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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237



Recent findings demonstrated significant overlaps

among major psychiatric disorders on multiple neurocognitive

domains. However, it is not clear which are the cognitive functions

that contribute to this phenomenon.


To find the optimal clustering solution using the two-

step cluster analysis on a sample of psychiatric patients.


To classify into subgroups a cross-diagnostic sample

of psychiatric inpatients on the basis of their neurocognitive



Seventy-one patients with psychotic, bipolar, depres-

sive and personality disorders hospitalised at Psychiatric Diagnosis

and Care Service of Bufalini Hospital of Cesena participated in

the study. The symptomatology was assessed using Health of the

Nation Outcome Scales-Roma and Brief Psychiatric Rating Scale.

Cognitive functions were evaluated using Tower of London, Mod-

ified Wisconsin Card Sorting Test, Judgment and Verbal Abstract

Tasks test, Raven matrices, Attentional Matrices, Stroop Test and

Mini Mental State Examination. Two-step cluster analysis was

conducted using the standardized scores of each neurocognitive



Two groupswere obtained:– group 1, with good cognitive

performances;– group 2, with almost all subjects having impaired

cognitive performances.

Executive functions and attention are themajor determinants of the

cluster solution. The clusters did not differ on socio-demographic

correlates. Different diagnoses were equally distributed amongst

the clusters.


Two-step cluster analysis was useful in identify-

ing subgroups of psychiatric inpatients with different cognitive

functioning, overcoming other cluster techniques limitations.

According to former literature, these results confirm a continuum

of severity in cognitive impairment across different psychiatric dis-


Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


ICD-11 psychotic disorders:

Preliminary results of the

case-controlled studies and the

Russian opinion

M. Kulygina

1 ,

, V. Krasnov


, P. Ponisovskiy


, J. Keeley


, G. Reed



Department of Informatics and system research in psychiatry,

Moscow Research Institute of Psychiatry MoH RF, Moscow, Russia


Department of affective spectrum disorders, Moscow Research

Institute of Psychiatry MoH RF, Moscow, Russia


Department of mental disorders – complicated by substance abuse,

Moscow Research Institute of Psychiatry MoH RF, Moscow, Russia


Department of psychology, Virginia Commonwealth University,

Richmond, USA


Department of mental health and substance abuse, World Health

Orgainzation, Geneva, Switzerland

Corresponding author.


One of the WHO’s innovations for improving the

ICD-11 chapter Mental and Behavioral Disorders was the creation

of the Global Clinical Practice Network (GCPN), an international

network of more than 12,000 mental health and primary care pro-

fessionals from 144 countries.

Aims and objectives

In order to evaluate perceived clinical util-

ity of the ICD-11 guidelines, the case


controlled field studies that

involved the application of the proposed diagnostic guidelines to

standardized case material were implemented via the Internet in

different languages.


Two hundred and seventy-eight Russian mental health

care professionals, the GCPN members, have participated in case

controlled Internet study for the chapter “Schizophrenia and

Other Primary Psychotic Disorders”. Russian participants were

represented by psychiatrists mostly (89%) and much less by psy-

chologists (8%) which corresponds with the general situation in the

Russian mental health care system.


Russian clinicians have used the proposed ICD-11 diag-

nostic guidelines successfully to assess delusional disorder as well

as schizophrenia. But there were certain categories (schizoaffec-

tive disorder, subthreshold delusions) with which the participants

seemed to struggle. The critical comments were focused on

opposing so called syndrome-based assessment and nosological

diagnostics. Most concerns were about elimination of Schizophre-

nia subtypes.


Russian mental health care professionals proved to

be interested in ICD revision process and demonstrated their

special diagnostics opinion based on rich clinical traditions and

psychopathological approach. In order to use ICD-11 guidelines in

clinical practice more efficiently supplementary appropriate train-

ing would be needed.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Exploring maternal mental health in

Syrian refugee women

A. Bowen

1 ,

, A. Ahmed


, C. Feng



Nursing, University of Saskatchewan, Saskatoon, Canada


School of Public Health, University of Saskatchewan, Saskatoon,


Corresponding author.


There has been a rapid influx of 30,000 Syrian

refugees in Canada, many are women of childbearing age, andmost

have young children. The literature reports that refugee women

are almost 5 times more likely to develop postpartum depres-

sion than Canadian-born women. However, little is known about

the experiences that the Syrian refugee women have encoun-

tered pre- and post-resettlement and their perceptions of mental

health issues in general, and of maternal depression in particular.

Thus, there is an urgent need to understand the refugee women’s

experiences of having a baby in Canada from a mental health



Participants include Syrian refugee women who

migrated to Saskatoon Canada in 2015–16 and who were either

pregnant or up to one year postpartum. Qualitative data was

collected via a focus group with thematic analysis, while depres-

sion with Edinburgh Postnatal Depression Scale (EPDS) and PTSD

screening and sociodemographic descriptive data were collected

from a structured questionnaire to provide context for the qualita-

tive analysis.


Twelve women participated in the focus group, despite

smiling often, 58% of them screened as probable depression

(EPDS > 10), 25% screened positive for depression (> 12 on EPDS),

and 17% screened positive for PTSD. None of the women indicated

intimate partner violence or suicidal thoughts. All participants indi-

cated social support, mostly partner, and 25% had a history of

depression. Thematic analysis will be shared.


Perinatal Depression is a serious problem for refugee

women that deserve more in-depth study to ensure optimal out-

comes and to develop services and programs.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.