European Psychiatry - Volume 41 - April 2017

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S156 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169
functions and psychiatric vulnerability has not been adequately
studied, not even in people with intellectual developmental dis-
orders (IDD), whose rate of mental health problems is up to 4 times
higher than the general population.
Aim The aim of the present paper is to investigate the correlation
between specific cognitive dysfunctions or dysfunctional cognitive
patterns and the presence of specific psychiatric symptoms and
syndromes in people with IDD.
Methods A sample of 52 individuals with IDD consecutively
attending a clinical facility for multidisciplinary evaluation, in Flor-
ence, Italy was assessed through the SPAID (psychiatric instrument
for intellectual disabled adult) system, the WAIS III - R (Wechsler
adult intelligence scale III – Revised), the TMT (trial making test),
and other neuropsychological tools. Psychiatric diagnoseswere for-
mulated by expert clinicians in accordance to DC-LD or DM-ID
criteria. The main procedure of the data statistical elaboration was
the calculation of frequency and correlation indexes.
Results Some relevant correlations have been found, that
between executive frontal functions, autistic traits and impulse
control disorder, and that between working memory and bipolar
disorder were among the strongest.
Conclusions In people with IDD some cognitive alterations or
‘characteristics’ significantly correlate with the presence of psy-
chiatric disorders. The possibility to understand the nature of this
relationship seems to increase with the degree of specificity of vari-
ables in both the cognitive and the psychopathological assessment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0152
QuIQ (quick instrument for quality of
life): A new instrument for a rapid
assessment of generic quality of life
A. Bianco ∗ Scuticchio , M. Piva Merli , M.O. Bertelli
CREA Research and Clinical Center, San Sebastiano Foundation,
Misericordia di Firenze, Florence, Italy
∗ Corresponding author.
Introduction Recently, new patient-oriented outcome measures
have emerged inmental health research and practice. Among these,
generic quality of life (GQoL) has gained a central place and has
come to represent a valid endpoint in most settings, from basic
care programs to clinical trials, especially for the field of intellectual
disability (ID). However, most studies still refer to health-related
QoL, and the tools for the assessment of GQoL present many
issues related to the structure complexity and administration
time.
Aim The purposes is to evaluate psychometric properties of a
new rapid tool for the GQoL assessment named QuIQ (quick instru-
ment for quality of life), originally constructed for use for people
with ID.
Methods Two hundred and ten persons with ID were consec-
utively administered with the QuIQ. A part of them were also
assessed with the BASIQ, the Italian adaptation of the quality of
life instrument package. QuIQ has the same conceptual framework
and refers to the same areas of the BASIQ, but include a low num-
ber of dimensions (only attribution of importance and perception
of satisfaction) and a factor way of score attribution such as visual
analogue scale and graphic geometrical mean calculation.
Results QuIQ showed good internal coherence (Cronbach’s
˛ = 0.92), inter-rater reliability (Cohen’s K > 0.93), and concurrent
validity (> 0.8) with BASIQ.
Conclusion These findings seem to display for the QuIQ good
psychometric characteristics. They also suggest that it could be pos-
sible to apply rapid QoL assessment to all the range of people with
ID. This could have very important implications for future massive
use in different settings.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0153
Predictors of the use of psychosocial
interventions in Portugal: Results
from the SMAILE project
G. Cardos Antunes ∗ oureiro antana
J. Caldas-de-Almeida , M. Silva
1 NOVA Medical School, Faculdade de Ciências Médicas, NOVA
University of Lisbon, Chronic Diseases Research Centre CEDOC,
Lisboa, Portugal
2 University of Coimbra, CEGOT, Centre of Studies on Geography and
Spatial Planning, Coimbra, Portugal
∗ Corresponding author.
Introduction The treatment of psychiatric disorders depends
on a combination of different types of care, such as psychiatric
treatment and psychosocial interventions. However, there is little
research on the factors that determine access to care, particularly
to psychosocial interventions.
Objectives To characterize the use of psychosocial interventions
(psychotherapy, day hospital, and psychosocial rehabilitation) in
users of outpatient psychiatric services in Portugal.
Aims This retrospective study analyses all outpatient psychi-
atric visits in four Portuguese departments of psychiatry in the
metropolitan areas of Lisbon and Porto, and aims to evaluate the
socio-demographic and clinical determinants of psychosocial inter-
ventions.
Methods Socio-demographic and clinical variables were
obtained from clinical charts of outpatients’ visits in 2002, 2007
and 2012 ( n = 2621). All patients were characterized regarding the
use of any psychosocial intervention beyond psychiatric consulta-
tions. Logistic regression analysis was performed to evaluate the
predictors of psychosocial interventions use.
Results Being followed in 2012, being single, having no profes-
sional activity, and having a diagnosis of psychosis or common
mental disorder were significantly associated (P < 0.05) with higher
odds of accessing psychosocial interventions. On the other hand, a
lower level of education was associated with less use of this type
of care.
Conclusions Socio-demographic and clinical characteristics of
psychiatric services, outpatients are determinants of the use of psy-
chosocial interventions. Evidence suggests that social inequalities
may influence the access to psychosocial interventions in Portugal.
Funding Fundac¸ ão para a Ciência e Tecnologia (FCT), Portugal.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0154
The burden of mental disorders in the
eastern Mediterranean region,
1990–2013
R. Charara ∗ okdad
1 American University of Beirut Medical Center, Psychiatry, Beirut,
Lebanon
2 Institute for Health Metrics and Evaluation, University of
Washington, Global Health, Seattle, USA
∗ Corresponding author.
The eastern Mediterranean region (EMR) is witnessing an increase
in mental illness. With ongoing unrest, this is expected to rise.
This is the first study to quantify the burden of mental disor-
ders in the EMR. We used data from the global burden of disease
study (GBD) 2013. DALYs (disability-adjusted life years) allow