European Psychiatry - Volume 41 - April 2017

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S228 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237
EW0359
Validation and test-retest reliability of
facial expressions basic emotions of
baby stimulus
M. Donadon ∗, R. Martin Santos , F. De Lima Osório
1 Neuroscience and Behavior, Medical School at Ribeirao Preto,
Ribeirao Preto, Brazil
2 Universidade Autonoma de Barcelona, Barcelona, Spain
3 Neurosciências e Ciências do comportamento, Faculdade de
Medicina de Ribeirão Preto, Ribeirão Preto, Brazil
∗ Corresponding author.
Introduction Emotional facial expression paradigms of adults
have been very used in the literature; however, studies with baby’s
emotional faces are very few.
Objectives To study the psychometric validity and reliability of a
series of basic emotions faces of babies stimuli.
Methods 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.
Results 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).
Conclusion 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.
EW0360
Does hikikomori exist in Ukraine?
I. Frankova
Psychosomatic medicine and psychotherapy, Bogomolets National
Medical University, Kyiv, Ukraine
Introduction 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.
Objectives To describe epidemiological and psychopathological
features of Hikikomori from Ukraine.
Methods 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
(CQLS).
Results In total, 65.4% of Hikikomori group (HG, n = 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, n = 25). Individuals with Hikikomori had high
level of alexithymia (TAS-20 M= 71, SD = 11.6 vs. M= 60.8 SD = 13.8,
P = 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, P = 0.019), larger number of lifespan traumatic
events (LEQ 95%CI 4.57–7.35 vs. 2.8–5.28, P = 0.039); higher levels
of irritability, resentment, suspiciousness, higher aggressiveness
(BDHI M= 23, SD = 6.4 vs. M= 16.6, SD = 6, P = 0.001), low quality of
life (CQLS M= 12.4, SD = 3.3, Р ≤ 0.001).
Conclusion 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.
EW0361
Analysis of the factors affecting
stigmatization and attitudes toward
depression in young and elderly
patients
G.Z. Kamıs¸ ∗, O. Erden Aki , ˙I. Yıldız , A. Dolgun
1 Hacettepe University, Department of Psychiatry, Ankara, Turkey
2 Private Madalyon Psychiatry Outpatient Clinics, Psychiatry, Ankara,
Turkey
3 Hacettepe University, Department of Biostatistics, Ankara, Turkey
∗ Corresponding author.
Objectives Depression is a frequently seen but under-recognized
and under-treated syndrome in community. Stigmatization is an
important barrier for care-seeking and treatment.
Aims 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.
Method A total of 133 patients (18–88 years old, n = 37 old-age
group, n = 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.
Results 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.
Conclusion 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.
EW0362
Using culture to enhance mental
health in a northern Canadian
aboriginal population
B. Mainguy∗ , L. Mehl-Madrona
1 Coyote Institute, Education, Orono, USA