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

S603

Conclusion

It is of extreme importance that psychotic patients

with HIV receive a good follow-up during life, as decompensation

can affect the patients’ health and health of others, with the implicit

consequences that it carries. (Uruchurtu, 2013)

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1774

EV790

Mindfulness, self-compassion and

psychological distress in pregnant

women

S. Xavier

1 ,

, J. Azevedo

1

, E. Bento

1

, M. Marques

1 , 2

, M. Soares

1

,

M.J. Martins

1 , 3

, P. Castilho

3

, V. Nogueira

1 , 2

, A. Macedo

1 , 2

,

A.T. Pereira

1

1

Faculty of Medicine, University of Coimbra, Psychological Medicine,

Coimbra, Portugal

2

Coimbra Hospital and University Centre, Psychology, Coimbra,

Portugal

3

Faculty of Psychology and Educational Sciences, University of

Coimbra, CINEICC, Coimbra, Portugal

Corresponding author.

Introduction

Anxiety, depression, and stress in pregnancy are risk

factors for adverse outcomes for mothers and children (Glover,

2014). There is good evidence showing a decrease in psycholog-

ical distress when pregnant women participate in interventions

comprisingmindfulness and self-compassion practices (Dunn et al.,

2012). However, there are few studies on the relationship between

mindfulness, self-compassion and psychological distress variables

in pregnancy, without being within the scope of intervention trials

(Cohen, 2010; Zoeterman, 2014).

Objective

To explore the association between mindfulness, self-

compassion and psychological distress/PD in pregnant women.

Methods

Four hundred and twenty-seven pregnant women

(mean age: 32.56

±

4.785 years) in their second trimester of preg-

nancy (17.34

±

4.790weeks of gestation) completed the Facets of

Mindfulness Questionnaire-10 (FMQ-10; Azevedo et al., 2015; to

evaluate Non-udging of experience/NJ, acting with awareness/AA

and observing and describing), Self-Compassion Scale (SCS; Bento

et al., 2015; to evaluate self-kindness/SK, self-judgment, com-

mon humanity, isolation, mindfulness and over-identification) and

Depression Anxiety and Stress Scale-21 (DASS-21; Xavier et al.,

2015). Only variables significantly correlated with the outcomes

(Total DASS-21, Stress, Anxiety and Depression) were entered in

the multiple regression models.

Results

FMQ-10 and SCS Total scores were both significant pre-

dictors of DASS-21 (

B

= –.335,–.296). Stress predictors were NJ, AA,

SK and isolation (

B

= –.164;–.196;–.087; .353); Anxiety predictors

were NJ, SK and isolation (

B

= –.198;–.124; .268); depression pre-

dictors were NJ, SK and Isolation (

B

= –.277;–.128; .232) (all

P

< .01).

Conclusions

Mindfulness and self-compassion dimensions, par-

ticularly non-udging of experience and self-Kindness are protective

for PD in pregnancy. Isolation is a correlate of PD in pregnancy.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1775

EV791

Primary Care Mental Health Pilot

H. Rahmanian

Sutton, United Kingdom

Improving access to mental health in primary care is a national prior-

ity

A statedpriority is to improve the integrationbetweenmental

and physical health services and to close the gap between people

with mental health problems and the population as a whole by

ensuring that mental health is treated with as much priority as

physical health. Integrated working between GPs, primary and sec-

ondary care mental health services, will be key to delivering these

shared priorities and to meet local commissioning objectives that

will improve the health and well-being of our population, reduce

inequalities and maximise value in terms of outcomes, quality and

efficiency from services provided to patients. The Barnet South

Primary Care Mental Health Pilot commenced on 30th June 2014

(initially for 9 months, then extended for another 3 months). The

service has been commissioned to offer advice to GPs and mental

health assessments in the primary care setting. The pilot provides

a responsive and flexible service for the 17 practices in the South

Barnet Locality. The pilot offers an assessment service for mental

health referrals. People seen for assessment are aged 18 years and

older andmust be registered with a GP in the Barnet South Locality.

They are people with diagnoses of moderate or severe depression

and/or anxiety disorders, mild eating disorderswho do notmeet the

criteria for referral to specialist services, or medically unexplained

symptoms with no currently known physical cause.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1776

EV792

Non-Attendance at initial

appointments in an Outpatient

Mental Health Centre

S. Ramos Perdigues

1 ,

, S. Gasque Llopis

2

, S. Castillo Maga˜na

2

,

Y. Suesta Abad

2

, M. Forner Martínez

2

, M. Gárriz Vera

2

1

Nuestra Senora de Jesus, Spain

2

Institut de Neuropsiquiatria I Addiccions, Parc de Salut Mar,

Barcelona, Spain

Corresponding author.

Introduction

Non-attendance at initial appointments is an

important problem in outpatient settings and has consequences,

such as decreased efficient use of resources and delayed attention

to patients who attend their visits, and that compromises quality

of care.

Objectives

To identify and describe the characteristics of patients

who do not attend the first appointment in an adult outpatient

mental health center, located in Barcelona.

Method

Retrospective study. The sample was made up from all

patients who had a first appointment during 2014 in our outpatient

mental health centre. Socio-demographic and clinical data (type

of first appointment, reason for consultation, origin of derivation,

priority, history of mental health problems) were described. The

results were analyzed using the SPSS statistical package.

Results

A total of 272 patients were included. Twenty-six per

cent did not attend their first appointment; with mean age 39.75

years and 51.4% were male. Most frequent problems were anxiety

(41.7%), depression (26.4%) and psycosis and behavioural problems

(11.2%). The origin was primary care (83.3%), social services (4.2%)

and emergencies (2.8%). Most of themwere not preferent or urgent

(86.1%). The 51.4% of non-attendees hadhistory or psychiatric prob-

lems and 13.9% nowadays are patients of our mental health centre.

Conclusions

It is important to develop mechanisms that can

reduce the incidence of first non-attended appointments. In our

case, most of them are attended by primary care so we can estab-

lish better communication with our colleagues and try to contact

to the patients prior to the date of the appointment.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1777