European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S238–S302 S245
e-Poster Walk: Epidemiology and social psychiatry
EW0408
The dietary status of adults with ADHD
J.N. Kjaer ∗, L. Jakobsen , M. Lasgaard ,
P. Munk-Jørgensen
1 Aarhus University Hospital, Department of Affective Disorders,
Risskov, Denmark
2 Public Health and Quality Improvement, Central Region Denmark,
Aarhus, Denmark
3 Psychiatric Research Academy, Aarhus University Hospital, Århus,
Denmark
∗ Corresponding author.
Objective The aim was to investigate the dietary status of adults
with ADHD. Furthermore, we compared the group with a represen-
tative sample of a healthy adult Danish population.
Method Data were collected from the ADHD database oper-
ated by the ADHD outpatient clinic at Aarhus university hospital.
We used data from newly referred patients in a seven months
period from April 2014 through October 2014. The collected data
include weight, height, blood pressure, somatic or psychiatric co-
morbidity, blood sample, physical activity scale. Concerning the
diagnosis of ADHD: DIVA, ASRS, BRIEF-V. Inter99was used to assess
the dietary status. The representative samplewas obtained as a part
of a public health survey from2010 called “how are you” conducted
in the same region of Denmark as the location of the psychiatric
hospital. Preliminary results, one hundred and forty-three patients
were included in the study, 52%males. Themean agewas 30.9 years.
A larger proportion of ADHDpatients fall in the category “unhealthy
dietary pattern” compared to the representative sample population
(26% vs. 12%), while the proportion in the “healthy dietary pattern”
category is markedly lower (14% vs. 24%). The differences seem
to be explained by lower than recommended intakes of fruits and
vegetables.
Conclusion Our findings suggest a general shift towards more
unhealthy dietary patterns among patients with ADHD. This
exposes them to higher risk of somatic diseases, notably diabetes
mellitus and cardiovascular disease. Lifestyle interventions could
be a necessary part of standard treatment for patients with ADHD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0409
Mental health stigma: What’s been
done? Where to go?
P. Macedo ∗, M. Silva , A. Fornelos , A.R. Figueiredo , S. Nunes
CHTMAD, Departamento de Psiquiatria e Saúde Mental, Vila Real,
Portugal
∗ Corresponding author.
Introduction Negative attitudes towards psychiatric patients still
exist inour society. Persons suffering frommental illness frequently
encounter public stigma and may internalize it leading to self-
stigma. Discrimination occurs acrossmany aspects of economic and
social existence. It may represent a barrier for patients to receive
appropriate care. Many anti-stigma campaigns have been taken
to decrease people’s prejudice, but its effects are not well docu-
mented.
Objectives To characterize anti-stigma initiatives and its effects
on diminishing negative consequences of stigma.
Methods Bibliographical research using PubMed using the key-
words “stigma” and “mental illness”.
Results Despite several approaches to eradicate stigma, it shows
a surprising consistency in population levels. It was expected
that focus on education would decrease stigma levels. The same
was expected following concentration on the genetic causation
of pathology. Most studies have revealed that education has lit-
tle value and endorsing genetic attributions has led to a greater
pessimism on the efficacy of mental health services, sense of per-
manence and guilty feelings within the family.
Conclusion Public stigma has had a major impact on many peo-
ple with mental illness, especially when leading to self-stigma,
interfering with various aspects in life, including work, housing,
health care, social life and self-esteem. As Goffman elucidated,
stigma is fundamentally a social phenomenon rooted in social
relationships and shaped by the culture and structure of soci-
ety. Social inclusion has been pointed as a potential direction of
change.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0410
Mental health conditions and
co-morbidities among internally
displaced populations (IDPs) in
Ukraine
N. Makhashvili ∗, J. Javakhishvili , I. Pinchuk , B. Roberts
1 Ilia State University, Mental Health Resource Centre, Tbilisi, Georgia
2 Ilia State University, Institute of Addictology, Tbilisi, Georgia
3 Ukrainian Institute of General and Forensic Psychiatry, General and
Forensic Psychiatry, Kiev, Ukraine
4 London School of Hygiene and Tropical Medicine, epidemiology and
public health, London, United Kingdom
∗ Corresponding author.
Reliable epidemiological data on the burden of mental health
conditions and key risk factors is crucial in helping to design appro-
priate trauma-informed mental health and psychosocial support
responses for the estimated 1.4million IDPs in Ukraine. The aim of
the proposed study is to collect evidence onmental health and psy-
chosocial support needs among IDPs in order to help informmental
health policy in Ukraine.
The specific objectives were to:
– measure the prevalence of mental health conditions of post-
traumatic stress disorder (PTSD), depression, anxiety, and their
co-morbidity;
– examine the characteristics associated with the mental disorders
(e.g. gender, age, trauma exposure, socio-economic stressors);
– draft evidence-based recommendations for mental health and
psychosocial support to relevant governmental and professional
bodies in Ukraine.
The study used a cross-sectional survey conducted through-
out Ukraine in 2016 with 2203 IDPs aged 18 years and over.
Descriptive and multivariate regression analyses were used. PTSD
prevalence was 32% (22% men; 36% women), depression–22%
(16% men; 25% women), and anxiety prevalence was 17% (13%
men; 20% women). There were also high levels of co-morbidity
between PTSD, anxiety and depression. Key factors statistically
significantly associated with mental disorders included female
gender, older age, cumulative trauma exposure, more recent
displacement and a bad household economic situation. The find-
ings provided sufficient evidence to draft the trauma-informed
mental health policy recommendations to key policy-makers in
Ukraine.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.