European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S595
themes were identified: Information/Education; Behavioural
strategies; and Cognitive/Motivational strategies.
Aims/objectives To develop the Portuguese version of the DIAS.
Methods The DIAS was translated and adapted for Portuguese
language. The translation was done by the first author (AC). The
accuracy of this translation was discussed in a two focus group of
experts, providing opinion on face and content validity. The par-
ticipants were asked to rate how often they had difficulties using
each of the 33 strategies with consumers who were non-adherent.
A four point Likert scale was used (1 = never; 4 = always) such that
higher scores indicated more frequent difficulty using the strategy.
Results A convenience sample of 65 mental health profession-
als working in a variety of settings is being collected. The average
score in DIAS was 85.0 (SD14.6). The value of internal reliability
coefficient was 0.93. The intraclass correlation coefficient of total
MABQ score was 0.45. The t-test showed that there were no sta-
tistically significant differences between the mean values of the
measurement scale at two different times (84.5 vs.90.5; P = 0.04).
Conclusion Interventions to improve antipsychotic adherence
would benefit from further research. However, it is important
always to bear inmind that none of these strategies can be a substi-
tute a positive therapeutic alliance. The Portuguese version of DIAS
will provide professionalswith a new tool to evaluate the frequency
how strategies are implemented and the impact of each strategy in
treatment adherence.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV766
Atypical gender identity and eating
disorder: A clinical case report
D. Celona ∗, F. Sandri , E. Pascolo Fabrici
1 Psychiatric clinic, Trieste, Italy
2 Psychiatric Clinic, Unità degli Studi di Trieste, Trieste, Italy
3 Psychiatric Clinic, Università degli Studi di Trieste, Trieste, Italy
∗ Corresponding author.
Gender identity disorder is a rare disorder of uncertain etiology
(1:30,000 M to F; 1:100,000 F to M). The emphasis of body shape
in this disorder suggests that there may be an association with
anorexia nervosa. Previous research suggests that eating disorders
are related to homosexuality in men although links with female
sexual orientation is less clear. This report describes the case of
an adolescent 19-year-old biological female transgender patient
presented to a Mental Health Center in Trieste. Diagnostically, this
patients presents with prominent restricting, purging anorexia that
was wed by the desire to obtain and thenmaintain an idealized pro-
totypal masculine shape. The failure of the realization of this project
involves in a self-distructive conduct. The case offers an impor-
tant opportunity to explore the comorbidity about eating disorders
and gender identity disorder. The patient completed thismeasures:
a background measure of his sexual orientation, the Millon Clini-
cal Multiaxial Inventory III (MCMI-III), the Minnesota multiphasic
personality inventory (MMPI-2), the Bem Sex Role Inventory, the
Eating Disorder Inventory and the Eating Attitude test. This report
suggests that the divergence of body image psychopathology may
be impacted by gender role orientation, which is consistent with a
developing body of research.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV767
Epidemiological characteristics and
role of socializing activities in a
sample of women in Mental Health
Centre
D. Celona ∗, F. Sandri , D. Garino , V. Botter ,
E. Pascolo Fabrici
1 Psychiatric clinic, Trieste, Italy
2 Psychiatric Clinic, Università degli Studi di Trieste, Trieste, Italy
3 Mental Health Center, Mental Health Cente, Trieste, Italy
∗ Corresponding author.
Introduction From Charcot studies on Hysteria to recent analysis
of the World Health Organization (WHO), mental illness seems to
be a matter in which sex and gender play a non-negligible role. In
theWHO data on neuropsychiatric disorders, women are prevalent
in almost all types of disorder.
Objective Primary prevention can only refer to the recognition of
social, educational, relational, environmental factors. Few studies
have been conducted on the socio-demographic characteristics of
the female population relating to psychiatric services.
Aims The aims of our research are to evaluate both the demo-
graphic and clinical characteristics of women related to mental
health services in Trieste and their adherence to rehabilitation pro-
grams.
Methods The study was conducted by collecting the personal
data of clinical users women from the four mental health centers
in Trieste and the psychiatric service for diagnosis and treatment
(SPDC). In the year 2014, the user attending the mental health
department are 4952.
Results Data analysis showed that women in charge at the
Department of Mental Health is 2731, representing 55% of all users.
The predominant age group is between 46 and 65 years (between
17% and 23% for each CSM). The number of women taking part at
rehabilitation activities is of 1332 (49%).
Conclusions It is considered necessary that the services for men-
tal health sponsor prevention, treatment and rehabilitation around
the specific needs of women.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV768
Decisional trust and regret mediate
the HRQL in work-related hand injury
patients
H.H. Liao , S.L. Cheng , C.C. Chang ∗, C.H. Lin , F.C. Liu ,
C.S. Cheng
1 Chung Shan Medical University Hospital, Department of Surgery,
Taichung, Taiwan
2 Chung Shan Medical University Hospital, Department of Orthopedic
Surgery, Taichung, Taiwan
3 Chung Shan Medical University & Chung Shan Medical University
Hospital, School of Medical Informatics & IT Office, Taichung, Taiwan
4 Chung Shan Medical University, School of Medical Informatics,
Taichung, Taiwan
5 Jen-Ai Hospital, Department of Pediatrics, Taichung, Taiwan
∗ Corresponding author.
Background Despite mounting evidence that non-injury-related
factors have an important role in recovery from injury; specific
variables associated with surgery outcomes are poorly understood.
This lack of knowledge complicates efforts to improve the care of
work-related hand injury (WRHI) patients. However, substantial
research and investigation have still not clarified these underlying
relationships, which merit further attention.
Objective The purpose of this study was to evaluate the Health-
Related Quality of Life (HRQL) outcome for WRHI patients after