European Psychiatry - Volume 33 - March 2016

616 / 812

S612 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Introduction The brain drain of mental health professionals
is an important issue especially for developing countries with
inadequate recruitment rates. The European Federation of Psychi-
atric Trainees (EFPT) investigated the extent of migration among
trainees across Europe by BrainDrain research project. Results from
a non-EU country, with the lowest number of mental health pro-
fessionals per 100 000 population across OECD countries might
provide important clues.
Objective To identify attitudes towards and behaviors towards
international migration among psychiatry trainees from Turkey.
Method An online survey was conducted among psychiatry
trainees from Turkey in 2013, as part of the EFPT Brain Drain
Research Project.
Results Of 107 trainees surveyed, 74% considered living abroad.
However, the rate of having even short mobility experience was
just 13%, and these were mainly educational visits. More than half
of those who visited a foreign country reported to have a satis-
factory experience, which might explain the positive influence of
these visits on attitudes towards migration. Responders perceived
academic conditions as the most important aspect of training that
needs to be improved, in line with the fact that inadequate training
programs were important reasons for migrating.
Conclusion Overall, psychiatry trainees in Turkey tend to remain
in their country of origin, which may protect healthcare system
against the detriment of workforce loss. The relatively low rate of
migration may also reflect the legislative barriers (e.g. being o non-
EU country) impeding migrating. Our findings also suggest that the
unmet educational needs of trainees require immediate attention.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV820
The onset of psychotic disorders and
the immigration status – A look into
a growing reality
L. Maia ∗ arvalho Silva arneiro
1 Vila Nova de Gaia, Portugal
2 Hospital Center of Vila Nova de Gaia e Espinho, Mental Health
Service, Vila Nova de Gaia, Portugal
∗ Corresponding author.
Introduction Recent studies point for an increased incidence of
psychotic disorders among immigrants when compared to nom-
immigrant population, with a substantial risk variation being
observed among different ethnic minority groups and diverse host
countries/societies.
Objective This communication explores the relation between
immigration and the onset of psychosis disease, namely the individ-
ual and socio-environmental factors implicated in this association.
Aims Accessing the implications of immigration in the establish-
ment of psychotic disorders.
Methods The authors conducted a literary search onMedline and
PsychInfo databases regarding the subject immigration and psy-
chotic disorders, elaborating a bibliographic review of the topic.
Results A greater incidence of psychotic disorders in immigrants
(in comparison to nom-immigrant population) has been estab-
lished. In actuality a range of studies carried out in different socio
demographic contexts and with different ethnic groups (of immi-
grants) identify ethnicity, neighbourhood characteristics (namely
level ethnic density), discrimination and refugee status, as some of
the probable factors that modulate the rate of psychotic disorder
and influence its incidence in immigrants.
Conclusions With regard to the relationship between immi-
gration and the development of psychosis, much is still to be
understood. Future studies with focuses on different individual,
social, cultural and demographic aspects need to be developed in
order to better understand and addressed this phenomenon.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV821
Peculiarities of depressive disorders
in emigrants and re-emigrants
N.O. Maruta ∗ . Venger , T.V. Panko , I.O. Yavdak
Institute of Neurology, Psychiatry, and Narcology of the NAMS of
Ukraine, Department of Neuroses and Borderline Conditions,
Kharkov, Ukraine
∗ Corresponding author.
Introduction Emigration and remigration are one of the great-
est modern problems and considered as a factor provoking
manifestation and exacerbation of mental disorders as well as
pathocharacterological personality changes. In emigrants and re-
emigrants peculiarities of course of depressive disorders with
different genesis are not investigated, that impedes a development
of adequate therapeutic methods.
Aim To study clinical-psychopathological peculiarities of depres-
sive disorders in emigrants and re-emigrants patients with
psychogenic (F43.21, F43.22) (69 non-emigrants, 68 emigrants, 67
re-emigrants), endogenous (F31.3, F31.4, F32.1, F32.2, F33.1, F33.2)
(65, 66 and 63 patients, respectively) and organic depressive disor-
ders (F06.3) (64, 62 and 61 patients, respectively) were examined.
Methods A clinical-psychopathological investigation, Standard-
ized Personality Examination Method, Lusher’s Method of Color
Choices, HDRS, HARS, MADRS, and SCL-90-R.
Results The highest level of severity of depressive disorders
in re-emigrants and the lowest level in non-emigrants were
registered. Re-emigrants had predominantly depressive, asthenic-
depressive and apathic-depressive forms, whereas emigrants had
mainly anxious-depressive ones. According to SCL-90-R data, emi-
grants had higher indexes of somatization, obsessive-compulsive
disorders, anxiety, whereas re-emigrants had higher indexes of
depression and interpersonal sensitivity as well as an index of
distress expression. In patients examined it was determined a
predomination of dysthymic personality traits manifested in the
frameworks of the leading depressive of anxious-depressive syn-
dromes. An influence of emigration and remigration factors was
the greatest in psychogenic depressions and the lowest in organic
depressive disorders.
Conclusions The abovementioned regularities should be taken
into account in pharmacotherapy and a social-psychological sup-
port for such patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV822
Sociocultural factors in mental illness:
Biopsychosocial model
S. Rodríguez Vargas ∗ . Navarro Clemente , A.R. Ivorra Mayoral
Complejo Hospitalario Torrecárdenas, Salud Mental, Almería, Spain
∗ Corresponding author.
Every human being needs to acquire by interacting with peers,
learning and gradually adapted to their socio-cultural environment,
attitudes, group, class, gender, provided it fits the circumstances
of the environment, personal values to their They come again, a
reference system which is considered to be “culture”. You can-
not assess psychiatric disorders in isolation, so it is essential to
study the socio-cultural context in which it occurs. It is dynamic,
its historic time and not everyone integrates alike. Through a case
we try to show how culture influences the expression of psychi-
atric pathology. Specifically, in this patient it is evident that we are
beings bio-psycho-social. It is a continuation and must integrate