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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364


The residential units were mainly in the community



= 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.


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.


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

1 ,

, R. Burian


, M. Dettling



Krankenhaus Königin Elisabeth Herzberge Berlin, psychiatry

psychotherapie psychosomatics, Berlin, Germany


Charité university hospital Berlin Campus Benjamin Franklin,

psychiatry, Berlin, Germany

Corresponding author.


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



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



-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


analysis. Crohnbach’s alpha was calculated

separately for both groups and all PHQ modules.


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.


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.


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


H. Rezaee


, A. Shafiabady


, Y. Ghaedi


, A. Delavar



M. Esmaeili


, L. Fattah Moghaddam

, 3


Allameh Tabatabaeei university, department of psychology, Tehran,



Tehran Kharazmi university, educational philosophy department,

Tehran, Iran


Islamic Azad university - Tehran, department of psychiatric nursing,

Tehran, Iran

Corresponding author.


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.


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.


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,


< 0.001, = 11.28).


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.


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