European Psychiatry - Volume 41 - April 2017

338 / 916

S334 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364
Methods In 2015, health professionals were interviewed by using
a ProDeMa® 11-item questionnaire that assessed the type and fre-
quency of endured patients’ aggressive behavior, as well as the
conditions capable of producing or preventing it. One-way ANOVA
with Tukey post-hoc test was used for comparisons.
Results A total of 165/211 (78%) surveyed workers (mean
age ±DE = 44.9 ±7.7; females = 64.6%) completed the question-
naire, of whom21% employed at the inpatients unit (INP), 37% at the
outpatients unit (OUTP), 42% at the rehabilitation facility (REHAB).
The one-year number of verbal aggressions (VA) was 9766, with
INP (mean ±SD = 15.2 ± 29.6) vs. OUTP (mean ±SD = 6.2 ±30.6) vs.
REHAB (mean ± SD = 8.4± 26.1). The one-year number of physi-
cal aggressions (PA) was 1502, with INP (mean ± SD = 3.3± 12.2)
vs. OUTP (mean ±SD = 0.1 ± 0.5) vs. REHAB (mean ± SD = 0.1 ±0.7).
The one-year number of injuries (IN) was 200, with INP
(mean ± SD = 0.5 ± 1.9) vs. OUTP (mean ±SD = 0.1 ± 0.5) vs. REHAB
(mean ± SD = 0.1 ± 0.2). ANOVA showed significant differences in
terms of mean verbal/physical aggression and injuries among the
three workplaces (P-values = 0.000), with post-hoc Tukey test sho-
wing a significant difference of INP vs. REHAB and OUTP. The most
frequent risk factors identified by the staff for precipitating aggres-
sion included rigid rules (15.1%) and inadequate communication
(9.1%).
Conclusions The three types of violence are common in all facili-
ties of our Department.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0667
A crossroad in ADHD – adult-onset
ADHD
A. Ponte ∗, H. Prata Ribeiro , L. Carvalhão Gil , D. Pereira
Centro hospitalar psiquiátrico de Lisboa, psychiatry, Lisboa, Portugal
∗ Corresponding author.
Introduction Attention-deficit/hyperactivity disorder (ADHD) is
a common disorder characterized by inattention or hyperacti-
vity–impulsivity, or both. For a long time, ADHD was thought of
as a disorder of children which would sometimes persist into adul-
thood. DSM 5 uses as a criterion that several symptoms have to be
present prior to age 12 years.
Objectives To discuss the findings of 3 recent cohorts that show
the onset of ADHD in adulthood.
Methods A review of selected articles of interest using PubMed
database.
Results 3 large, longitudinal, population studies fromBrazil, New
Zealand (NZ) and the United Kingdom (UK) show that we are at
a crossroads in our understanding of ADHD. In each study, the
prevalence of adult-onset ADHD (Brazil, 10.3%; UK, 5.5%; and NZ,
2.7%) was much larger than the prevalence of childhood-onset
adult ADHD (UK, 2.6%; Brazil, 1.5%; and NZ, 0.3%). They all pro-
pose different conclusions that would result in a paradigmatic shift
in ADHD: in Brazil, that child and adult ADHD are “distinct syn-
dromes”; in the UK, “that adult ADHD is more complex than a
straightforward continuation of the childhood disorder” and in NZ,
that adult ADHD is “not a neurodevelopmental disorder”. Faraone
et al., in an editorial in JAMA Psychiatry, propose that these findings
might correlate to subthreshold child ADHD before it emerges as
adolescent- or adult-onset ADHD.
Conclusions It’s an exciting time in ADHD research. These new
data work as an incentive to study adult-onset ADHD and how it
emerges. Future research will shape our understanding of adult
ADHD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0668
The Chinese version of the brief
assessment of cognition in
schizophrenia: Data of a large-scale
Mandarin-speaking population
L.J. Wang ∗, S.T. Hsu
1 Kaohsiung Chang Gung memorial hospital, department of child and
adolescent psychiatry, Kaohsiung City, Taiwan R.O.C.
2 Kaohsiung municipal Kai-Syuan psychiatric hospital, department of
community psychiatry, Kaohsiung City, Taiwan R.O.C.
∗ Corresponding author.
Objective The brief assessment of cognition in schizophrenia
(BACS) is a cognitive assessment tool used to measure the broad
aspects of cognition that are most frequently impaired in patients
with schizophrenia. This study aims to develop the normative data
of the Chinese version of the BACS among the Mandarin-speaking
population.
Methods This cross-sectional study included 382 healthy partici-
pants (age range: 19–79 years; mean age: 48.0± 16.7 years, 47.6%
male) in Taiwan, who were evaluated with the BACS. Means and
standard deviations of subtests and composite scores were arran-
ged by age group and gender. The Z-scores calculated based on
the U.S. norms were compared to our scores based on the norms
established in the present study.
Results The raw scores of all the BACS tests (verbal memory, digit
sequencing, token motor test, verbal fluency, symbol coding, and
Tower of London)were negatively correlatedwithparticipants’ age.
Females were superior to males in verbal memory, but inferior to
them in executive function. Furthermore, applying the U.S. norms
of the BACS to determine the performance of the Chinese BACS
results in bias with regard to verbal memory, token motor test,
verbal fluency, symbol coding, Tower of London, and composite
score.
Conclusions These findings demonstrate that directly applying
Western cognitive norms to a Mandarin-speaking population can
cause biased interpretations. The results of the current study can be
an important reference for clinical settings and research related to
cognitive assessments in Mandarin-speaking Chinese populations.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
e-Poster Walk: Mental health care; Mental health
policies and migration and mental health of
immigrants
EW0669
Dissemination of DBT for borderline
personality disorder in Egypt, facts
and challenges
A. Abdelkarim ∗, D. Nagui Rizk , A. Ivanoff
1 Alexandria faculty of medicine, neuropsychiatry, Alexandria, Egypt
2 Columbia university, school of social work, New York, USA
∗ Corresponding author.
Background DBT proved to be effective in reducing suicidal beha-
vior, non-suicidal self-injury, psychiatric hospitalization, treatment
dropout, substance use, anger, and depression and improving social
and global functioning in Borderline personality disorder. As a step
towards increasing utilization of evidence based treatments in the
Egyptian healthcare system, the teamat Alexandria university star-
ted a comprehensive DBT program.