European Psychiatry - Volume 41 - April 2017

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S182 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237
EW0223
Improving recruitment in psychiatry:
The impact of a psychiatry summer
school on attitudes towards
psychiatry in medical students and
foundation doctors
C. O’Prey ∗, D. Hyland , C. O’Flaherty , G. Bramham
1 Crosby and Maghull Community Mental Health Team, Mersey Care
NHS Trust, Liverpool, United Kingdom
2 Mersey Care NHS Trust, Clock View Inpatient Unit, Liverpool, United
Kingdom
3 Health and Sciences, University of Liverpool, Liverpool, United
Kingdom
∗ Corresponding author.
Introduction In 2011, the Royal College of Psychiatrists inUKpub-
lished a five-year plan to boost recruitment to a 95% fill rate for
core training posts. Psychiatric summer schools were one of the
methods outlined to improve recruitment. These are 3-day courses
allowing attendees to explore different subspecialties and show-
case inspiring psychiatrists who are leaders in their field.
Aims To evaluatewhether attending a Psychiatry Summer School
improves scores on the attitudes towards Psychiatry Scale (ATP-30)
in Medical Students (MS) and Junior Doctors (JD).
Methods Two free courses were held; one for MS in August 2016
and one for JD in November 2015. These involved interactive talks
from consultant psychiatrists in various sub-specialties and a day
in a forensic setting. All attendees were asked to complete ATP-30
before and immediately after attendance. A higher ATP-30 score
indicates a more positive the attitude the minimum score is 30 and
the maximum is 50. Paired scores were analysed using a paired
t-test.
Results Thirty-three out of 45 attendees completed ATP-30 MS
(n = 20/24) and JD (n = 13/21) before and after the course. The
mean ATP30 score was 116 before attendance and 128 after the
course, the mean difference was +12. When the two samples were
compared using a paired t-test, there was a significant positive
difference P < 0.0005.
Conclusions Psychiatry summer schools can improve attitudes
towards psychiatry in medical students and junior doctors.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0224
Difference in cognitive emotional
regulation strategies used by mothers
with conflict and barrier personal
meaning of child’s illness
E. Pervichko ∗, D. Dovbysh
1 Faculty of Psychology, Lomonosov Moscow State University,
Moscow, Russia
2 Faculty of Higher Nursing Training, Psychology and Social Work,
Department of Education and Medical Psychology, I. M. Sechenov
First Moscow State Medical University, Moscow, Russia
∗ Corresponding author.
Introduction Anumber of studies have noted a high level of symp-
toms of depression and anxiety in mothers bringing up children
with burn injury. The emergence of such symptoms show high
importance of child’s disease situation to mother and suggests the
formation of a special personal meaning of child’s illness formother
(conflict or barrier). The aim of this study is to describe specific
patterns of mothers responding on the situation of the child burn
injuries : special cognitive emotion regulation strategies and per-
sonal meaning of illness.
Methods Clinical interview to assess personal meaning of illness,
State Trait Anxiety Inventor, Cognitive Emotion Regulation Ques-
tionnaire.
Participants Twenty-eight mothers (aged between 22 to
43 years), children received burn 5-7 days ago ; 2mothers (aged
between 24 to 37 years), children had burns over a year ago.
Results We found a strong correlation between using certain
strategies of cognitive emotion regulation and different personal
meaning of child’s illness : mothers with a conflict meaning char-
acterized by using of « Rumination » and « Self-Blame » strategies ;
mothers with barrier meaning – « Refocus on planning ». This con-
nection is maintained throughout the child’s illness and does not
depend on medical specialties. A number of strategies of cognitive
emotion regulation are used by all mothers at different stages of
the child’s illness, regardless of the mother’s personal meaning of
illness : immediately after injury the most popular strategies are
“Catastrophizing” and « Self-Blame » ; in the long-term rehabilita-
tion – « Putting into perspective » is the most common one.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0225
The role of cognitive insight in
reduction of positive symptoms in
youth with ultra-high risk for
psychosis
E. Rasskazova ∗, M. Omel’chenko , V. Kaleda
1 Clinical Psychology, Moscow State University, Mental Health
Research Center, Moscow, Russia
2 Department of endogeneous mental disorders and affective states,
Mental Health Research Center, Moscow, Russia
∗ Corresponding author.
Introduction Cognitive insight was shown to be impaired in
schizophrenia while its high level predicts improvement of psy-
chotic symptoms. However, later studies demonstrated that in
othermental disorders and healthy subjects cognitive insightmight
play ambiguous role being related to anxiety and lack of self-
confidence.
Objectives Development of clinical criteria for high and ultra-
high risk for psychosis allows to study the role of cognitive insight
in these patients.
Aims The aim was to examine the role of cognitive insight in
different clinical groups of youth with ultra-high risk for psychosis.
Methods Seventy-six male patients 16–25 years old with non-
psychotic mental disorders (with preliminary diagnoses of mood
disorders – 30, personality disorders – 25, schizotypal disorder – 21
patients) meeting criteria of ultra-high risk for psychosis and 55
healthy male controls filled Beck Cognitive Insight Scale, Symptom
Checklist 90-R. The Scale of Prodromal Symptoms was used twice
upon hospitalization and after 1-month period.
Results Moderation analysis reveals that in patients with pre-
liminary diagnoses of mood disorders and schizotypal disorder
cognitive insight is related to higher anxiety and obsessiveness
and to poorer improvement on SOPS and positive symptoms. In
patients with symptoms of personality disorders, it predicts better
symptoms improvement.
Conclusions Results demonstrate importance of differentiation of
the functions of cognitive insight in different patients with ultra-
high risk for psychosis both in clinical psychological assessments
and CBT.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.