European Psychiatry - Volume 33 - March 2016

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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.
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.
EV788
A retrospective study of the impact of
antipsychotic medication on
readmission in patients followed by a
domiciliary care unit
J. Oliveira ∗, G. Sobreira , I. Capeto Coelho , F. Gomes ,
A. Nobre
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.
EV789
Mental illness and sexual disease
transmission. A case report
I. Pe˜nuelas Calvo ∗, J. Sevilla Llewellyn-Jones , A. Sareen ,
C. Cervesi , A. Gonzalez Moreno
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.