European Psychiatry - Volume 41 - April 2017

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S904 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910
Conclusion Generally, by inclusion of limitations in this plan, it is
inevitable to emphasize on negative consequences of the infertility
on spouses’ life and it is important to pay attention to its different
dimensions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1521
Psychological and psychiatric
consequences of violence against
Women
M. Kachaeva ∗, S. Shport
1 Federal Medical Center for Psychiatry and Narcology named after
V.P. Serbsky, forensic psychiatric department, Moscow, Russia
2 Federal Medical Center for Psychiatry and Narcology named after
V.P. Serbsky, scientific secretary of the Institution, Moscow, Russia
∗ Corresponding author.
Introduction Domestic violence against women has increasingly
been recognized nationally and internationally as a serious prob-
lem. Violence against women is a troubling phenomenon in Russia.
Meanwhile domestic abuse against women often results in long-
term mental health problems.
Objectives The main aim of the study was to find out the psycho-
logical and psychiatric consequences of violence against women
and to determine the origins of crimes committed by abused
females.
Materials and methods A cohort of 18 females was examined by
forensic psychiatrists. All women had committed crimes of violence
(murders, attempted murders). Details of background, psychiatric
and offending history were extracted. Each itemwas assessed with
the help of descriptive statistics.
Results A research has been carried out on the basis of psy-
chiatric and forensic psychiatric assessment of two groups of
women who had a long history of violence by their husbands
or partners. Clinical assessment has revealed depression, anxiety,
low self-esteem, post-traumatic stress disorder, drug abuse. All
women underwent forensic psychiatric assessment as they had
committed serious crimes of violence. The research has revealed
two types of homicides. Women of the first subgroup displayed
pathological altruistic motivation of their children. Women of
the second subgroup had committed homicides of their hus-
bands and partners whose violence towards women escalated in
severity.
Conclusion The research shows the necessity of domestic vio-
lence prevention by legal provisions andmultidisciplinary research
with participation of psychiatrists, psychologists, sociologists,
human rights advocates and feminist societies.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
The study is supported by the Russian Fund of Fundamental Investi-
gations 16-06-00314.
EV1522
Coping behaviors in mothers with an
atypical child
M. Kékes Szabó
University of Szeged, Department of Applied Pedagogy and
Psychology, Szeged, Hungary
Nowadays an increased interest seems to be developing concern-
ing the coping strategies of parents with an autistic child. Several
studies focused on the gender differences or tried to explore the
effect of the levels of the child’s behavioral symptoms. Although
most of the previous studies made comparisons at a single point
in time, some longitudinal research also came to light in the
last decades. The results usually confirmed characteristic patterns
of the parents’ coping behavior. The aim of this study was to
compare coping behaviors in mothers with a child living with
autism spectrum disorder (ASD) or Down-syndrome (DS), since
until now there has been no investigation into this question, even
though it plays an important role in stressful occasions that are
inevitable and frequent concomitants of these families’ life. This
time a cross-sectional study has been carried out. The selected
research method was composed of semi-structured interviews,
self-administered questionnaires and participant observation. 5-
5 mothers were involved in the study with a child living with ASD
or DS. In addition to this, five mothers with a typically developing
child also participated in the research. The age of the children var-
ied between four and nine years. According to the earlier studies, a
higher level of stress was experienced by atypical children’s moth-
ers, and emotion-focused coping strategies were also more often
used by them. Task-focused coping was associated with a lower
level of experienced stress in the family system. However, further
studies are needed to explore other correlations of the examined
field.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1523
Screening for perinatal anxiety
disorder in Serbian women
B. Kitanovic ∗, D. Milutinovic
1 Clinical Hospital Center “Zvezdara”, Primary Health Center (PHC),
Belgrade, Serbia
2 Primary Health Centre Pozega, Mental Health Unit, Pozega, Serbia
∗ Corresponding author.
Perinatal generalized anxiety disorder (GAD) has a high preva-
lence of 8.5%–10.5% during pregnancy and 4.4%–10.8% postpartum
which is higher or as high as in general population. Despite its
attendant dysfunction in the patient, this potentially debilitating
mental health condition is often underdiagnosed due to difficulty
in distinguishing normal versus pathological worry and nonexis-
tent screening tool for perinatal GAD. The maternal dysfunction
can potentially impact mother–infant bonding and influence neu-
rodevelopment outcomes in the children.
Objective To screen 100 women for anxiety symptoms during
pregnancy andpostpartumat the primary health center “Zvezdara”.
Methods One thousand women were screened for anxiety symp-
toms using the GAD-7 and DSM-IV. Questionnaire that covered
key demographic and obstetric information and GAD-7 and
DSM-IV, were administered at the third trimester of pregnancy,
and 8 weeks postpartum. Women were identified as at high
risk for anxiety, cut-off scores of 5, 10, and 15 were taken
as the cut off points for mild, moderate, and severe anxiety,
respectively.
Results Ten percent of the sample was screened positive for mild
anxiety symptoms during pregnancy. Subsequently, efforts were
made to follow-upwomenwith a postnatal GAD-7 and 7.2% percent
were screened positive during postpartum.
Conclusion Clinicians should be aware of the frequency and level
of anxiety symptoms during pregnancy and postpartum. Therefore,
it is very important to identify women at high risk. Be aware that
GAD is one of the risk factors that complicate pregnancy.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.