European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520 S511
e-Poster viewing: Cultural psychiatry
EV0328
Quality of life between two groups of
psychiatric patients in Baghdad, Iraq
H. Abdullah
Ibn Rushd Hospital, Child Psychiatry, Baghdad, Iraq
Objectives To assess and compare the subjective rating of quality
of life (QOL) in psychiatric patients who attended two psychiatric
outpatient clinics in Baghdad city [Al-Rashad psychiatric teaching
hospital and Baghdad teaching hospital]. In addition, it also aims at
studying the effect of socio-demographic and clinical characteris-
tics on the patients’ life qualities.
Method A sample of one hundred patients divided equally into
two groups (fifty patient) from each hospital were interviewed and
diagnosed in accordance with the DSM-IV diagnostic criteria, for
the period (from the 1st of March to the 1st of September 2011). The
Arabicmodified version ofWHOQOL-BREF questionnaire (modified
by WHO) was applied on each patient.
Results Data gathered from completed hundred forms showed
that 50% of patients from Baghdad teaching hospital responded
and scored (fair, acceptable) to describe their satisfaction in over-
all QOL, while (38%) of patients from Al-Rashad teaching mental
hospital scored (bad) and (16%) scored (very bad). There was
no significant difference in the four domains of QOL between
the two studied groups. The findings were discussed accord-
ingly.
Conclusions This study showed that although the overall satisfac-
tion of the patients’ life qualitywas higher in patients fromBaghdad
teaching hospital than those of Al-Rashad teachingmental hospital,
a non-significant difference in the four domains between the two
hospitals was found. The socio-demographic and clinical character-
istics were not significantly correlated to the QOL domains except
for the educational level, which was significantly correlated, with
the physical health domain in patients from Al-Rashad teaching
mental hospital.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0329
Public perception of mental illness in
Oman: A cross-sectional study
M. Al Alawi ∗, H. Al Sinawi , S. AL-Adawi , L. Jeyaseelan ,
S. MurthiP
1 Sultan Qaboos University Hospital, Behavioral Medicine, Muscat,
Oman
2 Sultan Qaboos University Hospital, Department of Statistics and
Health Information, Muscat, Oman
3 Oman Medical Specialty Board, Department of Studies and
Research, Muscat, Oman
∗ Corresponding author.
Introduction Stigma toward mental illness is an international
phenomena and it has negative consequences on the patients
and their families. Studies on public attitudes toward people with
mental illness (PWMI) in the Arab world initially reported less
prevalence of stigma compared to other societies; however, follow
up studies showed that stigma was influenced by specific socio-
cultural factors.
Aims This study aims to examine public attitudes toward people
with mental illness in Oman and the impact of socio-demographic
factors.
Methods This is a cross-sectional survey conducted among the
general public in Oman. The attitude was measured via the Attitude
toward Mental Illness (AMI) questionnaire. Various demographic
factors were examined including age, place of residence, occupa-
tion and previous encounter with PWMI. The data were collected
using online research methods.
Results A total of 601 subjects participated in this study, (M:
41.4%, F: 58.6%). 48% of the participants were aged 15–30 years
while 46% were aged 31–45 years. The majority of the partic-
ipants were employed and 10% were students. After adjusting
for all other variables, subjects aged (15–30years) had less pos-
itive attitude compared to those aged (46–60 years) (P = 0.06).
Socio-demographic factors such as gender, occupation and pre-
vious contact were correlated with the endorsement of positive
attitudes toward PWMI.
Conclusion This study illustrated that public attitudes toward
PWMI in Oman is generally sub-optimal. The observed attitudes
were strongly influenced by age, gender, occupation and previous
exposure to PWMI. Future studies with robust methodology are
recommended to scrutinize the present findings.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0330
The impact of shame and cultural
beliefs on mental illness and
treatment adherence: A case report
A. Albassam ∗, A. Ameen , V. Chiappetta , A. Hanif , L. Gonzalez
Bronx Lebanon Hospital Center, Psychiatry, Bronx, USA
∗ Corresponding author.
Introduction Shame, especially when enmeshed in cultural
beliefs about mental illness and cultural roles, could be a detrimen-
tal factor in psychiatric illness in context of adherence to treatment
and continuation of care. Shame is defined as a painful experi-
ence which embodies multiple components including: collapse
of self esteem, feeling of humiliation, rupture of self continu-
ity, sense of isolation, and feeling of being watched by critical
others.
Objective Understanding the psychodynamics of shame, in a par-
ticular cultural milieu and its components which could impact
psychiatric treatment and care.
Method Here we present a case report of a 41-years-old Arab
male patient fromYemen, with a history of paranoid schizophrenia
who was admitted to inpatient psychiatric service for bizarre and
aggressive behavior.
Results Initially the depth of patient’s delusions and psychotic
symptoms were not fully appreciated due to the cultural gap
between the patient and the treatment team. He was then re-
valuated through the implementation of the cultural formulation
interview (CFI) by clinicians from same cultural background. This
team was able to elucidate the deep feelings of shame and inad-
equacy in patient’s presentation and provide a culturally tailored
treatment plan.
Conclusions Evaluation of psychiatric patients in a different cul-
tural setting where western values do not apply might not be
sufficient to assess the breadth of psychotic symptoms especially
when an underlying feeling of shame contribute to presenting
symptoms. Treatment of those patients with neuroleptics without
assessing the cultural dynamics might result in poor adherence to
medication and follow up.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.