European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S521–S582 S567
Addressing this issue and its predictors could eventually help to
enhance academic performance and achievement among those stu-
dents.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0500
Social and economical impact about
problems with therapeutical
adherence
A. Alonso Sánchez ∗ De la Red Gallego , A. Álvarez Astorga ,
C. Noval Canga , R. Hernandez Antón , S. Gómez Sánchez ,
G. Medina Ojeda
Hospital Clinico Universitario de Valladolid, Psychiatry, Valladolid,
Spain
∗ Corresponding author.
Introduction Psychotic spectrum diseases are one of the most
expensive illnesses in our society. Being able to recover as much
social and laboral activity as possible has to be the goal. Trying to
achieve this objective, we face different problems, as for example
therapeutic adherence.
Objectives Show the importance of an adequate treatment and
adherence in order to keep the patient as much integrated in the
society as possible, and in order to reduce the economic and social
cost of the psychotic spectrum diseases.
Methods Case report and bibliography review.
Results The patient of this case is a 34 year old woman with a
schizophrenia diagnosis given after 4 hospitalizations in psychiatry
units. She had 4 years of stabilization taking an injectable antipsy-
chotic, in which she was able to study and keep adequate familiar
and sentimental relationships. After being badly recommended to
retire her medication for some who identified himself as member
of the “new psychiatry”, she began with new delusions and hallu-
cinations which had to be treated at the Hospital Psychiatry Unit.
She was close to get a statal job related to her architecture studies,
but she was not able to go to the exam due to the exacerbation of
her illness. In the review we see that the average economic cost
per schizophrenic patient in developed European countries such as
Germany is, at least, 14000D per patient.
Conclusions Adequate treatment adherence is highly important
to keep an adequate control of the illness in order to sustain the
better social live and job function.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0501
The impact of the economic crisis on
mental health in Portugal: A
qualitative approach
A. Antunes ∗, D. Frasquilho , M. Silva , G. Cardoso , J. Ferrão ,
J. Caldas de Almeida
1 Chronic Diseases Research Center CEDOC, NOVA Medical School,
Faculdade de Ciências Médicas, NOVA University of Lisbon, Lisbon,
Portugal
2 Institute of Social Sciences, University of Lisbon, Lisbon, Portugal
∗ Corresponding author.
Introduction Portugal is among the European countries with
higher prevalence of mental disorders, associated with substan-
tial unmet needs for treatment. Literature on the impact of the
economic recession shows that an increased risk of mental health
problems is likely to occur. Despite possible growing needs, the
budget cuts at the health system level may have decreased the
adequacy of care response. Understanding the impacts of the reces-
sion in psychological distress and in access and quality of care is
imperative to set public health priorities.
Objectives Resorting to a qualitative approach, this study aims
to explore the perceptions and experiences of primary health
care users and professionals during the recession in the Lisbon
Metropolitan Area.
Aims Provide in depth information regarding the specific con-
texts and subjective experiences of key informants during the
economic recession that started in 2008.
Methods This study design resorts to focus groups with primary
health care users and semi-structured interviews with health pro-
fessionals. All interviews were recorded and transcribed verbatim.
Inductive approach and thematic analysis were performed, using
NVivo 10.
Results This study explores the views and insights of users and
health professionals regarding their socio-economic context, men-
tal health needs, changes in health services and possible solutions
to alleviate the impact of the economic recession.
Conclusions Being based on the perspectives of users and health
professionals, this approach will complement epidemiological evi-
dence for policy-making.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0502
Financial difficulties, economic
hardship and psychological distress
during the economic recession in
Portugal
A. Antunes∗, D. Frasquilho , M. Silva , G. Cardoso ,
J.M. Caldas-de-Almeida
Chronic Diseases Research Center CEDOC, NOVA Medical School,
Faculdade de Ciências Médicas, NOVA University of Lisbon, Lisbon,
Portugal
∗ Corresponding author.
Introduction Portugal is one of the European countries most
affected by the Great Economic Recession. Mental health out-
comes are likely to deteriorate during this period, with greater
proportional impact among those more socially disadvantaged.
Self-reported measures of financial difficulties and economic hard-
ship are likely to be associated with psychological distress during
this period.
Objectives To characterize the relationship between psychologi-
cal distress and self-reported measures of financial difficulties and
type of material deprivation during the Economic Recession in Por-
tugal.
Methods A follow-up epidemiological survey was conducted in
2015, with a probability sub-sample of 911 respondents of the 2008
World Mental Health Survey Initiative Portugal. Psychological dis-
tress was evaluated by the Kessler-10 scale. Financial difficulties
were assessed by asking the responds if they had enough money
for their daily activities. Type of material deprivation considered
difficulties in acquiring essential goods, paying debts or buying
other goods (clothes or leisure activities). Chi-square analysis were
used to evaluate the association between psychological distress,
financial difficulties and type of material deprivation.
Results A statistically significant association ( P < 0.05) between
psychological distress and financial difficulties was found. Among
the respondents that reported not having enough money, 22%
reported psychological distress. Regarding the type of material
deprivation, a statistically significant association was only found
for essential goods.
Conclusions During the economic crisis, financial difficulties and
material deprivation in essential goods were associated with
increased levels of psychological distress, potentially widening
social and health inequalities across the Portuguese population.