European Psychiatry - Volume 41 - April 2017

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S356 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0728
Comparison of self-stigma and quality
of life in depressive disorder and
schizophrenia – a cross-sectional
study
M. Holubova ∗, J. Prasko , S. Matousek , K. Latalova ,
M. Marackova , K. Vrbova , A. Grambal , M. Slepecky ,
M. Zatkova
1 University of Palacky Olomouc, department of psychiatry, Olomouc,
Czech Republic
2 Regional hospital Liberec, department of psychiatry, Liberec, Czech
Republic
3 Constantine the philosopher university in Nitra, department of
psychology sciences, Nitra, Slovak Republic
∗ Corresponding author.
Background The views of one’s self-stigma and quality of life in
patients with schizophrenia and depressive disorders are signi-
ficant subjective notions, both being proven to affect patient’s
functioning in life. The objective of this research was to find out
the quality of life and self-stigma in connection with demographic
factors and compare the two groups of patients in those variables.
Method In a cross-sectional study, the outpatients with the schi-
zophrenia spectrum disorders and depressive disorders completed
the quality of life satisfaction and enjoyment questionnaire, the
internalized stigma of mental illness scale and a demographic ques-
tionnaire during a routine psychiatric control. Furthermore, both
patients and their psychiatrists evaluated the severity of the disor-
der by clinical global impression-severity scale.
Results The quality of life of patients with depression or schi-
zophrenia spectrum disorders did not significantly differ between
the two groups. In both groups, unemployment was perceived to
be a significant factor decreasing the quality of life. Self-stigma
was detected to be higher in patients with schizophrenia as com-
pared to the depressive patients. A strong correlation was found
between the two scales, meaning that those with higher levels of
self-stigmatization were less prone to see their life as fulfilling and
joyful.
Conclusions The present study shows that the degree of the inter-
nalized stigma can be an important aspect linked to the quality of
life irrespective of the diagnostic category.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0729
Birth order and psychiatric morbidity
J. Hussain
Indus medical college, psychiatry, Tando Muhammad Khan, Pakistan
Objectives: – to determine the frequency of sociodemographic
factors (birth order)among subjects attending a psychiatric clinic;
– to establish psychiatric diagnosis of subjects;
– to bring out dominating frequencies of birth orders of the patient
in relation with related diagnosis.
Methodology This cross-sectional study was conducted at out-
patient clinic of Liquate university hospital Hyderabad during 1st
January 2012 to 31st January 2012. One hundred consecutive sub-
jects attending a psychiatric OPD with psychiatric symptoms, were
assessed for the total siblings, birth order among siblings and their
psychiatric diagnosis. The socio-demographic data was recorded
through a designed semi-structured proforma, and diagnosis was
established by diagnostic and statistical manual-IV text revised cri-
teria (DSM-IV TR).
Results The age range remained 9-60 years and numbers of
siblings were in the range of 1–12 siblings and fourth birth
order was found to be dominant in this study to have psychia-
tric morbidity (38%). While, frequency of first order birth was 18%.
Generalized anxiety disorder and depressive (GAD) disorders were
dominant diagnosis (55%), while GADwas more in themale gender.
Conclusion This study shows that psychiatric morbidity was
more common in the lower birth order. This study may be carried
out at different centers of psychiatry for the better assessment of
psychiatric morbidity.
Keywords Sociodemographic; Psychiatric disorders; Birth order
Disclosure of interest The author has not supplied his declaration
of competing interest.
EW0730
Cultivating the compassionate self
against depression: An exploration of
processes of change
M. Matos ∗, J. Duarte , C. Duarte , J. Pinto-Gouveia , P. Gilbert
1 University of Coimbra, cognitive and behavioral centre for research
and intervention CINEICC, Coimbra, Portugal
2 Derbyshire Healthcare NHS foundation trust, centre for
compassion/mental health research unit, Derby, United Kingdom
∗ Corresponding author.
Introduction Compassion and self-compassion can be protective
factors against mental health difficulties, in particular depression.
The cultivation of the compassionate self, associatedwith a range of
practices such as slow and deeper breathing, compassionate voice
tones and facial expressions, and compassionate focusing, is central
to compassion focused therapy (Gilbert, 2010). However, no study
has examined the processes of change that mediate the impact of
compassionate self-cultivation practices on depressive symptoms.
Aims The aim of this study is to investigate the impact of a brief
compassionate self training (CST) intervention ondepressive symp-
toms, and explore the psychological processes that mediate the
change at post intervention.
Methods Using a longitudinal design, participants (general popu-
lation and college students) were randomly assigned to one of
two conditions: Compassionate self training (n = 56) and wait-list
control ( n = 37). Participants in the CST condition were instructed
to practice CST exercises for 15minutes everyday or in moments of
stress during two weeks. Self-report measures of depression, self-
criticism, shame and compassion, were completed at pre and post
in both conditions.
Results Results showed that, at post-intervention, participants in
the CST condition decreased depression, self-criticism and shame,
and increased self-compassion andopenness to receive compassion
from others. Mediation analyses revealed that changes in depres-
sion from pre to post intervention were mediated by decreases
in self-criticism and shame, and increases in self-compassion and
openness to the compassion from others.
Conclusions These findings support the efficacy of compassionate
self training components on lessening depressive symptoms and
promoting mental health.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.