Table of Contents Table of Contents
Previous Page  723 / 812 Next Page
Information
Show Menu
Previous Page 723 / 812 Next Page
Page Background

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

S719

Background

Schizophrenic patients show deficits in social cog-

nition, functioning and in interpreting facial expressions. These

disabilities contribute to global impairment in social and rela-

tional skills. Data started being collected in the context of the

Italian Network of Research on Psychosis headed by Prof. Maj and

Prof. Galderisi (Galderisi S et al. The influence of illness-related

variables, personal resources and context-related factors on real-

life functioning of people with schizophrenia. World Psychiatry

2014:275–87. Mucci A et al. The Specific Level of Functioning Scale:

Construct validity, internal consistency and factor structure in a

large Italian sample of people with schizophrenia living in the

community. Schizophr Res 2014;159(1):144-50); collection in our

centre went on also after the conclusion of the national project.

Aims

To identify the correlations among social inference, facial

emotion identification and clinical history and therapies in

schizophrenic patients.

Material and methods

We recruited patients with Schizophre-

nia referring to our Psychiatry Ward, AOU Maggiore della Carità,

Novara, Italy. Socio-demographic characteristics were gathered;

assessment of patients included The Awareness of Social Inference

Test (TASIT), the Facial Emotion Identification Test (FEIT), the Pos-

itive and Negative Syndrome Scale (PANSS) and the Brief Negative

Symptom Scale (BNSS).

Results

Data collection is still ongoing. In a previous study we

pointed out that schizophrenic patients showed social skills deficits

and difficulties in identifying facial emotions. These features under-

lie poor and limited social relationships proper to schizophrenia.

Our preliminary results revealed thatidentification of facial emo-

tions is influenced by psychopathological symptoms especially by

avolition, blunted affect and alogia. Implication will be discussed.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2143

EV1159

Feasibility study of culturally adapted

cognitive behaviour therapy for

psychosis in Pakistan

N. Husain

1

, N. Mehmood

2

, M.O. Husain

3 ,

, T. Kiran

1

, F. Naeem

4

,

I.B. Chaudhry

1

1

University of Manchester, Psychiatry, Manchester, United Kingdom

2

Pakistan Institute of Learning and Living, Research and

Development, Karachi, Pakistan

3

Manchester Mental Health and Social Care Trust, General Adult

Psychiatry, Manchester, United Kingdom

4

Queen’s University, Psychiatry, Kingston, Canada

Corresponding author.

Background

It is becomingwell established that CBT is both effec-

tive and cost efficient in the treatment of positive and negative

symptoms of schizophrenia. However, there is a need to adapt CBT

to the cultural, linguistic, and socioeconomic context of diverse

cultural groups. We aimed to establish the feasibility of culturally

adaptive cognitive behavior therapy for treatment of psychosis in

a low-income country.

Methods

This is a rater-blind, randomized, controlled trial of

the use of CBT in patients with psychosis from a low-income

country. Patients with a DSM-IV diagnosis of schizophreniformdis-

order were assessed using Positive and Negative Syndrome Scale

for Schizophrenia (PANSS), PSYRATS (Psychotic Symptom Rating

Scales), and the Insight Scale. Participants were randomized into

the intervention group (

n

= 18) and TAU group (

n

= 18). The inter-

vention group received 12 weekly sessions of culturally adapted

CBT for psychosis (CaCBTp).

Results

There were no significant differences between the two

groups at baseline. At three months follow-up, there was a sta-

tistically significant improvement in the CaCBTp group on PANSS

general Psychopathology subscale, PANSS overall score and Insight

scale, as compared to the TAU group. The CaCBTp group had lower

scores on PANSS positive, PANSS negative sub-scales, and the two

subscales of Psychotic Symptom Rating Scale, but differences were

not statistically significant.

Conclusion

Culturally adapted CBT added to pharmacological

treatment as usual was acceptable to patients and was helpful in

reduction of severity of psychotic symptoms. Adjunctive culturally

adapted CBT should be further investigated in this population.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2144

EV1160

Institutionalization of patients with

schizophrenia in the modern era

P. Ifteni

1 ,

, A. Szalontay

2

, A. Teodorescu

3

1

Transilvania University Brasov, Faculty of Medicine, Brasov,

Romania

2

UMF “Gr.T. Popa” Iasi, Faculty of Medicine, Iasi, Romania

3

Psychiatry and Neurology Hospital Brasov, Psihiatrie Clinica III,

Brasov, Romania

Corresponding author.

Introduction

Patients with schizophrenia requiring long-term

institutionalization represent cases with poor outcome, often lead-

ing to high costs for patients and family and constituting a huge

economical burden for society if patients are young.

Aims

The aims were the evaluation of patient hospitalized for

long period in a psychiatric hospital for chronic patients.

Objectives

The objectives of the studywere identification of char-

acteristics and predictors of institutionalization in schizophrenia.

Methods

Retrospective study of all institutionalized patients

with schizophrenia in Brasov County, Romania, with a DSM-IV-TR

lifetime diagnosis of schizophrenia institutionalized between 1995

and 2014.

Results

Institutionalized patients between 2005 and 2014

(

n

= 172) had lower age (51.15 vs. 57.08,

P

< 0.05) and lower age

at institutionalization compared with patients admitted between

1995 and 2004. Lower education level (8.23 vs. 13.22,

P

< 0.05),

only one parent, multiple antipsychotics treatments and subopti-

mal response under first generation long acting antipsychotics are

predictors for institutionalization. Haloperidol is the main treat-

ment option (42.54%) followed by olanzapine 17.1% and clozapine

10.24%.

Conclusions

Our study showed a tendency to institutionalize

patients with schizophrenia at the younger age compared with

past decades. Early intervention in psychosis, controlled treatment

with SGAs should be solutions to avoid institutionalization of young

patients with schizophrenia.

Keywords

Schizophrenia; Institutionalization; Predictors; Poor

outcome

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2145

EV1161

Neurorehabilitation in schizophrenia

G.N. Jemar

1 ,

, S .M

. Lopez

2

1

Hospital Jose Tiburcio Borda, Guardia Medica, Ciudad Autonoma de

Buenos Aire, Argentina

2

Hospital Braulio Moyano, Psicologia, Ciudad Autonoma de Buenos

Aires, Argentina

Corresponding author.

Neurorehabilitation in patients with Schizophrenia is a SET of

activities capable of maximizing recovery capabilities through the

development of it in their family, work and social sphere, and min-

imize the effects that arise from the chronicity and the natural