European Psychiatry - Volume 33 - March 2016

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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.
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.
EV1345
Women, madness and psychiatry:
Insane or persuaded?
C. Garcia ∗ A. Soriano
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.
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.