European Psychiatry - Volume 41 - April 2017

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S230 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237
perception of imminent death. Although it is widely regarded as an
epidemic in South-east Asia, there are some isolated cases in other
cultures as well.
Objectives We present a Koro case study and a systematic review,
focusing on the presentation and its treatment, in order to make
visible this syndrome to Western culture and provide the tools to
identify it.
Aims To provide an overview of Koro’s presentation, pheno-
menology and treatment. We also want to clarify the nosology
classification of this syndrome and its influence in the reported
cases.
Methods We begin describing a new case of Koro syndrome: a
Spanish male presented an acute psychosis, the patient had an
intellectual disability and a family history of mental illness. A sys-
tematic review was done based on articles published in Pubmed
following the PRISMA guidelines.
Results From 117 studies, only 29 met the inclusion criteria. Data
were analyzed on several epidemiological and clinical characteris-
tics. We found that Koro syndrome is more often presented as a
result of intoxication or as a part of a previous known psychotic
disorder. Cases involving patients sharing their delusion have been
only reported in Asia.
Conclusion No specific data could be obtained about epidemi-
ology and pathogenesis, as our conclusion about Koro syndrome
was based mainly on few case studies. Pharmacotherapy and social
support may be effective in ameliorating the symptoms.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0366
Describing and comparing quality in
psychiatric care across the globe with
the QPC-Instrument
A. Schröder ∗ . Lundqvist
Faculty of Medicine and Health, University Health Care Research
Center, Örebro, Sweden
∗ Corresponding author.
Introduction There is a lack of cross-cultural comparison of
patients and staff perceptions of quality of care in the psychiatric
care. One reason is the absence of standardized instruments.
Objectives The international research programme “Quality in
Psychiatric Care” aims at adapting the instrument QPC versions for
patients and staff to different international settings.
Aims The aims are to test the psychometric properties and equiv-
alence of dimensionality of the different language versions of QPC
and also to describe and compare the quality of inpatient, out-
patient and forensic in-patient psychiatric care across different
countries.
Methods The QPC is a family of self-reported instruments from
the patients’ perspective. In this programme, we used different
languages versions in three areas for patient and staff; inpatient
(QPC-IP/IPS), outpatient (QPC-OP/OPS) and forensic inpatient care
(QPC-FIP/FIPS).
Results The Danish versions for QPC-FIP and QPC-FIPS show that
the confirmatory factor analysis revealed that the factor structure
was equivalent to the original Swedish version. Patients rated the
quality of care generally lower than staff and lowest in the par-
ticipation dimension. The Indonesian version of QPC-IP is under
analysis. The first result show that patients rated the quality of care
lower than Swedish inpatients and lowest in the discharge dimen-
sion. Several studies in Indonesia are still ongoing aswell as in Brazil
and Spain.
Conclusions There are few standardized instruments for measur-
ing quality of care in the psychiatric care. Therefore, QPC is expected
to makes an important contribution to the development in this
field.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0367
Emotional expression and culture:
Implications from nine Arab countries
B. Abu-Hamda , A. Soliman ∗ abekr , T. Bellaj
Qatar University, Social Sciences Psychology, Doha, Qatar
∗ Corresponding author.
Introduction There is a notion that emotional expression is uni-
versal, yet it is subject to cultural variations. Research in this field
has studied cultural extremes in European, American and East Asian
cultures. However, very little is known about the differences in
emotional expression in the Arab subcultures.
Objective Exploring the differences between the emotional reac-
tions among the nine Arab subcultures.
Aims (1) Examining the cultural differences in emotional reactions;
(2) examining the differences between Muslim and non-Muslim
individuals; (3) exploring the differences between Arabs and non-
Arabs.
Methods Several real life scenarios including 15 different stress-
ful situations and 15 non-stressful situations were presented to
40 individuals from the nine Arab subcultures. The participants
were aged between 18 to 40 years of age. The subjects were ran-
domly classified into groups depending on whether they were
Arabs or non-Arabs and according to whether they were Muslims
or non-Muslims. The subjects’ emotional reactions were measured
by means of Likert-like items.
Results The results showed that there were no significant differ-
ences among the nine Arab subcultures in their emotional reactions
to the non-stressful situations. However, there were significant dif-
ferences among the Arab subcultures in the stressful situations.
Moreover, both religion and ethics were strong predictors of the
differences in the emotional reactions that varied between sub-
jects in their cultural group. The Arab Muslims tended to express
more anger but the Arab non-Muslims expressed more sadness.
Conclusions Emotional expression is impacted by ones’ cultural
background and is particularly influenced by religion and ethics.
Although Arab countries share the same language, they express
emotions differently.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0368
The improvement of mental health
competences and skills on a brazilian
Federal University
D. Soria ∗, J.D. Cabrial , B.C. Marinho , N. Romeiro ,
A. Mendes , R. Mello , T.V.C. Vernaglia
1 Federal University of State of Rio de Janeiro, Nursing Medical
Surgical, Rio de Janeiro, Brazil
2 Nise da Silveira Psychiatric Institution, Culture Point Madness on
the street Loucura Suburbana, Rio de Janeiro, Brazil
∗ Corresponding author.
Background The extension project “UNIRIO is madness: the
improvement of mental health competences and skills.” work since
2015 with “Ponto de Cultura Loucura Suburbana” on the promotion
of mental health and culture style in Brazil. The project work on the
development of psychosocial rehabilitation for psychiatric patients,
their families and the community.
Aims Participate on the production and execution on the artis-
tic/therapeutic workshop that demystify the social stigmatizing
vision about psychiatric patients.