European Psychiatry - Volume 41 - April 2017

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S506 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520
ropathological changes in HIV infection. Noteworthy, our results
also showed that neurocognitive profile of HIV patients differs from
those cognitive alterations in patientswithmild cognitive disorders
associated to primary neurodegeneration. Together, our results
point out that HIV infection generates neural changes even at early
stages of infection. Furthermore, our results highlight the impor-
tance of a deep neurocognitive exploration at very early stages of
HIV infection as this approach allow improve the accompaniment,
clinical attachment and interventions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0313
Narratives, empathy concern and
moral judgments in patients with HIV
infection who decided not to tell
about their diagnosis
H. Santamaría García ∗, G. Paola , D. Hernandez ,
J.M. Santacruz , C. Filizzola
1 Pontificia Universidad Javeriana, Psiquiatría, Bogotá, Colombia
2 Pontificia Universidad Javeriana, Psychiatry, Bogotá, Colombia
∗ Corresponding author.
Consistent with social-cognitive theory (Bandura 1994), adherence
problems to treatments and difficulties to acceptance HIV diagno-
sis are linked with deficits in self-efficacy as well as problems in
perceived social norms and behavioral intentions. In this study we
have presented the beliefs and narratives of a group of recently
diagnosedHIV patientswho voluntarily decided not to tell to family
or couples about their diagnosis. According to the patients’ reports
they believe they should not tell about their own physical condi-
tion. In a second approach, we have explored empathetic andmoral
behavior (by using a usual procedure used to keep track those cog-
nitive domains) in this group of HIV patients and we compared that
behavior with a group of healthy controls. Results revealed a partic-
ular and differential empathic concern, and discomfort sensitivity
in HIV patients who no tell in contrast to healthy controls. Together,
our results highlight the importance of exploring the reasons, fears,
and the empathetic and moral determinants of those patients who
not to tell about their diagnosis. Our results open a new door to
explore new approaches to accompany patients with recent HIV
diagnosis.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0314
Study of vitamin D deficiency in
depression patients-is it the reason
for high rates of somatic presentation
of depression?
D. Sanyal ∗, B. Mukherjee
1 KPC Medical College-jadavpur, Psychiatry, Kolkata, India
2 Maldah Medical College, Psychiatry, Maldah, India
∗ Corresponding author.
Introduction Vitamin D receptor (VDR) is widely distributed in
the human brain including areas that are assumed to be involved
in the pathophysiology of depression. Vitamin D deficiency may
cause physical symptoms like pain.
Objectives See if somatic presentation of depression has any cor-
relate with vitamin D deficiency.
Aims To compare prevalence of vitamin D deficiency between
depressed and non-depressed subjects and see if somatic presen-
tation of depression has any correlate with vitamin D deficiency.
Methods Sixty diagnosed MDD patients consenting to partici-
pate in the study from a large private hospital selected, provided
they were non-smoker, 18–65 years, free from chronic illness and
not taking anti-depressant control (60 subjects) comprised of close
family members of patients. FSC (functional somatic complaints)
was assessed using local language version of Bradford Somatic
Inventory (BSI), while severity of depression was assessed using
HDRS-17. Based on the total score, FSCs are categorized into 3
grades ((>40 ‘high, 26–40 ‘middle, and 0–25‘low’ range).
Results Vitamin D status (deficiency: insufficiency: sufficiency)
was 70: 30.0: 0.0% in depressed, which significantly worse com-
pared to control subjects (55%: 25: 20%). Patients with higher BSI
scores (i.e. more somatisation) showed non-significantly lower
vitamin D level. These results were more prominent for female
subjects.
Conclusions Vitamin D deficiency is more common in depres-
sion subjects, which might thus need to be looked for and treated.
However, no significant link between somatisation and vitamin D
deficiency could be established.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0315
Self-efficacy of the psychotherapist in
the context of supervision
I. ˇSefarová ∗, M. ˇSlepeck ´y
1 University of Ss. Cyril and Methodius, Faculty of Arts, Trnava, Slovak
Republic
2 Constatine the Philosopher University, Faculty of Social Sciences
and Health Care, Nitra, Slovak Republic
∗ Corresponding author.
Introduction In the context of the importance of psychotherapy
inmental health care the aim of our study is to highlight the impor-
tance of supervision as an integral part thereof.
Aim We analyze the relationship between the assessment of the
quality of supervision and the perceived self-efficacy of the psy-
chotherapist as one of the antecedents of decision-making in the
psychotherapeutic process. This framework is applied to an empir-
ical study that focuses on psychotherapist’s perception of clinical
supervision in relationship to professional self-efficacy in the ther-
apeutic process.
Methods The study was operationalized using the Manchester
clinical supervision scale (MCSS), containing a demographic ques-
tionnaire, counselor self-efficacy scale–modified version. One
hundred and twenty-five psychotherapists with supervisory expe-
rience participated in the research, including 67 trainees and 58
graduates of psychotherapy training.
Results The results show a positive relationship between effec-
tive supervision and self-efficacy (r = 0.363; sig = 0.000; n = 125).
The participants who attributed higher ratings to supervision and
supervision work alliance also assigned higher scores to perceived
self-efficacy–although there is a significant relationship among the
participants of psychotherapeutic training (r= 0.444; sig = 0.000;
n = 67), this relation is not significant among the actual graduates.
Based on modeling, rapport was discovered to be the most impor-
tant predictor of supervision effectiveness assessment.
Conclusions The results support the merits of supervision in the
education of psychotherapists and the importance of investing
resources in its regular implementation.
Keywords Self-efficacy; Supervision; Psychotherapists in
trainee; Graduate
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.