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

S797

in 43% of cases and severe burnout in 6.7%. The causes of burnout

reported by our population were bad working conditions (71.50%),

quality of working relationships (65.5%) and overloadwork (30.3%).

Bad working conditions were associated with a high level of emo-

tional exhaustion (

P

< 0.005) and a low level of professional efficacy

(

P

< 0.001), while poor quality of work relationships and overload

work were associated to a high score on cynicism (

P

< 0.001) and a

low score on professional efficacy (

P

< 0.001).

Conclusion

According to our study, poor working conditions,

overload work and bad quality of relationships seem to be risk

factors of burnout in teachers. Preventivemeasures should be insti-

tuted against those factors to reduce the constraints of work and

improve the professional quality of life of these individuals, essen-

tial thing to optimize the educational level in our country.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2393

EV1409

The treatment of “shell shock” in

World War 1: Early attitudes and

treatments for post-traumatic stress

disorder and combat stress reaction

H. Matson

Portsmouth, United Kingdom

Combat stress reaction is amental health disorder first documented

in the latter half of the 19th century. But it was not until World

War 1 when men were put through the horrific ordeals of trench

warfare that the term, “shell shocked” was coined. Many soldiers

with shell shock then developed what is now called post-traumatic

stress disorder (though the term was not defined until 1983) or

acute stress disorder. The prevailing opinion was that these men

who had often not suffered from any physical trauma were suf-

ferers of cowardice. The British army created the PIE (proximity,

immediacy, and expectancy) principles to get such men back to

the trenches promptly where manpower was always needed. It

was rarely regarded as a real psychiatric condition, which had two

consequences. Firstly, that many soldiers progressed from shell

shock to post-traumatic stress disorder and secondly, over 150

soldiers were executed by the British army for, “displaying cow-

ardice”whilst in the grip of the illness. The diagnosis of “shell shock”

was to be made increasingly frequently as wars became larger and

moremechanized throughout the 20th century. Psychiatrists’ man-

agement of such patients initially was primitive and influenced

by the zeitgeist that such servicemen were not ill, having never

come across such a widespread prevalence of mental health prob-

lems until the Great War. These ranged from prescriptions of milk

to lobotomies. Understanding how “shell shock” was understood,

treated and learning from the mistakes made then, continues to

inform management of our patients today.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2394

EV1410

The chaos involved in Münchausen

syndrome and Münchausen syndrome

by proxy

L.D. Gherman , A.M. Ciobanu , N. C˘apraru , A.I. Mih˘ailescu

,

L.M. Gâz˘a

Clinical Hospital of Psychiatry “Prof dr Al. Obregia”, Clinic, Bucharest,

Romania

Corresponding author.

Background

Encountering a patient with Münchausen syndrome

(MS) or with MS by proxy is more frequent than it is assumed.

Treating this type of patient is indeed a challenge, thus, knowing to

depict the signs is important for every doctor. A specific therapeutic

approach is needed and sometimes, even law enforcement must be

involved.

Objective

We plan to highlight the signs and consequences of

Münchausen syndrome and Münchausen syndrome by proxy.

Method

Clinical data were collected during admissions of

patients in the psychiatric hospital. A literature review has been

performed.

Results

We report the case of a nurse diagnosedwithMS, whohad

multiple admissions with different diagnostics, before the patient

was exposed with the factious disorder diagnosis. We also report

the case of a mother diagnosed with MS by proxy and the case of

another mother where the obsessive-compulsive elements of her

depressive disorder are combined with signs of MS by proxy, both

of them inflicting consequences upon the child in care.

Discussion and conclusions

Patients suffering from Münchausen

syndrome andMünchausen syndrome by proxy can be a burden for

society and for themselves. The relationshipwith them is sabotaged

from the start. The diagnostic is difficult to establish. Numerous

expensive procedures are being taken and a considerable amount

of funds is spent. Most importantly, the abuse of a child with a

parent or guardian suffering from this disease is incommensurable

and can even lead to death. It is vital to take action as soon as these

syndromes are discovered.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2395

EV1411

Theory of mind in preschool children

and its relationship with social

maturity

A. Nesayan

, R. A

sadi Gandomani

University of Bojnord, Psychology, Bojnord, Iran

Corresponding author.

Introduction

Theory of mind (ToM) is the intuitive understanding

of one’s own and other people’s minds or mental states – includ-

ing thoughts, beliefs, perceptions, knowledge, intentions, desires,

and emotions – and of how those mental states influence behavior.

Theory of mind is an innate human ability that is sometimes called

intuitive psychology, folk psychology, or even mind reading. Social

maturity is the process of appropriate attitudes for personal, inter-

personal and social adequacies of an individual, which are essential

for functioning effectively in the society. According to the findings,

there were not statistically significant relationship between theory

of mind and social maturity and there is a need for more research

in this area.

Objective

The objective of this study is to survey preschool chil-

dren’s theory of mind and its relationship with social maturity.

Method

Research method is correlational research and sample

included 30 children between 5–6 years old. In this study, theory

of mind test and Vineland social maturity scale were used.

Results

The results showed that 5- and 6-years-old children’s

performance in third-level theory of mind had significant differ-

ence and in first and second level theory of mind had no significant

difference. The findings also showed that there was no relationship

between theory of mind and social maturity in preschool children.

Conclusion

According to the findings, there was no statistically

significant relationship between theory of mind and social maturity

and there is a need for more research in this area.

Keywords

Theory of mind; Social maturity; Preschool children

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2396