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S602

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

prevention strategies. Further studies directed to psychiatry

trainees seem important, as this represents an important risk

group, where an early intervention can make a difference.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1771

EV787

Qualitative evaluation of a

couple-based cognitive-behavioral

intervention on postnatal depression

F.W. Ngai

The Hong Kong Polytechnic University, School of Nursing, Kowloon,

Hong Kong, China

Introduction

Postnatal depression is a significant public health

problem, which has long-term sequelae on the family and the

infant’s psychosocial development. Cognitive behavioral therapy

is one of the most effective interventions for postnatal depression.

However, there is limited qualitative evaluation of the impacts of

delivering couple-based cognitive behavioral therapy during the

perinatal period.

Objectives/aims

The purpose of this study was to explore Chi-

nese mothers’ perceptions of a couple-based cognitive-behavioral

intervention at early postpartum.

Methods

This study used an exploratory qualitative design. A

purposeful sample of 30 first-time Chinese mothers who had par-

ticipated in a couple-based cognitive-behavioral intervention was

interviewed at 6 weeks postpartum. Content analysis was used to

analyze the data.

Results

The results revealed that Chinese mothers perceived the

couple-based cognitive-behavioral intervention to be helpful in

enhancing their emotional control, increasing sense of support and

well-being in taking up the maternal role.

Conclusions

The findings provide empirical support for the fea-

sibility of the couple-based cognitive-behavioral intervention in

facilitating maternal adaptation during the transition to parent-

hood. The results could be utilized tomake continued improvement

of perinatal services to promote maternal well-being during the

transition to new parenthood.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1772

EV788

A retrospective study of the impact of

antipsychotic medication on

readmission in patients followed by a

domiciliary care unit

J. Oliveira

1 ,

, G. Sobreira

2

, I. Capeto Coelho

3

, F. Gomes

2

,

A. Nobre

3

1

Centro Hospitalar Psiquiátrico de Lisboa, Neuropsychiaty Unit,

Lisbon, Portugal

2

Centro Hospitalar Psiquiátrico de Lisboa, First Psychotic Episode

Unit, Lisbon, Portugal

3

Centro Hospitalar Psiquiátrico de Lisboa, Mood Disorders and OCD

Unit, Lisbon, Portugal

Corresponding author.

Introduction

Domiciliary care services’ patients have severe

psychiatric disorders, challenging social contexts and physical

comorbidities. These influence outcome but are difficult to mod-

ify. Conversely, antipsychotic medication is changeable and has

been shown to be related to number of readmissions and length of

stay.

Objectives

To assess whether injectable or oral and first or sec-

ond generation antipsychotics (FGAP and SGAP) are associatedwith

readmission and contact with mental health services.

Aims

To improve the quality of care in our domiciliary care unit

(PreTrarCa) and its efficacy.

Methods

Active patients in PreTrarCa in 2015 with schizophre-

nia, schizoaffective, delusional or bipolar disorders were included

(

n

= 64). Information regarding medication and average number of

hospitalizations, appointments and missed appointments per year

was retrospectively collected.

Results

Patients were mostly male (37), with mean age of 54, and

mean follow-up of 41.20 months; 23 were prescribed injectable

antipsychotics alone, 21 oral antipsychotics alone and 20 both; 36

were on injectable FGAP and 7 on SGAP. Oral medication was sig-

nificantly related with missed appointments per year, but not with

number of actual appointments. No other significant relation was

found; although patients on SGAP had more hospitalizations (0.9

vs. 0.3 per year) and longer length of stay (21.9 vs. 6.3 days) these

differences were not statistically significant.

Conclusion

Type of antipsychotic was not associated with read-

mission rates or contact with mental health services. Confounding

variables and clinical outcome measures were not included and the

effect of medication changes during follow up was not addressed.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1773

EV789

Mental illness and sexual disease

transmission. A case report

I. Pe˜nuelas Calvo

1 ,

, J. Sevilla Llewellyn-Jones

2

, A. Sareen

3

,

C. Cervesi

4

, A. Gonzalez Moreno

5

1

Hospital Universitario Virgen de la Victoria, Psychiatry, Málaga,

Spain

2

Hospital Universitario Virgen de la Victoria, Psychology, Málaga,

Spain

3

The Zucker Hillside Hospital-North Shore, Long Island Jewish Health

System, Psychiatry Research, New York, USA

4

Institute for Maternal and Child Health-IRCCS “Burlo Garofolo”,

Psychiatry, Trieste, Italy

5

Hospital Universitario Virgen de la Victoria, Psychiatry, Málaga,

Spain

Corresponding author.

Introduction

Published rates of HIV infection among psychiatric

patients are 3.1% to 23.9%, at least eight times higher than general

population. (Nebhinan et al., 2013)

Aims

Defects in judgment and insight in patients with psychosis

is often associatedwith lot of anger and impulsiveness, risky behav-

ior and lower treatment adherence. This often led to worsening of

clinical status and prognosis. (Uruchurtu, 2013)

Methods

A 31-year-old man diagnosed with schizophrenia and

HIV four years ago. At the beginning of last year, the patient

was hospitalized in the Acute Psychiatry Hospital Unit because

of decompensation. Two years after diagnosis of HIV, he stopped

taking hismedications andwas arrested several times becausemis-

demeanours. Furthermore, patient was highly sexually active in

the form of unprotected sex with multiple partners, as he had no

concept of his disease. In addition to this, he made a delusional

interpretation about HIV (known as VIH in Spanish) as Immor-

tal human life (Vida Immortal Humana). He was admitted in the

hospital for a month and was treated with medications and psy-

chotherapy, which led to good stabilization, andhe gained insight of

both of his illnesses. At the moment, one year after this episode, the

patient is stable, taking bothmedications regularly and followed up

by his psychiatrist in the Mental Health team.