European Psychiatry - Volume 33 - March 2016

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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.
EV1159
Feasibility study of culturally adapted
cognitive behaviour therapy for
psychosis in Pakistan
N. Husain , N. Mehmood , M.O. Husain ∗, T. Kiran , F. Naeem ,
I.B. Chaudhry
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.
EV1160
Institutionalization of patients with
schizophrenia in the modern era
P. Ifteni ∗, A. Szalontay , A. Teodorescu
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.
EV1161
Neurorehabilitation in schizophrenia
G.N. Jemar ∗ . Lopez
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