European Psychiatry - Volume 33 - March 2016

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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.
EV790
Mindfulness, self-compassion and
psychological distress in pregnant
women
S. Xavier ∗, J. Azevedo , E. Bento , M. Marques , M. Soares ,
M.J. Martins , P. Castilho , V. Nogueira , A. Macedo ,
A.T. Pereira
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.
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.
EV792
Non-Attendance at initial
appointments in an Outpatient
Mental Health Centre
S. Ramos Perdigues ∗, S. Gasque Llopis , S. Castillo Maga˜na ,
Y. Suesta Abad , M. Forner Martínez , M. Gárriz Vera
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.