European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S69–S105 S93
clinical services across Italy. A part of the sample was also assessed
for psychopathology through the use of DASH-II, PDD-MRS and
clinically diagnosed in accordance to DSM-IV-TR and DSM-5 crite-
ria.
Results SPAID internal consistency, inter-rater reliability and
concordance with DASH-II and PDD-MRS resulted to be good.
Around 40% of the sample was assessed to have a cluster of
psychopathological symptoms that could be consistent with a psy-
chiatric diagnosis. Autism, impulse control disorder andpersonality
disorder resulted to be the most frequent over threshold scores.
Conclusions The SPAID-G seems to be a valid and cost-effective
screening tool for the psychiatric assessment within the Italian
population with ID.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
O068
Traumatic experiences affect negative
emotion processing in bipolar
disorder
G. Sepede ∗ , F. Gambi , D. De Berardis , G. Di Iorio ,
M.-G. Perrucci , F. Ferretti , R. Santacroce , G.-L. Romani ,
M. Di Giannantonio
1 University “G. d’Annunzio”, Department of Neuroscience – Imaging
and Clinical Sciences, Chieti, Italy
2 University “A. Moro”, Department of Basic Medical Sciences –
Neurosciences and Sense Organs, Bari, Italy
3 National Health Trust, Department of Mental Health, Teramo, Italy
4 National Health Trust, Department of Mental Health, Chieti, Italy
∗ Corresponding author.
Introduction Patients affected by bipolar disorder type I (BD-I)
show a significant emotional impairment during both acute and
euthymic phases of the illness, but the influence of negative life
experiences is not yet fully understood.
Objectives Aim of the present study was to investigate the role
of previous traumatic events on negative emotion processing in
euthymic BD-I patients.
Methods Eighteen euthymic BD-I patients, 7 reporting past trau-
matic events (T-BD-I), but free of post-traumatic stress disorder
(PTSD) symptoms at the moment of the evaluation and 11 never
exposed to traumas (NT-BD-I), were compared to 24 not trau-
matized controls (NC). All participants performed a IAPS-based
emotional task: theywere required to identify vegetable items (tar-
gets) among neutral or negative pictures. Accuracy (percentage of
correct responses) and mean reaction times (RT) were recorded.
Results T-BD-I performed similarly to NC and significantly better
than NT-BD-I in terms of accuracy No significant between-
group effects were observed for mean RT.
Conclusions A previous history of traumatic events, without
current PTSD symptoms, may significantly impact the negative
emotion processing in euthymic BD-I. Interestingly, traumatized
patients showed a better accuracy when processing both neutral
and negative images, thus suggesting that paying more attention
to external stimuli may be a successful compensatory mechanism
to cope with potential environmental threats.
Fig. 1
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
O069
A simple composite dynamic digital
tool to communicate complex
physical and mental health needs and
measure outcomes: The Cornwall
health radar
R. Shankar∗, C. Quick , J. Dawson , P. Annal
Cornwall Foundation NHS Trust, ID neuropsychiatry, Truro, United
Kingdom
∗ Corresponding author.
Introduction Clinician-patient communication is a major factor
in influencing outcomes of healthcare. Complexity increases if an
individual has multiple health needs requiring support of different
clinicians or agencies.
Aim To develop and evidence a simple dynamic computerised
tool to capture and communicate outcomes of intervention or alter-
ation in clinical need in patientswithmultiple chronic health needs.
Method A MS Excel algorithm was designed for swift capture
of clinical information discussed in an appointment using pre-
designed set of evidenced based domains. An instant personalized
single screen visual is produced to facilitate information sharing
and decision-making. The display is responsive to compare changes
across time. A prototype was conceptually tested in an epilepsy
clinic for people with Intellectual disability (ID) due to the unique
challenges posed in this population.
Results Evidence across 300 patients with ID and epilepsy
showed the tool works by enhancing reflective communication,
compliance and therapeutic relationship. Medication and appoint-
ment compliance was 95% and patient satisfaction over 90%.
Conclusion To discuss all influencing health factors in a consulta-
tion is a communication challenge esp. if the patient has multiple
health needs. A picture equals 1000 words and helps address the
cognitive complexity of verbal information. The radar offers an
evidenced based common framework to host care plans of differ-
ent health conditions. It provides individualised easy view person
centred care plans to allow patients to gain insight on how the dif-