European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520 S515
EV0341
Impact of illness course perception on
desire for social distance towards
people suffering from schizophrenia
in Hanoi, Vietnam
L.K. Martensen , E. Hahn , T.D. Cao , G. Schomerus ,
M. Dettling , M.H. Nguyen ∗, M.C. Angermeyer ,
A. Diefenbacher , T.M.T. Ta
1 Charité, Universtitätsmedizin Berlin, Department of Psychiatry and
Psychotherapy, Campus Benjamin Franklin, Berlin, Germany
2 Hospital 103, Military Academy of Medicine, Department of
Psychiatry and Psychological Medicine, Hanoi, Vietnam
3 Ernst Moritz Arndt University, Department for Psychiatry,
Greifswald, Germany
4 Center for Public Health, Center for Public Health, Untere Zeile 13,
3482 Gösing am Wagram, Austria
5 Evang, Hospital Elisabeth Herzberge, Department of
Psychiatry-Psychotherapy and Psychosomatic, Berlin, Germany
Introduction In Vietnam, as well as in other low and middle-
income countries, stigmatization and discrimination of mentally
ill patients is highly prevalent.
Objectives It is important to identify determinants of stigmatiza-
tion in a socio-cultural context as they may reveal anchor points
for anti-stigma efforts.
Aims This population based study conducted in urban and rural
Hanoi aims to explore whether public perception of prognosis
and course of illness concerning people with symptoms indicat-
ing schizophrenia have an impact on the desire for social distance,
an important factor of stigmatization.
Methods Based on a population survey using unlabelled vignettes
for schizophrenia carried out in the greater Hanoi area in 2013, a
sum score of the Social Distance Scale was calculated. A regression
analysis was carried out to examine the impact perception of prog-
nostic factors on the desire for social distance. The stratification of
the sample (n = 455) was representative in terms of gender, age,
urbanity and household size to the Hanoi population according to
the 2013 census.
Results Factor analysis revealed three independent factors of
prognosis perception:
– 1. lifelong dependency on others;
– 2. loss of social integration and functioning;
– 3. positive expectations towards treatment outcome.
Both negative prognostic ideas (1,2) were significantly correlated
with more desire for social distance in schizophrenia.
Conclusion Stronger desire for social distance was observed
among people with negative expectations about the prognosis of
persons suffering from psychotic symptoms. Thus, our study indi-
cates a link between social acceptance and ability to maintain a
social role in the Vietnamese society.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0342
Stories of exceptional survivors who
visit aboriginal healers: Cross-cultural
lessons for psychiatry
L. Mehl-Madrona
Eastern Maine Medical Center, Family Medicine Residency, Bangor,
USA
Introduction Indigenous communities exist within most
countries. These communities often have their own informal
and invisible (to their mainstream neighbors) systems of health
care. We wondered what happened to people who approached
traditional community healers for help with mental health
problems.
Methods We interviewed 100 people who had received mental
health diagnoses from conventional practitioners and then sought
traditional community healers for help. We compared them to a
matched population from a computer database who did not seek
traditional healers. Patients who visited the healers did statisti-
cally significantly better than the comparison group. Panels of naïve
graduate students evaluated patient interviews and picked themes
that consistently emerged. Scenarios were developed to rate
patients along these dimensions from “1” to “5”. Newpanels did the
ratings. Comparisons weremade between these 2 groups of people,
and thosewho improvedwith healers hadmore change frombefore
to after treatment on the dimensions of Present-centeredness; For-
giveness of others; Release of blame, bitterness, and chronic anger;
Orientation to process versus outcome; Sense of Humor; Sense
of Meaning and Purpose; and Faith and Hope. The patients who
worked with the healers had a new and plausible (to the patient,
his or her family, and the healers) explanation for why he or she got
well, including a story reflecting a belief about how he or she can
staywell; supportive communitywho believes in the person’s cure.
Conclusions The treatment provided by conventional healers
produces measurable changes in several parameters associated
with improved mental health.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0343
Mental health consequences of bride
kidnapping in the Kyrgyz republic
E. Molchanova ∗, T. Galako
1 American University in Central Asia, Psychology, Bishkek,
Kyrgyzstan
2 Kyrgyz State Medical Academy, Psychiatry, Bishkek, Kyrgyzstan
∗ Corresponding author.
The consequences of gender-based violence (GBV) in the Kyrgyz
Republic have often remained outside of both police officers’ and
mental health care specialists’ attention. Statistical data on gender-
based violence in the Kyrgyz Republic are underestimated, given
that the majority of victims prefer not to seek help at all. One of
the types of GBV in the Kyrgyz Republic is bride kidnapping, which
is still very popular in rural areas of the state. Brides, that were
kidnapped, present common behaviors and symptoms, such as an
submissiveness, idealization of a husband, numbing, permanent
desire to please amother-in-lawand other relatives of higher status
in the family. Problems with the urogenital system, such as signs of
urethritis and cystitis, vaginal itching, menstrual irregularities are
also very common among daughters-in-lawwhowere brutally kid-
napped and had been experiencing violence frommembers of their
families. Authors present an algorithmof dealing with the problem,
which has been already implemented as a pilot project in one of the
regions of the state.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0344
Reflection of local and universal
historical time in symptoms of
paranoid schizophrenia
E. Molchanova ∗, R. Tsoy , I. Sim
1 American Univercity in Central Asia, Psychology, Bishkek,
Kyrgyzstan
2 Kyrgyz State Medical Academy, Psychiatry, Bishkek, Kyrgyzstan
3 American University in Central Asia, Psychology, Bishkek,
Kyrgyzstan
∗ Corresponding author.