European Psychiatry - Volume 41 - April 2017

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S792 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S772–S846
of the users and their families and it is believed this could turn out
to be an important factor to be worked on within the projects of
psycho-education of the mental health center.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1189
Psychological aspects in parents of
children with disability and behavior
problems
F. Ricci ∗ evi , E. Nardecchia , A. antonella , P. Andrea ,
G. Salvatore
IRCCS San Raffaele Pisana, Pediatric Rehabilitation Center, Roma,
Italy
∗ Corresponding author.
Introduction Parents of children with disabilities are at increased
risk of experiencing psychological stress compared to other par-
ents. Children’s high levels of internalizing and externalizing
problems have been found to contribute to this elevated level of
stress. Childhood disability often imposes a social and emotional
burden for children and their families.
Objective With this study we evaluated several parents’ psycho-
logical aspects and the emotional behavioral functioning of their
children with disability.
Aim To investigate the possible correlation between parenting
stress, level of depression in parents and behavior problems in their
children, taking in to account the differences between mothers and
fathers.
Method standardized forms (CBCL, PSI, BDI) were completed
from 57 (28 mothers) parents of children aged from 6 to18 years,
focusing on psychological well-being includes depression, parent-
ing stress, family resilience and family adjustment.
Results The mean age of our sample was 41.55 ±5.4. The level
of depression and stress index were higher in mothers than in
fathers. Parenting stress was significantly associated with children
internalizing and externalizing behavior problems in children.
Conclusion The results of this investigation indicate the impor-
tance of examining relations between parenting stress and
behavior problems in children with disabilities. Objective of ensur-
ing the rehabilitation process aimed at the welfare of the family.
These patterns have implications for both developmental theory
and for service provision for individuals with disability and their
families.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1190
Predictors of social function and
quality of life in patients with
traumatic brain injury
S. Ubukata ∗, G. Sugihara , T. Murai , K. Ueda
Kyoto University, Department of Psychiatry- Graduate School of
Medicine, Kyoto, Japan
∗ Corresponding author.
Cognitive deficits as well as affective and physical symptoms are
common after traumatic brain injury (TBI). However, little is known
about how these deficits affect functional outcomes. The purpose of
this study was to investigate the relationship between neuropsy-
chological, affective and physical sequelae and outcomes such as
social function and quality of life in patients with TBI. We stud-
ied these relationships in 57 patients with TBI over the course of
6 months post-injury. The patients completed neuropsychological
assessments, including the Wechsler Adult Intelligence Scale-III,
the Rivermead Behavioural Memory Test, and verbal fluency test.
Affective and physical symptoms were assessed by beck depres-
sion inventory-II, Chalder fatigue scale, and Pittsburgh sleep quality
index. Functional outcomes were assessed using the world health
organization (WHO) disability assessment rated by others and
the WHO quality of life assessment (WHO/QOL 26). The patients
showed impairments in executive function assessed by verbal flu-
ency test. The affective and physical assessments showed mild
depressive mood and fatigue problem. Multiple regression anal-
ysis revealed that executive function and depressive mood were
the best predictors of social function and quality of life, respec-
tively. The findings of this study suggest that executive function
and depressive mood are important factors to predict functional
outcomes in patients with TBI.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1191
Deinstitutionalization and
psychosocial rehabilitation
C. Vidal ∗, L. Melo Vidal
1 Faculdade de medicina de Barbacena, psiquiatria, Barbacena, Brazil
2 Prefeitura Municipal de Barbacena, Saúde Mental, Barbacena, Brazil
3 Barbacena Medicine School, student, Barbacena, Brazil
∗ Corresponding author.
Introduction Barbacena is a Brazilian city with 140,000 inhabi-
tants, which was known as the “city of madmen” because of the
excessive number of patients in psychiatric hospitals. In 2000 it
began a deinstitutionalization process, and the patients were trans-
ferred to assisted residential services.
Objective Describe the process of deinstitutionalization and
social rehabilitation of psychiatric patients.
Methodology The following characteristics were studied: sex,
age, medication use, psychiatric diagnosis and the development of
social skills.
Results In each therapeutic residence (RT) lives eight patients,
supervised by upper and mid-level professionals. Since the imple-
mentation of RTs about 400 patients leave the psychiatric hospitals.
Most had mental retardation (51.0%), followed by schizophrenia
(31.0%). More than half (58.5%) were men. The age ranged from 29
to 97 years, with a average of 64.8± 12.4. A decrease in the average
dose of neuroleptics was seen after deinstitutionalization. Direct
observation of patients in the RT, and the reporting of caregivers
has shown that patients have developed wide range of social per-
formance, such as dating, started at professional courses, attending
exercise classes, travelling and learn how to use money.
Conclusion In despite of difficulties in the psychiatric reform
process, the community-based treatment and psychosocial reha-
bilitation approach are the principal models of psychiatric care
presently, and the residential services play an important role in this
process. The authors emphasize the importance of community sup-
port, professional staff and rehabilitation programs as a condition
for good outcomes.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1192
Review of physical health care in
patients with chronic psychiatric
conditions in a rehabilitation unit
A. Yetkil ∗, S. Wisidagama
Surrey and Sussex NHS Healthcare trust, Psychiatry Liaison, Surrey,
United Kingdom
∗ Corresponding author.