European Psychiatry - Volume 41 - April 2017

738 / 916

S734 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S710–S771
and sharing everyday experiences, as resources for personal devel-
opment and mental health care. It is an open and heterogeneous
group, in which participants interact among them aiming mutual
help. Each group session lasts 1 h 30, and each session is divided
into three phases: sharing experiences with cultural elements
considered meaningful to the goals of the group; sharing every-
day experiences; sharing what was significant from that session,
according to the participants. One of the premises is that taking
care of our mental health belongs to the scope of the human being
and it is not restricted to patients. Daily experiences are significant
resources for mental health promotion and for the construction
of a helping communitarian network among participants, bonded
through the sharing of their quotidian. The CMHG represents a
mental health promotion intervention able to complement other
kinds of available treatments.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1014
Discrimination and mental health
among lesbian, gay and bisexual
adults
M.A. Dos Santos
Universidade de Coimbra e Universidade Nova de Lisboa/IHMT,
Faculdade de Medicina, Coimbra e Lisboa, Portugal
Introduction Mental health care is indispensable, has an essential
role in development, but mental health issues are a major pub-
lic health concern worldwide. Sexual minorities, lesbian, gay and
bisexual, suffer from prejudice and it determines health inequities,
especially for their mental health.
Objective To show the relation between discrimination andmen-
tal health issues in lesbian, gay and bisexual (LGB) people and
to increase understanding of this serious neglected public health
problem.
Methods The searchwas conducted using Science Direct and Sco-
pus, using the following keywords: “discrimination” and “mental
health” and “lesbian” and “gay” and “bisexual”. Using the review
of literature, documents in English (articles, official documents,
editorial, reviews, clinical trials).
Discussion Numerous studies have identified highest risk behav-
ior, as illicit drug use, sexual risk-taking behaviors and mental
health issues among LGB people. Some previous studies propose
that health and risk disparities between heterosexual and LGB iden-
tifying or behaving people are due to minority stress–that is, that
the stigma, discrimination, and violence experienced, leading to
stress, thus predisposing illness, disease (worse mental and physi-
cal health outcomes) and potentially substance use, which may be
used to relieve or escape stress.
Conclusion Health professionals and healthcare organizations
must cover these unmet mental health needs if they move to more
integrated, coordinated models of care. Health educators should
attend to the unique needs of each sexual orientation group when
presenting sexual health information and health care providers
should undergo diversity and sensitivity training to work more
effectively with those groups.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1015
Pre- and postnatal psychosocial
intervention concepts
G. Egloff ∗, D. Djordjevic
1 Heidelberg University, Psychoanalytic Practice, Mannheim,
Germany
2 University Hospital, Children’s Clinic, Nis, Serbia
∗ Corresponding author.
Psychiatry, psychoanalysis and infant mental health research of the
last decades have led to intervention concepts for pre- and postna-
tal stages of human development. Such concepts reach from how
parents-to-be can be prepared for parenthood to how to intervene
in support of relation and attachment in infants, toddlers and older
children. Especially the postnatal relation of infant and parents
has been examined extensively, as have parental competencies.
The expression of intuitive parental competencies (according to
Papousek and Papousek) may be compromised by diverse factors,
thus putting the infant’s psychic development at risk in gen-
eral. Early intervention concepts may help out to some extent.
In German-speaking countries, there are intervention programs
focusing on bonding as there are on handling, processing of and
coping with trauma, on promoting secure attachment between
infant and parents, on relational issues, on bodily contact, on under-
standing the infant’s signals, including those of the preterm infant,
as well as on educational practices. From prenatal period onwards
up to kindergarten age there are structured interventions, includ-
ing the involvement of parents and parents-to-be. Yet, some factors
of psychic development and of pathology may not necessarily be
reached by these. Whereas concepts on an individual level of per-
sonality education do exist, nevertheless there might have to be
collective measures. There seems to be a need to augment the
agenda as there is good reason to assume that in the last decades
there has been a motion toward new social deprivation stemming
fromsocietal depravation processes, whichmight potentiate future
deprivation.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1016
The impact of emotional
acknowledgement and self-esteem on
resilience to family dysfunction
C. Fontaine∗, C. Connor , S. Channa , C. Palmer , M. Birchwood
University of Warwick, Warwick Medical School, Coventry, United
Kingdom
∗ Corresponding author.
Introduction Family dysfunction can test the resilience of ado-
lescents, specifically those from single parent families and those
attending schools in more socio-economically challenged areas.
Objectives To determine what factors are associated with
resilience for those from single parent families or attend schools
in more socio-economically challenged areas.
Aims To examine the role of emotional regulation and self-
esteemas putative resilience factors in the context of single parents
status and socioeconomic disadvantage.
Methods Secondary school pupils from single and dual parent
families aged 13 to 15 answered questionnaires at three time points
on: emotional regulation, self-esteem, depression and anxiety. A
total of 434 pupils took part at time 1, 574 at time 2, and 467 at
time 3. The secondary schools were categorised into more and less
disadvantaged schools.
Results Positive self-esteem [F(1.205) = 54.568, P = 0.000;
F(1.157) = 35.582, P = 0.000] and emotional regulation [F(1.205)
= 46.925, P = 0.000; F(1.157) = 16.583, P = 0.000] were both associ-
ated with resilience against depression in adolescents from single
parent families. Positive self-esteem [F(1,75) = 102.629, P = 0.000;
F(1.355) = 60.555, P= 0.000] and emotional regulation [F(1.60)
= 34.813, P = 0.000; F(1.73) = 36.891, P = 0.000] were both associ-
ated with resilience against depression in adolescents attending
more socio-economically challenged areas.
Conclusions This research suggests that adolescent resilience
against depressionmay be promoted by improving self-esteemand