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



Eastern Maine Medical Center, Family Medicine Residency, Bangor,


Corresponding author.


We present three community case studies for how

community development and cultural enhancement affected men-

tal health as an epiphenomenon.


An initiative was undertaken in 3 Northern Canadian

aboriginal communities to enhance spiritual and cultural flu-

ency and to provide opportunities to healthy interaction among

community members. We began each process with a narrative

investigation of the community by eliciting stories about perceived

problems in the community. We collected further narratives at the

end of the intervention about how it had affected people personally.

We reviewed the narratives for commonalities and themes using

modified grounded theory and dimensional analysis. We measured

numbers of patients presenting to behavioral health services with

mental health diagnoses, number of people sent to hospital for

mental health treatment, and number of suicide attempts. We col-

lected quality of life data using the My Medical Outcome Profile



Community development and cultural enhancement

efforts reduced all of the variables we were tracking. Follow-up

interviews revealed common themes of people becoming more

present-centered, feeling higher quality in their relationships; feel-

ingmore connected to god, creator, nature, or higher power; feeling

more peaceful; feeling more accepting of death and change; and

having a greater sense of meaning and purpose. As an interesting

side effect, people began to eat more traditional diets and to be

more active.


Creating opportunities for community interaction

and shared community projects and enhancing interactions with

spiritual elders resulted in improvement in indices of mental health

in three indigenous communities in Northern Canada.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Female genital mutilation [FGM] and

emotional support: A research study

exploring the value and sustainability

of offering emotional support to

women exposed to FGM

S. McAndrew

, T. Warne , P. Mulongo

University of Salford, School of Nursing Midwifery Social Work &

Social Science, Salford, United Kingdom

Corresponding author.


Global estimates suggest over 130 million girls and

women have undergone FGM. While practiced in Africa, Asia and

the Middle East, due to immigration trends it is now prominent

in Western society. While studies have focused on physical health

consequences, post-2000 a small but growing number of stud-

ies have reported on the psychological impact of FGM. This paper

reports on a project exploring the mental health consequences of

FGM, the effectiveness of therapeutic support, and the sustaina-

bility of a new service through training peer mentors.


To establish and evaluate 3 drop-in clinics, offering

emotional support to women who have experienced FGM. Build

capacity through training peer mentors to continue the work of

supporting women.


Community-based participatory research (CBPR) was

used for this two-part project. In part 1, 30 women participated,

data being collected via theWarwick-EdinburghMentalWell-being

Scale (WEMWS) and follow-up interviews. Part 2 involved the

training of 12 peer mentors. Data was analysed using descriptive

statistics and thematic analysis and evaluation respectively.


Improvement was found in the women’s mental well-

being, with themes (1) Speaking the unspoken (2) Emancipation of

emotion (3) Harnessing hope, being identified. Of the 12 peer men-

tors successfully completing the course, 9 are now volunteering.


Mental health professionals are best placed to enable

women to address FGM traumas and improve their mental

well-being. Additionally, they can raise public and professional

awareness and, through research, can help develop more appro-

priate and sensitive services for migrant women from practicing


Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Korean public knowledge and

perceptions about treatment of

attention-deficit hyperactivity


I. Shon

1 ,

, B. Nam



Keyo Hospital, psychiatry, Uiwang, Republic of Korea


Konkuk University, Psychiatry, Chungju, Republic of Korea

Corresponding author.


The aim of this study was to examine (1) public

knowledge and perceptions about attention-deficit hyperactivity

disorder (ADHD) and (2) factors influencing the public’s decisions

to adhere to ADHD pharmacotherapy.


In this study, 396 participants responded to the Internet

survey regarding their experiences, beliefs and treatment prefer-

ences about ADHD.


Two hundred and fifty-two respondents (63.6%) were

reluctant to pharmacological treatment of ADHD. The respondents

chose the functional impairment of the brain as the main cause

of ADHD were favorable to pharmacological treatment and scored

significantly high on the ADHD Knowledge Questionnaire. On the

other hand, the respondents who regarded ADHD as an overly

active personality rather than a disease were skeptical to pharma-

cotherapy and scored significantly low. The respondents who were

acquainted with someone who had been diagnosed with ADHD

perceived themselves relatively well informed about ADHD. How-

ever, the subjective perception of the degree of knowledge of ADHD

was not correlatedwith the objective score of the ADHDKnowledge



The Korean public is not well informed about ADHD

and its treatments. Culturally appropriate psychoeducational

strategies based on the media and the Internet are needed. Pro-

viding biomedical conceptualization of ADHD to the public may

aid with treatment decisions and promote adherence to pharma-

cological treatment.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


A systematic review and case report of

the Koro syndrome in an intellectually

disabled Caucasian patient

A. Pastor Romero

, E. G

uillot de Mergelina , L. Borredá Belda ,

J.F. Pérez Prieto

Hospital Clínico Universitario de Valencia, Psychiatry department,

Valencia, Spain

Corresponding author.


Koro syndrome has traditionally been considered a

culturally bound syndrome, characterized by the delusional belief

that one’s genitalia are retracting and the anxiety caused by the