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


Validation and test-retest reliability of

facial expressions basic emotions of

baby stimulus

M. Donadon

1 ,

, R. Martin Santos


, F. De Lima Osório



Neuroscience and Behavior, Medical School at Ribeirao Preto,

Ribeirao Preto, Brazil


Universidade Autonoma de Barcelona, Barcelona, Spain


Neurosciências e Ciências do comportamento, Faculdade de

Medicina de Ribeirão Preto, Ribeirão Preto, Brazil

Corresponding author.


Emotional facial expression paradigms of adults

have been very used in the literature; however, studies with baby’s

emotional faces are very few.


To study the psychometric validity and reliability of a

series of basic emotions faces of babies stimuli.


We used 72 photographs of 12 baby faces (6–12

months), both sex and different ethnic groups, expressing basic

emotions (happiness, sadness, fear, anger, surprise and neutral)

elicited in the laboratory by pre-task defined. A total of 119 sub-

jects of both sexes (63% women) in different age groups (18–65

years) and ethnicities, were invited to evaluate the facial emotional

stimuli presented by the computer program SuperLab. They should

choose the emotion represented by the photograph. Furthermore,

31 subjects were randomly selected to performa test-retest assess-

ment after an interval of 20 days.


It was observed that 35 stimuli presented hit rate exceed-

ing 70% and 11 between 60% and 50%. The facial emotion of

happiness was the most easily recognized, while fear was asso-

ciated with the lower success rates. Only seven stimuli presented

a hit rate lower than 20% (fear). All stimuli, except for one, showed

a good reliability test/retest (McNemar test > 0.05).


The study offers a series of baby emotional facial

stimuli with good validity and reliability for research setting. How-

ever, the 30% of stimuli without satisfactory success rate may be

problems with stimuli or stimulating task, as it becomes difficult to

distinguish the emotion face on the baby.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Does hikikomori exist in Ukraine?

I. Frankova

Psychosomatic medicine and psychotherapy, Bogomolets National

Medical University, Kyiv, Ukraine


The term “Hikikomori” refer to the modern

phenomenon–severe (acute, prolonged) social withdrawal (SSW).

Recently, there have been increasing reports of Hikikomori around

the globe, Ukraine is not an exception.


To describe epidemiological and psychopathological

features of Hikikomori from Ukraine.


Hikikomori was defined as a six-month or longer

period of spending almost all time at home, avoiding social

situations, social relationships, associated with significant dis-

tress/impairment. Lifetime history of psychiatric diagnosis was

determined by the M.I.N.I. 7.0. Additional measures was Alex-

ithymia Scale (TAS-20), Life experience questionnaire (LEQ),

Buss-Durkee Hostility Inventory (BDHI), Chaban quality of life scale



In total, 65.4% of Hikikomori group (HG,


= 26) had at

least one psychiatric diagnosis, 34.6% had not. Personality dis-

orders (15.4%), PTSD (11%), MDD (7.7%), SAD (7.7%), OCD (7.7%),

bulimia nervosa (3.8%) were the most common. Onset of SSW

in 41.7% started before 18 y.o. Healthy individuals formed the

control group (CG,


= 25). Individuals with Hikikomori had high

level of alexithymia (TAS-20 M= 71, SD = 11.6 vs. M= 60.8 SD = 13.8,


= 0.006). Childhood trauma was reported by 31.8% of CG vs. 52%

of HG. Hikikomori had higher trauma index (LEQM= 3.03, SD = 0.98

vs. 2.31, SD = 1.1,


= 0.019), larger number of lifespan traumatic

events (LEQ 95%CI 4.57–7.35 vs. 2.8–5.28,


= 0.039); higher levels

of irritability, resentment, suspiciousness, higher aggressiveness

(BDHI M= 23, SD = 6.4 vs. M= 16.6, SD = 6,


= 0.001), low quality of

life (CQLS M= 12.4, SD = 3.3,




Hikikomori exist in Ukraine, SSW quantitatively and

qualitatively related to childhood trauma, manifests in adoles-

cence, can be characterized by defined psychopathological features

and affects quality of life.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.


Analysis of the factors affecting

stigmatization and attitudes toward

depression in young and elderly


G.Z. Kamıs¸

1 ,

, O. Erden Aki


, ˙I. Yıldız


, A. Dolgun



Hacettepe University, Department of Psychiatry, Ankara, Turkey


Private Madalyon Psychiatry Outpatient Clinics, Psychiatry, Ankara,



Hacettepe University, Department of Biostatistics, Ankara, Turkey

Corresponding author.


Depression is a frequently seen but under-recognized

and under-treated syndrome in community. Stigmatization is an

important barrier for care-seeking and treatment.


In this study, we aimed to investigate the relationship

of sociodemographic factors and attitudes towards depression

between young and old age groups in a clinical population.


A total of 133 patients (18–88 years old,


= 37 old-age



= 96 young-age group) with a diagnosis of depressionwere

recruited in this study. All the patients were evaluated with a semi-

structured clinical interview and using stigmatization scales.


As young and old age groups compared, RHIDO total

scores, RHIDO alienation sub-scale scores, social withdrawal sub-

scale scores, and resistance to stigmatization subscale scores were

found to be higher in young-age group than old-age group. Except

working status, other sociodemographic factors were not found to

have any effect on the scores of stigmatization scales.

Regarding the clinical features; number of episodes, comorbid

physical disorders and time since first admission had an effect

on RHIDO total and subscale scores. Negative attitudes towards

depression were seen to be common in all the subjects, but no sta-

tistically significant difference was found between young and old

age groups.


Stigmatization is very common also for depression,

and it is found to be related to different features including age,

working status, and time since first admission. In order to help for

decreasing the negative attitudes and increasing the help seeking

behavior, some interventions should be conducted both in psychi-

atry clinics and society.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Using culture to enhance mental

health in a northern Canadian

aboriginal population

B. Mainguy

, 1

, L. Mehl-Madrona



Coyote Institute, Education, Orono, USA