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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169



Remote cognitive behavior therapy

for obsessive-compulsive disorder in

Egypt: A randomized trial

R. Aly

Egyptian Association of Cognitive Behavior Therapy, Research, Cairo,



Recently, cognitive behavior therapy has gone from

being a promising new treatment to the most well established psy-

chological treatment. In several hundreds of randomized controlled

trials, it has shown effectiveness in treating obsessive-compulsive

disorder. In addition, CBT is thus a highly promising treatment from

a societal cost-effectiveness perspective.


Several forms of CBT have been developed using

remote communication methods, the general idea is that CBT

delivered through the Internet or using telephone communication

reflects the content of conventional CBT, but is administered as a

form of therapist-guided treatment protocol.


Estimation of applicability and efficacy of remote cognitive

behavior therapy for treating patients suffering from obsessive-

compulsive disorder in Egypt.


A group of patients suffering from obsessive-

compulsive disorder was randomized into two groups; one

received CBT as usual and the intervention group received CBT

using telephone and/or the Internet. Both groups were assessed

pre– and post treatment using the Yale Brown Scale for OCD

symptom severity and Beck depression inventory for symptoms of

associated depression. The quality of life scale was also applied to

all patients participating in the study.


Pre– and post-study measures indicated a statistical and

clinically relevant change in patients of two groups.


Delivering CBT for patients suffering from OCD in

Egypt using remote communication methods appears to be effec-

tive in alleviating symptoms and improving the quality of life.

Yet some adaptations to the standardized treatment protocol are

mandated to render the protocol applicable through remote com-

munication and enhancing cultural reception.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.


Developing a platform for online

psychotherapy sessions

M. Bran

1 ,

, M. Ladea


, M. Sarpe



University of Medicine and Pharmacy “Carol Davila”, Psychiatry,

Bucharest, Romania


CMI “Marcel Sarpe”, Psychiatry, Focsani, Romania

Corresponding author.


Providing mental health services by real-time

videoconferencing has been increasingly adopted as a method of

reaching hard-to-serve populations since the early 1990s. There is

a growing body of evidence investigating the efficacy of deliver-

ing online mental health care. Though studies vary in quality, they

generally demonstrate that online mental health care is effective

across multiple age groups. Online is generally well accepted by

patients and specialists and its implementation is feasible. It is also

convenient and cost effective.


Due to the fact that almost 75% of Romanian popula-

tion have internet access and that mental health services are still

stigmatized we perceived the opportunity to develop an online

platform where patients can easily find and interact with mental

health specialists using secured videoconference.


During a timeframe of two years a multidisciplinary

team managed to develop and test an online platform where

patients can access psychotherapy sessions. Main design and devel-

opment targets were usability and confidentiality/security. The

platform has an appointment tool, a secure videoconference solu-

tion and an integrated online payment service.


The platform can be accessed at .


was launched in mid July 2016 and it already gathers more than

50 mental health specialists. The feedback was excellent from both

specialists and patients.


The solution developed is complaint with most of

international standards and offers easy to access and high quality

psychotherapeutic services for Romanian patients.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Automatic analysis of psychotherapy

videos by using synchrony signal

T. Gargot

1 ,

, G. Varni


, M. Chetouani


, D. Cohen



Hopital de la pitie salpetriere, Departement de psychiatrie de

l’enfant et de l’adolescent, Paris, France


Universite Pierre et Marie Curie, Institut des Systemes Intelligents et

de la Robotique, Paris, France

Corresponding author.


Some techniques of psychotherapy are now widely

evidence-based and very cost effective, especially cognitive and

behavioral therapies. Most of the studies are indirectly based on

patient reported outcomes or problematic behaviors evaluated

before and after the psychotherapy. Unfortunately, studies strug-

gle to control for what is actually happening during psychotherapy,

especially the non-specific aspects, like the interaction between the

patient and the therapist, that is a known predictor of psychothe-

rapeutic efficacy. Consequently, it is difficult to make precise links

between theory and practice, control its application and under-

stand which of its ingredients are the most important.


Here, we suggest a research framework to extract

automatically social signals from psychotherapy videos. We

focused on the extraction of synchrony of the motor signal since it

was considered to be a predictor of psychotherapeutic outcome in

an earlier study and a relevant signal for the study of mother-child



We developed open source python and R scripts to com-

pute this synchrony of motion history on a database of interaction

between a parent and a child


We confirmed that synchrony, was a relevant signal for

studying social interactions since the scores are completely dif-

ferent from synchrony scores computed on shuffle motion history

data. However, these scores alone are unable to distinguish the two

periods of the videos (with and without disagreement).


Synchrony of motion history is a promising marker of

social interactions.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Telemedicine – How does it work in


J. Kachnic , M. Wojtuszek , J. Wutke , K. Krysta

, M.


Medical University of Silesia, Department of Rehabilitation

Psychiatry, Katowice, Poland

Corresponding author.


Today telemedicine is a very popular and rapidly

growing area, which allows the treatment, regardless of the dis-

tance between the patient and doctor. We present the latest

research, conducted amongst polish doctors about the usefulness of

telemedicine as a therapeutic tool in different medical specialties.