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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1750

EV766

Atypical gender identity and eating

disorder: A clinical case report

D. Celona

1 ,

, F. Sandri

2

, E. Pascolo Fabrici

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1751

EV767

Epidemiological characteristics and

role of socializing activities in a

sample of women in Mental Health

Centre

D. Celona

1 ,

, F. Sandri

2

, D. Garino

2

, V. Botter

3

,

E. Pascolo Fabrici

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1752

EV768

Decisional trust and regret mediate

the HRQL in work-related hand injury

patients

H.H. Liao

1

, S.L. Cheng

2

, C.C. Chang

3 ,

, C.H. Lin

4

, F.C. Liu

5

,

C.S. Cheng

5

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