European Psychiatry - Volume 33 - March 2016

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S802 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
mental illness among hospitalized patients than among individu-
als with schizophrenia who live in the community [2]. The current
study examines the relationship between internalization of stigma,
self-esteem, and the ability of people diagnosed with schizophre-
nia to form intimate attachments with loved ones, in Arab patients
compare to the existing sample of 24 patients from the Jewish sec-
tor 2. Data is gathered for 27 Muslim patients with schizophrenia
who live in the community, ages 18–60, men and women from the
following four questionnaires: Demographics Questionnaire, Self-
Esteem Scale, Internalized Stigma of Mental Illness Scale and the
Intimacy Attitude Scale-Revised. The study received the approval
of the Ethics Committee. There was statistically significantly less
internalization of stigma of mental illness, high self-esteem and
high capacity for intimacy among Jewish patients than amongMus-
lim patients. Knowledge of how these variables affect the capacity
for intimacy provides a therapeutic window for advanced nursing
interventions that will eventually provide support and guidance
cultural adapted, for peoplewith schizophrenia in creating intimate
relationships.
References not available.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1426
Psychiatric symptoms in Huntington’s
disease the importance of reliable
information – A case report
G. Sobreira ∗, C. Ferreira , S. Alves
Centro Hospitalar Psiquiátrico de Lisboa, ward–First Psychosis Unit,
Lisboa, Portugal
∗ Corresponding author.
Introduction Huntington’s Disease is an autosomal dominant
neurodegenerative disease characterized bymotor, psychiatric and
cognitive symptoms. Irritability, affective disorders, apathy and
psychosis are among the most frequent psychiatric symptoms and
can predate the pre-clinical period.
Objective The authors’ goal is to understand the complexity
of Huntington’s disease clinical presentation. Additionally, we
present an illustrative clinical case.
Aims To convey the importance of collecting reliable information
in order to make a proper diagnosis.
Methods A PubMed database review was performed using “Psy-
chiatry”, “Psychiatric”, “Symptoms” and “Huntington’s Disease” as
keywords; retrieved papers were selected according to their rele-
vance. The patient clinical record was reviewed.
Results The authors report a case of a 39-year-old woman, who
was referred in 2014, to a psychiatrist because of depressive mood
and suicidal ideationwith two suicidal attempts in the past 5 years.
However, she did not disclose her family history of Huntington’s
disease neither to her GP nor her psychiatrist. She never complied
with the treatment plan and was admitted, in November, into a
psychiatric unit because of subtlemotor changes and apathy, which
had resulted in personal neglect. The diagnosis could only be made
after a family interview was held and the family medical history
was revealed.
Conclusions Corroborative history from caregivers is of extreme
importance in psychiatry. Early detection of symptoms can help
mitigate the disease social impact. In our patient’s case, by the
time of proper diagnosis, she was estranged from her family and
had endured distressing psychiatric symptoms without adequate
treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1427
Placebo and placebo effect, variability
of the clinical response according to
the therapists’ behavior
A. Soler Iborte ∗, S. Galiano Rus , Á. López Díaz
1 Servicio Andaluz de Salud – UGC Jaén Norte, Unidad de Salud
Mental Comunitaria Linares, Linares-Jaén, Spain
2 Servicio Andaluz de Salud – UGC Jaén Norte, Hospital San Juan de la
Cruz, Úbeda-Jaén, Spain
∗ Corresponding author.
Introduction From a historical perspective, the first data related
to the placebo effect on “mental health” date to the 1950s decade,
when evidence was first shown of the important percentage of
people with a psychiatric pathology that benefited from the con-
sumption of placebos. It is believed that the responses to placebos
and nocebos are influenced by the content and the way of inform-
ing the patient, which influences in the quality of life and therapy
adherence. Among the factors that influence the magnitude of the
placebo effect, we find variables related to the patient, with the
placebo itself and the therapist.
Objectives To determine the relationship between the clinical
response of a placebo and the behavior and information on the
placebo contributed by the health worker.
Methodology Systemic review of the articles published in
Medline-PubMed from 2005 to the present.
Results Being kind, friendly, interested, nice, emphatic, and con-
siderate as well as having a positive attitude toward the patient and
the treatment as well as the expectations of the therapist are vari-
ables that are associated to a beneficial effect in a placebo situation
as well as in active treatment.
Conclusion The patient’s expectations, a product of selective pro-
cessing of the information that she/he receives about the effect
of a placebo or active treatment, and the behavior of the health
worker in clinical practice, produces variability in the symptomatic
response through its influence on the magnitude of the placebo
effect. In the bibliography reviewed, there is a marked lack of
attention dedicated to clinical studies in the addressing of this phe-
nomenon.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1428
Group therapy based on mindfulness
in a mental health center
A. Uría de los Ojos , J. Ballesteros López , P. Rico García ∗,
A.B. González Palacios , C. Domínguez García
1 Hospital Universitario de Getafe, Psychiatry, Getafe, Spain
2 Centro de Salud Mental de Getafe, Psychiatry, Getafe, Spain
3 Centro de Salud Mental de Getafe, Mental Health Nursing, Getafe,
Spain
4 Hospital Universitario de Getafe, Clinical Psychology, Getafe, Spain
∗ Corresponding author.
Introduction Mindfulness is defined as the ability of paying
attention to the present moment with intentionality, moment to
moment without making judgments of value.
Objectives To describe the effectiveness of group therapy per-
formed in our mental health center according to the results in the
SOFI scale of patients. This scale is designed to assess different qual-
ities, which evolve through training inmeditation practice based on
mindfulness.
Methods Group therapy consisted of 12 weekly sessions of an
hour and a half. A total of 11 patients, 7 of which having completed
therapy. The questionnaires were answered in the first and final
session of therapy.