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

S777

changes of parenting competency and no significant differences in

postpartum depression. For all subjects, there was a correlation

between postpartum depressions, competency in parenting, and

quality of mother–infant interaction.

Conclusions

Study results prove that first-time-mothers in Tai-

wan who are provided extra educations about infant abilities, as

well as how to effectively play with babies, are likely to witness an

improvement in interactional quality.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2328

EV1344

Characteristics of patients in a new

perinatal mental health program

A. Doll

CSM Villa Vallecas, Psychiatry, Alcala de Henares, Spain

Background

Perinatal mental illness is a significant complica-

tion of pregnancy and the postpartum period. These disorders

include depression, anxiety disorders, and postpartum psychosis.

This mental health conditions have the potential to impact neg-

atively on not only the woman but also her partner, infant, and

family. Early detection and effective management of perinatal psy-

chiatric disorders are critical for the welfare of women and their

offspring.

Objective

To evaluate the characteristics of patients who came to

the new perinatal mental health program in the last 6 months.

Methods

We recruited 13 mothers to take part in the study.

Control variables included demographic and sociodemographic

variables, pregnancy variables, antenatal and postpartum health

behaviours, and birth outcomes. We assessed the improvement

with Clinical Global Impressions Scale in the beginning of inter-

vention and 3 months later.

Results

Eight mothers were in the antenatal period, three in the

postpartum, and one had suffered the pregnancy lost in the 36

week. The mean age was 33,44. The diagnoses were anxiety dis-

order (4), antenatal depression (2), postpartum depression (2),

obsessive-compulsive disorder (1), bulimia nervosa (1), adjustment

disorder (2) and complicated grief (1). Nine of themhave a previous

psychiatric history. All of themhave been treatedwith psychosocial

interventions, and in six cases have received psychopharmacologi-

cal treatment. In all the cases, we observed a clinical improvement

(CGI scale)

Conclusions

Perinatal mental illness is a significant complication

of pregnancy and the postpartum period, and need of specific pro-

grams and interventions.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2329

EV1345

Women, madness and psychiatry:

Insane or persuaded?

C. Garcia

1 ,

, M .

A. Soriano

2

1

Valle del Guadalhorce Mental Health Center, Universitary Hospital,

Málaga, Spain

2

Universitary Hospital, Psychiatry, Málaga, Spain

Corresponding author.

During the nineteenth and early twentieth century, feminist move-

ments proliferated in Europe and USA in order to vindicate the

rights of women both in the workplace and political issues, such

as women’s suffrage and birth policies, among others. At the same

time, psychiatry tried to gain a foothold as a medical specialty,

which created a positivist discourse where it was important to

measure and quantify mental disorders and their possible causes.

As many feminist writers have argued (Chesler, Showalter, Jor-

danova, and others) this occurs at the same historical moment

that a “feminization of madness” was taking place in several ways:

madness begins to be described in feminine terms, Freud was

developing his research on hysteria; diagnostics, such as puerperal

and involution psychosis were taking hold; the interest about the

influence of hormones in women’s mood were raising, and gynae-

cology was thought as the organic etiology of female madness. The

hegemonic psychiatric discourse appeared to have been a catalyst

for logical social inclusion and exclusion, notably influencing the

design of a new feminity, distant from the danger of feminism that

began to gain prominence. The boundaries between insanity and

mental health were really diffuse in case of women. The aim of my

work is to highlight how attitudes and attributes of women were

transformed into psychiatric symptoms, as the feminist theorist

support. I will make a retrospective about clinical women reports of

the public asylum of Malaga from the beginning of twenty century.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2330

EV1346

Antipsychotics and women: Yes,

prolactin is important

N. Garrido-Torres

, S. Fernandez , A. Rodríguez , M. Reina ,

I. Prieto , A.S. Viedma , C. González , L. Hernandez

HJRJ, Psychiatry, Huelva, Spain

Corresponding author.

Introduction

The hormonal imbalance produced by antipsy-

chotics can be detected by symptoms, such as: infertility, acne,

hirsutism, sexual dysfunction and galactorrhea. We consider espe-

cially important the study of women’s diseases, whichmay develop

due to hyperprolactinemia, specifically: breast cancer, endometrial

cancer and osteoporosis.

Objective

To undertake a systematic review about the relation-

ship between hyperprolactinemia as a result of the treatment with

antipsychoticsand endometrial and breast cancer.

Method

An exhaustive search was performed on PUBMED and

COCHRANE (from 2006 to 2015).

Fifteen paperswere selected including comparative studies, clinical

trials and clinical reviews.

Results

With respect to endometrial carcinoma, there is no direct

relationship with the use of antipsychotics. However, most papers

have suggested that the blood prolactin elevation is a risk factor in

the development of endometrial engrossment, which could lead to

endometrial hyperplasia, polyps and endometrial cancer. Related to

the use of antipsychotics as a treatment for schizophrenic women

and breast carcinoma, a significant association was found and this

association is strengthened through the interaction of other fac-

tors like the fact that women with schizophrenia are less worried

about going to the clinical screening reviews in their health centre,

smoking, and lower physical activity than healthy women.

Conclusions

Aripiprazolis associated with a low prevalence of

hyperprolactinemia. Menopausal women, the obese, and women

who smoke receiving antipsychotics that produce hyperprolactine-

mia have the greatest risk of developing endometrial pathology.

Schizophrenic women with hyperprolactinemia due to antipsy-

chotics and loss of motivation to go to screening activities have

a greater risk of breast cancer. Sexual dysfunction could be a non-

adherence treatment factor.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2331