insight (

P

< 0.001), less symptoms (

P

= 0.02) and

being older (

P

= 0.04) were associated with more positive attitudes

towards care. More positive attitudes towards care at follow-

up were associated with greater improvements in insight over

time (

P

< 0.001) and having a diagnosis of an affective psychosis

(

P

= 0.0009).

Conclusions

The best predictors of positive attitudes towards care

during and after involuntary admission are illness related factors,

such as levels of insight and improvement in insight, rather than

service or legislation related factors, such as the use of coercive

measures, seclusion and restraint.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1746

EV762

Academic burnout and hope as

predictors of mental health

A.A. Bayani

Azadshahr Branch, Islamic Azad University, Psychology, Azadshahr,

Iran

Introduction and objectives

With increasing understanding of

health concept, the importance of mental health becomes more

apparent, because mental health provides effective functionality of