European Psychiatry - Volume 41 - April 2017

340 / 916

S336 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364
Results The residential units were mainly in the community
(n = 17, 73.9%), and had QuIRC mean scores above 50% in the fol-
lowing dimensions : living environment, self-management and
autonomy, social inclusion, and human rights. Service users’ level of
activity (TUD) at 8-months did not differ between intervention and
control groups. At 8 months, all QuIRC dimensions scored higher in
the Intervention group, without reaching statistical significance.
Pre- post-tests comparison showed a significant increase in the
knowledge acquired by the staff.
Conclusions The intervention had impact on the staff’s know-
ledge without reaching significant change of users’ activity and
quality of care of the units.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0673
Differences in symptom expression
between Vietnamese and German
patients utilizing a psychiatric
outpatient service using the PHQ
A. Dreher , E. Hahn , T.M.T. Ta , M.H. Nguyen ,
A. Diefenbacher ∗, R. Burian , M. Dettling
1 Krankenhaus Königin Elisabeth Herzberge Berlin, psychiatry
psychotherapie psychosomatics, Berlin, Germany
2 Charité university hospital Berlin Campus Benjamin Franklin,
psychiatry, Berlin, Germany
∗ Corresponding author.
Objective Despite a large body of work on somatic symptom
presentation among people of Asian descent, research has shown
heterogeneous results. Examining symptom presentation in clini-
cally and ethnically well-characterized populations constitutes a
first step towards better understanding differing patterns symptom
of presentation. This is the first larger study aiming to compare Viet-
namese and German psychiatric outpatients regarding symptom
presentation.
Methods 110 Vietnamese and 109 German patients seeking psy-
chiatric treatment at two outpatient clinic services in Berlin were
asked to complete the patient health questionnaire (PHQ). Compa-
risons of Vietnamese and German patients were conducted using
independent t-tests. The somatic symptom module (PHQ-15), the
depression module (PHQ-9) and the original PHQ-modules exa-
mining anxiety and psychosocial stress levels were compared for
both groups using multivariate analysis. Categorical variables were
evaluated using Chi 2 analysis. Crohnbach’s alpha was calculated
separately for both groups and all PHQ modules.
Results Vietnamese patients endorsed significantly higher levels
of somatic symptoms overall and on individual somatic items,
such as pain-related disturbancies. Yet, German and Vietnamese
patients did not differ in terms of depression severity. Vietnamese
patients with fewer German language skills showed a significantly
higher tendency for somatization. While German patients sho-
wed higher total scores on the anxiety- and stress-modules of the
PHQ, this difference was not statistically significant. Vietnamese
and German patients showed comparable Crohnbach’s alpha for
all subscales.
Conclusion As data was collected from both groups upon the first
visit to an outpatient clinic, the symptoms reported could be reflec-
tive of culture related symptomawarenesswhen feeling discomfort
in the context of mental illness.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0674
Development and investigating the
effectiveness of an integrated
school-based program for changing
attitude toward substance abuse
based on philosophy for children
components and emotional
intelligence
H. Rezaee , A. Shafiabady , Y. Ghaedi , A. Delavar ,
M. Esmaeili , L. Fattah Moghaddam∗
1 Allameh Tabatabaeei university, department of psychology, Tehran,
Iran
2 Tehran Kharazmi university, educational philosophy department,
Tehran, Iran
3 Islamic Azad university - Tehran, department of psychiatric nursing,
Tehran, Iran
∗ Corresponding author.
Background Substance abuse in the youth is one of themajor pro-
blems of any society. The research purpose was the development
of a program for changing female adolescents’ attitude toward sub-
stance abuse and evaluating its effectiveness.
Methods To develop the treatment, important variables influen-
cing in shaping attitudes toward substance abuse were selected.
Afterwards, structural equation modeling approach was conduc-
ted for examining the relationship among variables (emotional
intelligence, critical thinking, caring thinking and reasoning) and
identifying significant paths and variables. Based on these variables,
a program developed for changing students’ attitudes. To eva-
luate effectiveness of programs a pretest-post test design with the
control group was used. Random sampling was carried out for
selecting 26 students attending senior high schools in district 2
of Tehran. Then, sample randomly assigned in experimental and
control groups. Experimental group exposed to philosophy for chil-
dren intervention in the form of community of inquiry. Control
group didn’t receive the intervention. The data were collected from
Nazari’s questionnaire for attitude toward substance abuse.
Results ANCOVA revealed that based on a composite score of atti-
tude toward substance abuse (adjusting pretest effect), there is a
significant difference between two groups at 0.99 significance level
(partial = 0.329, P < 0.001, = 11.28).
Conclusions It is recommended that the school based program
should be used for developing and strengthen the students’ atti-
tude based on exploring itself, rather than simply giving awareness
about substance abuse. In this treatment, rather than highlighting
accumulating knowledge, put emphasis on, thinking, decision-
making, and management of emotions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0675
Medical assistance in dying:
The Canadian experience
K. Gaind
Humber River hospital, psychiatry, Toronto, Canada
Canada is in the midst of implementing new and rapidly evolving
policies on medical assistance in dying (MAID). Following the land-
mark Canadian Supreme Court Carter v. Canada ruling in February
2015, the former prohibition against physician-assisted death was
deemed to violate the Canadian Charter of Rights and Freedoms.
The Court provided until 2016 for development of national legis-
lation and policies that allowed for physician-assisted dying in
cases of “grievous and irremediable” illness and “intolerable suffe-
ring”. This session will review shifting public, societal and medical
concepts regarding assisted dying and the Canadian experience