European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237 S229
2 Eastern Maine Medical Center, Family Medicine Residency, Bangor,
USA
∗ Corresponding author.
Introduction We present three community case studies for how
community development and cultural enhancement affected men-
tal health as an epiphenomenon.
Methods 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
2.
Results 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.
Conclusions 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.
EW0363
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.
Introduction 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.
Objectives 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.
Method 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.
Results 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.
Conclusion 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
communities.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0364
Korean public knowledge and
perceptions about treatment of
attention-deficit hyperactivity
disorder
I. Shon ∗, B. Nam
1 Keyo Hospital, psychiatry, Uiwang, Republic of Korea
2 Konkuk University, Psychiatry, Chungju, Republic of Korea
∗ Corresponding author.
Objective 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.
Methods In this study, 396 participants responded to the Internet
survey regarding their experiences, beliefs and treatment prefer-
ences about ADHD.
Results 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
Questionnaire.
Conclusion 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.
EW0365
A systematic review and case report of
the Koro syndrome in an intellectually
disabled Caucasian patient
A. Pastor Romero ∗ uillot de Mergelina , L. Borredá Belda ,
J.F. Pérez Prieto
Hospital Clínico Universitario de Valencia, Psychiatry department,
Valencia, Spain
∗ Corresponding author.
Introduction 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