Temporal attention (TA) is the ability to allocate attention to specific periods in time. Temporal processing is often impaired in individuals with ADHD, but additional studies are needed to expand knowledge about these deficits compared to control groups.

To analyze the performance of adults in TA tasks based on ADHD symptoms using eye-tracking to measure saccade latency.

Forty young adults (20 meeting ADHD criteria and 20 in the control group - CG) performed an attentional task in which a fixation point (FP) was presented at the center of a computer screen; 1000 ms later, an arrow indicating right or left appeared. The task consisted of two blocks, one with a higher frequency of targets at a 400 ms interval and the other at a 1000 ms interval, among shorter and longer intervals. Participants were instructed to focus on the FP, prepare to respond to the higher frequency interval, and only move their eyes after the peripheral target appeared. Saccade latency—defined as the time between target appearance and the initiation of eye movement—was recorded using a Tobii eye-tracker. A repeated measures ANOVA was conducted for the analysis. Ethical approval was obtained.

For longer intervals, saccade latency was significantly different between the ADHD and control groups (p = .009). While the CG showed reduced latency, the ADHD group exhibited increased latency, demonstrating a diminished ability to control attention over time.

Young adults with ADHD exhibit a reduced capacity to sustain attention over longer periods of time. Grant: CNPq process number: 408084/2021-9

None Declared

Caregivers of patients with first psychotic episode (FPE) are under considerable stress. The onset of schizophrenia results in significant limitations for the relatives, and resulting maladaptive behavior. It is crucial to provide psychoeducation to those caring for a patient with FPE.

To assess the impact of psychoeducation on the psychological state of caregivers of patients with FPE.

A total of 48 caregivers of patients with FPE (40 women and 8 men) were assessed before and after psychoeducation. Psychometric and statistical methods were used.

Analysis of functioning in interpersonal roles of relatives of FPE patients using the SAS-SR scale before the intervention showed significant distress in various domains (above 66 T-scores). 32.9% of relatives had impaired social interactions (withdrawal, conflicts, sensitivity to criticism). 25.4% of caregivers had strained family relationships (conflicts, guilt), and 12.4% reported difficulties in intimate relationships. 10.8% of relatives experienced problems in their relationship with the patient (overprotection combined with emotional coldness, distancing). After psychoeducation distress decreased in most areas, but some relatives still had problems of social functioning and deterioration in marital relationships. According to the SCL-90 questionnaire, distress decreased after the intervention. GSI (General Symptomatical Index) dropped from 0.69 to 0.38 (with a norm of 0.31). Anxiety and hostility also approached normal levels (from 0.68 to 0.33 and from 0.59 to 0.28, with a norm of 0.30, respectively). However, scores for paranoia (from 0.72 to 0.40, with a norm of 0.34) and depression (from 0.79 to 0.43, with a norm of 0.36) remained elevated, reflecting ongoing stress. PSDI (Positive Distress Symptomatical Index) dropped from 1.53 to 1.44. PST (Positive Symptomatical Index) dropped from 37.06 to 23.56.

After psychoeducation caregivers members’ stress coping strategies improved. Confrontation decreased (from 9 to 8 points), while social support-seeking increased (from 13 to 14 points). Avoidance behavior and distancing also decreased. Medication adherence improved: before psychoeducation 63% of caregivers had moderate adherence and 35% had low adherence. After the intervention 90% of relatives showed moderate adherence and 2% showed high adherence, and none denied the necessity of treatment.

Psychoeducation for caregivers of patients with FPE helps them develop stress management skills, constructive communication with the patient and problem-solving strategies. The intervention reduces anxiety, stigma and improves medication adherence. The study demonstrates that psychoeducation is effective intervention that reduces the risk of relapse during the early years, contributes to the patient’s recovery.

None Declared

Stepping Stones Rehabilitation Centre(SSRC) is a one-year old psychiatric rehabilitation centre in the Institute of Mental Health Singapore.

SSRC was initially created as a 100-bed inpatient ward to address a treatment gap and fast-track the psychiatric rehabilitation of patients admitted for acute psychiatric conditions. SSRC serves as the ‘stepping stone’ for acutely unwell inpatients as they transcend the hospital back to the community. To do so, SSRC actively engages our upstream partners (teams managing acutely unwell patients) as well as downstream partners (social service agencies) to continually assess the treatment gap between acute and community psychiatric care and evolve our programme and processes to close this gap and smoothen the transition.

The overall objective is to provide patients with the relevant levels of rehabilitation by training and equiping them with the necessary skills to intergrate back to society at the level for which they have set their goals on.The levels of rehabiliatation range from intermediate rehabilitation following acute illness to regain their functional status to perform their daily activities to tertiary rehabilitation which provides higher intensity rehabilitation programmes to help patients return to their daily function and to work and life as much as possible. This is achieved via a multi-disciplinary team comprising of patient, psychiatrists, doctors, nurses, occupational therapists (OT), medical social workers (MSW), psychologists, peer support specialists (PSS) and case managers(CM) to derive a bespoke rehabilitation programme for each patient over their course of stay in the ward.

Patient are referred to the SSRC from the acute inpatient wards of IMH or from the outpatient setting. Upon acceptance to the ward, patients are reviewed and a timetable is created based on the goals the patient would like to achieve. Patients are reviewed at weekly MDT (multi-disciplinary team) meetings at frequencies which commensurate to their rate and intensity of rehabilitation. Measures obtained to assess the progress of each patient and the programme are:

1. 1. CGI-I (Clinical Global Impression - improvement) scale

2. 2. GAF (Global Assessment of Functioning)

3. 3. RAS-DS (Recovery Assessment Scale - Domains and Stages)

4. 4. SLOF (Specific Level of Functioning)

5. 5. Acceptance rates to stepdown care

6. 6. 30-day readmission rates

At the latest tabulation of data, there has been 117 patients successfully discharged from SSRC. The other data are currently being tabulated and analysed and updated results will be shared at the meeting.

SSRC is one of few psychiatric rehabiliatation entities that reside in an acute psychiatric hospital. It was assessed that patients who present with acute decompensation in their mental state could benefit from intense fast-tracked rehabilitation measures before stepping down to community provided services.

None Declared

Individuals with schizophrenia often experience significant deficits in social cognition, including emotion processing, social perception, and theory of mind (ToM). These deficits have a greater impact than symptoms on occupational and social functioning.

The present randomized controlled trial aimed to evaluate the effectiveness of a new integrated and personalized social cognition rehabilitation intervention, the Social Cognition Individualized Activity Lab (SoCIAL), in improving performance in social cognition and consequently the clinical and functional outcome of subjects with schizophrenia (SCZ).

SoCIAL, consisting of 10 weekly sessions, was compared with treatment as usual (TAU). Two recruitment centers (Naples and Milan) were involved. Repeated measures MANOVA was used to investigate between-group differences in changes from baseline to follow-up in terms of psychopathology, cognitive performance, and functioning.

Twenty people with schizophrenia were blindly assigned to SoCIAL and twenty to TAU. After 10 weeks, SoCIAL significantly improved disorganization, emotion recognition, functional capacity and real-life functioning. As compared to TAU, the SoCIAL group showed a significant improvement in minimal and enriched social inference domain of theory of mind, and in key domains of real-life functioning (interpersonal relationships, everyday life skills, and work skills).

SoCIAL improved social cognition and real-life functioning of people with schizophrenia. These results highlight the importance of social cognition deficit treatment in schizophrenia and the necessity for these interventions to be multifaced and personalized. Such an approach ensures that improvements in social cognition translate into enhanced functional outcomes.

None Declared

Patients with schizophrenia spectrum disorders (SSD) are the most vulnerable category in terms of formation of self-stigmatization (Rayan A., Aldaieflih M., 2019). However, clinical and psychological features of their self-stigmatization were studied mainly at the longer stages of the disease. Self-stigmatization of patients at the initial stages of the disease rarely got to the attention of researchers, what determined the relevance of the study.

To identify characteristics of self-stigmatization patients with SSD at the initial stage of the disease; to determine their needs in psychosocial treatment.

Questionnaire for assessing the phenomenon of self-stigmatization of mentally ill people (Mikhailova et al., 2005) and PANSS were used. A group of 39 patients (23 women and 16 men) with SSD (F20.ххх, F23.ххх, F25.ххх according to ICD-10) were examined. The average age of the patients was 28.95±8.53 years. The duration of the disorder varied within 0.5-3 years.

Patients at the initial stages of SSD demonstrated relatively low level of self-stigma. The indicator «General level of self-stigma» was slightly lower than the average values and constituted 0.86±0.53 points. Patients believed that mental disorder and associated changes will not limit their education and work (0.80±0.57 points), social activities (0.78±0.49 points) and self-realization (0.60±0.48 points). Rejection to restrictions caused by mental illness, underestimation of possible social and interpersonal problems and desire to distance from people with mental disorders (0.74±0.56 points) were identified. Correlation analysis of the named Questionnaire on self-stigmatization and PANSS scales revealed the strongest correlations across parameters «Readiness to distance oneself from mentally ill people in the sphere of internal activity», characterizing the rejection of changes that have occurred as a result of the disease, with scales: P2 - judgment disorders, G-12 - decreased criticality to one’s condition and N-1 - dullness of affect (r=0.61 at p=0.003, r=0.54 at p = 0.003, r=0.52 at p=0.006, correspondingly). Thus, relatively low level of self-stigmatization of patients with SSD at the initial stage of the disease is associated with insufficiently critical self-assessment of their state, underestimation of possible social and interpersonal problems, and desire to distance from people with mental disorders.

It is necessary to carry out psychoeducation programs for patients with SSD, aimed at developing an adequate perception of mental disorder and prevention of possible consequences of self-stigmatization, as well as social and communication skills’ development trainings.

None Declared

The United Nations Children’s Fund defines mistreatment as any act that causes harm to the health, dignity or development of an individual. The aim of this study was to quantitatively analyze the effect of speech therapy stimulation on the development and quality of social skills in adolescents victims of childhood mistreatment. The hypothesis is that after the intervention program the subjects will show improvement in relation to the performance of these skills.

To quantitatively and qualitatively analyze the effect of speech therapy stimulation on the development and quality of social skills in adolescents victims of childhood mistreatment. The hypothesis is that after the intervention program the subjects will show improvement in relation to the performance of these skills.

10 adolescents, between 12 and 16 years old, have participated in the research. The following inclusion criteria were used: 1) being between 7 and 17 years old; 2) having experienced mistreatment in childhood; 3) be treated in a highly complex health service. The intervention programs consisted of 12 follow-up sessions, carried out in person. The main focus was on stimulating communicative and pragmatic skills, also covering theory of mind skills, personal problem solving and paralinguistic skills. After the 12 sessions, patients underwent reevaluation and the results were tabulated and analyzed by the researcher.

Participants had considerable difficulties with social skills before speech therapy intervention, the initial difficulties was mainly in self-control and assertiveness skills. After the 12 intervention sessions, a significant improvement in the social skills was observed, especially in empathy and assertiveness.

The participants progressed after the intervention in all areas evaluated, with more significant improvements in empathy and assertiveness. These results demonstrate the positive impact of speech-language therapy intervention for the stimulation of social communication and pragmatic skills.

It is important to emphasize that this population has many specificities, making it difficult to work with isolated variables. Therefore, more studies involving speech-language therapy, particularly speech-language therapy intervention, with adolescent victims of abuse are needed.

None Declared

Adolescents with developmental disabilities and their families face significant challenges in the transition to adulthood. Comprehensive interventions that include psychological support, daily living skills training, and vocational guidance are crucial. This pilot study tests a program aimed at developing independence and adaptive skills in adolescents with developmental disorders.

The study aimed to evaluate the dynamics of adaptive and independence skills in adolescents with various developmental disorders who participated in a comprehensive intervention program.

10 adolescents (5 boys and 5 girls, mean age 15,11, SD 2,4) were included in the study. Participants were mainly diagnosed with the following primary DS: F70.xx, F84.xx. Also, participants had additional DS such as F48.xx, F80.xx, G40.xx, Q37.xx, Q74.xx. IQ of the participants was measured by the Leiter-3 Performance Scales (mean 62.8, SD 26.9). Comprehensive intervention program lasted the 2022/2023 academic year 3 d/week, 2-3 h/day. The intervention included individual and group sessions, several home visits and the parent groups led by a team of psychoeducational professionals (neuropsychologists, special educators, speech pathologists). The training outcomes were measured by the Vineland Adaptive Behavior Scales (VABS-2). Statistical analysis was performed using the paired samples t-tests and d-Cohen effect size (d).

Significant improvements were observed in all four VABS subscales. Communication improved from 56.1 to 59.6 (t=-3.42, p=0.008, d=-1.08), Daily Living Skills from 59.9 to 66.4 (t=-5.57, p<0.001, d=-1.76), Socialisation from 58.6 to 65.1 (t=-3.84, p=0.004, d=-1.21), and General Adaptive Behaviour Index from 56.9 to 62.0 (t=-5.31, p<0.001, d=-1.68). The largest improvements were seen in Daily Living Skills and General Adaptive Behaviour Index which highlight the program’s effectiveness in fostering independence and adaptive capacities in adolescents.

The pilot study demonstrated the promising effectiveness of the program in developing independence and adaptive skills, suggesting it as a valuable intervention for preparing young people for independent living in adulthood. Following research plans include follow-up analysis of current participants’ outcomes, an increase in sample size, and the implementation of between-group designs.

None Declared

Spirituality and religiosity have a significant effect on mental health. Biopsychosocyospiritual model in psychiatry is used in multiple researches in Europe and Russia as well (Hefti 2013; 24(2) 119-129). Many patients use religious beliefs and actions to cope with mental disease (Tepper et al., 2001; 2(5) 660-665). The pathological religiosity phenomenon determining the severity of mental disease is described (Borisova 2020; 120(1) 103-110). Spiritually-oriented therapy methods are aimed at pathological religiosity correction and assist in mental well-being achievement.

To assess the effect of spiritually-oriented therapy on mental health of religious patient during comprehensive rehabilitation.

42 patients with endogenous mental schizophrenic and affective spectrum disorders who participated in comprehensive rehabilitation using spiritually-oriented therapy (26 women and 16 men) were examined. There were used psychometrical (SF-36, PIL, Schwartz Value Survey – SVS, B-RCOPE) and statistical methods.

In a therapeutic environment in the religious community, 42 patients received psychopharmacological treatment and participated in multimodal rehabilitation throughout the year. Psychoeducational, art-therapeutic, spiritually-oriented modules were used in rehabilitation. 13 (31%) ceased the rehabilitation early, 29 (15 women and 14 men) underwent the entire rehabilitation. 73% of them had a pronounced improvement in quality of life indicators, 84% had a meaningfulness of life increase, a transformation of value system with the dominance of “security,” “kindness” and “traditions”, a higher cohesion of values. Rehabilitated patients had a more harmonious religiosity structure with a predominance of inner religiosity, they used religious behavior to cope with the disease which correlated with a decrease in the intensity of pathological religiosity manifestations.

The use of spiritually-oriented therapy methods in the rehabilitation of mentally ill patients with a religious worldview promote to correct the manifestations of pathological religiosity and to cope with mental disease. Patients have a qualitative and quantitative change in value system and religious beliefs, mastering adaptive styles of religious behavior. Spiritually-oriented therapy methods are not an alternative to natural religious life, but complement it, taking into account the existing mental disorders.

None Declared

Schizophrenia is a complex psychotic disorder characterized by positive symptoms (such as delusions, hallucinations, and disorganized speech and behavior), negative symptoms, and cognitive impairment. Cognitive deficits, including impairments in executive function, memory, and social cognition, are particularly persistent and significantly impact daily functioning and overall quality of life. While cognitive remediation has proven effective, recent research has explored the potential of board games as a therapeutic tool.

This study aims to assess the therapeutic benefits of board games on cognitive function, specifically executive function, in patients with schizophrenia.

A literature review was conducted using articles from PubMed, focusing on the terms “board game”, “schizophrenia” and “cognition”.

Cognitive deficits in schizophrenia contribute significantly to poor functional outcomes and daily functioning. Improving cognitive function and social behaviors has been a major focus of psychiatric rehabilitation techniques. Board games have been found to improve various aspects of cognitive function, including attention, working memory, speed of processing, verbal learning, visual learning, reasoning and problem solving, as well as social cognition. They are expected to enhance knowledge, interpersonal interactions, and increase participant motivation. Ideally, an effective board game for this population should be behaviorally oriented, emphasize positive reinforcement and shaping, and be sensitive to cognitive limitations through repetition and procedural learning. Additionally, they should be engaging and fun to address negative symptoms.

Board games present a promising therapeutic avenue for managing schizophrenia, particularly in enhancing cognitive function and social skills. While cognitive remediation programs have already demonstrated efficacy, board games offer a more accessible and engaging alternative. Despite these positive findings, the limited number of studies and inconsistent long-term data highlight the need for further research. Future studies should evaluate the durability of cognitive and functional improvements from board game interventions and explore their integration into comprehensive treatment programs for schizophrenia.

None Declared

Physical contact with the animal appears, on the basis of the latest research, acts as powerful calming factor on heart rate and breathing (Nose et al., 2022). Moreover, taking care of an animal stimulates a sense of responsibility and promotes empathy and kindness (Walsh et al., 2009). Studies have suggested that animals may serve as “social catalysators” involving feelings of safety and facilitation of interpersonal interactions. These effects are related to biophilia hypothesis which describes the affinity of humans to other living species (Tyssedal et al., 2023).

Our project aimed to assess effectiveness and feasibility of animal assisted intervention (AAI) in patients with psychotic spectrum disorders following a recovery-oriented psychiatric rehabilitation program.

In the present study ten patients from psychiatric residential facilities belonging to the EPASSS Foundation were approached to participated in this study. Patients followed a rehabilitation project named “Animal-Mente” and originated from the collaboration of the psychiatric residential facilities belonging to the EPASSS Foundation with “La coda di Ulisse”, a Third Sector Organization (ETS) which represents the Apulian reference centre for AAI. An observational study design was followed in which the new intervention based on AAI was added to treatment as usual (usual rehabilitation intervention and/or psychopharmacological treatment). All sessions were performed following the Italian National Guidelines for animal assisted interventions and required a multidisciplinary team capable of managing the complexity of the human-animal relationship. Outcome assessments were conducted at recruitment (time 0) and after animal-assisted intervention (time 1). Outcome assessments were conducted at recruitment (time 0) and after animal-assisted intervention ( time 1). They included : Personal and Social Functioning Scale (FPS of the V.A.D.O.), Brief Rating Psychiatric Scale (BPRS), Recovery Evaluation Scale (RAS), Quality of Life Index (Q-Index), S.T.A.I.-Y questionnaire.

All patients followed a psychosocial rehabilitation intervention and all but one had psychopharmacological treatment in the last six months. BPRS (p-value = 0.022) and RAS scale (p-value = 0.006) showed a significant variation at time 1 compared to time 0. No one reported worsening of psychotic or other symptoms during entire program.

Our data highlighted the feasibility of Animal-Assisted Interventions (AAI) in community mental health services. Moreover, our study underlined the opportunity of AAI in an integrative recovery oriented psychiatric rehabilitation program involving mental health department, psychiatric residential facilities and third sector organizations in a network activity.

None Declared

80% of users of inpatient integration assistance facilities prefer to live in their own home. Access to training opportunities on the labor market is also difficult for people with severe mental illness. Permeability within the care system remains low, meaning that external orientation on the residential or labor market is associated with numerous hurdles. In a dissertation, 18 people from an inpatient integration support facility were followed in a qualitative longitudinal design on their way into their own home.

Based on these findings, a project is now being established to support people on their way to greater participation and independence from inpatient facilities. It consists of a multi-stage group program that combines psychoeducational elements with peer-oriented interventions. In addition, an information team of social workers, psychologists and peers is being set up to advise interested users. The project is rounded off by an aftercare program that provides users with advice and is primarily intended to bridge any difficult situations that may arise and build up a support network.

Users of inpatient integration assistance at a facility in Lower Saxony with an interest in external orientation in the area of living or working. Expected sample size approx. 50 users in a naturalistic longitudinal design. Accompanying evaluation with three measurement points on the development of perceived social support (F-SozU), quality of life (OxCAP-MH) and the subjective benefits of the project to strengthen the participants’ opportunities for participation and the use of further support services.

The project with the individual modules and initial experiences during the implementation phase will be presented.

Possible adjustments to the offer are derived and discussed on the basis of the initial results.

None Declared

Diabetes mellitus is the most common endocrine disease that occurs as a result of an absolute or relative lack of insulin and is accompanied by a number of different somatic, neurological and mental disorders. The aim of the study is to investigate the clinical, psychopathological and pathopsychological features of cognitive and emotional disorders in patients with type II diabetes mellitus.

In the course of the study, a comprehensive examination of 109 patients with type II diabetes mellitus of moderate to severe forms of disease (52 females and 57 males), aged 35.9 ± 10.1 years was conducted.

MMSE, Addenbrooke’s Cognitive Examination, Luria’s Memory Words Test-Revised, Symptom Check List-90-Revised, HAM-A, HAM-D, The State-Trait Anxiety Inventory Scale. It has been established that patients with diabetes mellitus have mild to moderate cognitive impairment, which is manifested by a reduction in verbal memory, a decrease in the speed of counting operations, minor difficulties in orientation and a slight drop in the perceptual and diagnostic sphere, a decrease in concentration and memorization of the information received, and a pronounced reaction of mental fatigue.

Presence of mild (51.2% of men and 49.8% of women) or moderate (49.8% and 50.3%, respectively) cognitive impairment according to MMSE and Addenbrooke’s Scale; decreased ability to concentrate and impaired working memory in patients with type II diabetes mellitus was noted.

Emotional disorders in patients with diabetes mellitus are represented by anxiety (33.4% of men and 35.2% of women), depression (26.6% and 33.1% of patients, respectively), astheno-hypochondriacal (27.3% of men and 19.1% of women), and hysteroform (12.7 and 12.6%, respectively) variants of psychopathological syndromes.

A comprehensive, personalized system for correction of cognitive and emotional disorders associated with diabetes mellitus has been developed and tested. System comprises four stages: diagnostic, therapeutic, rehabilitation and dynamic monitoring. It employs a range of therapeutic modalities, including pharmacotherapy, psychotherapy and psychosocial programmes.

The implementation of the developed system for correction and prevention of emotional and cognitive disorders in patients with type II diabetes mellitus contributes to an improvement in the quality of medical care for patients with type II diabetes mellitus, as well as an improvement in their quality of life and psychosocial functioning.

None Declared

Three years after having been approved the Spanish Strategy for Mental Health, the creation of Assertive Community treatment teams is getting slower.

The current study seeks to investigate the reasons of and barriers to implementation of this approach. Findings will aim at serving to inform mental health policy about legislative changes.

Qualitative expert interviews and focus groups were led with team members and users, families and general population from the cities where four of this teams have been developing theirs activities, at least during 15 years A thematic analysis was developed.

Four main topics were identified: 1. Stigma: when economical situation is not good enough, people with psychiatric severe illnesses are not the first in the queue 2. Fear and distrust about breaking the CMHCenters policies; 2. Team development: a hard task more than a challenge; 3. Regardless of profession, finding well trained staff is difficult;

Further research is needed to convince politicians and health authorities. Randomized controlled trials examining the efficacy and efficiency of ACT teams are needed

None Declared

Personal recovery in psychosis is one of the fields where research and clinical activities are growing faster. But the concept lacks conceptual clarity and internal consistency. As a result, most of the studies evaluating its efectiveness may be biased. As in any other intervention, great improvement in clinical evolution of the users has been claimed. And so, neurobiological changes should be described.

This study finds to develop a systematic review of studies describing changes surrounding the recovery process from a neurobiological level.

Keywords hev been selected in order to find all studies focussing on personal recovery in psychosis from its neurobiological basis. Qualitative studies of personal recovery will be excluded. Cross-sectional, longitudinal as well as intervention studies will be included.

The systematic review is underway. The study protocol will be registered at PROSPERO database.

Most studies researching about personal recovery have been developed taking “personal recovery” as an outcome marker. But this is not enough. We need to clarify the neurobiological basis underlying this concept.

None Declared

One of the quality statements for the treatment of psychosis in adults refers to the provision of education programmes for carers (NICE QS 80 2015). Our Early Intervention in Psychosis Service (EIS) in South London offered individual support for carers, but there was a need for a structured psychoeducational group for carers.

1. 1. The development of a psychoeducational and support programme for carers. 2. A reduction on carers’ experience of burden, as measured by a reduction on the Brief Experience of Caregiving Inventory (BECI). 3. An improvement on the carers’ wellbeing, as measured by an increase on the Warwick-Edinburgh Mental Well-being Scale (WEMWBS).

The team used the materials created by the University of Lancaster in REACT (Lobban et al. BJPsych; 2013 203 366-72), and further amended them to reflect the local services, and expand peer support discussions. Sessions were further co-produced with input from team members, and following feedback from participants. Quantitative feedback was obtained before the group and in the end. Qualitative feedback about the group’s experience was elicited at each session.

The group was attended by 7.1 participants on average, with a drop out of 3 participants after the first session. For those participants that completed the group, it was elicited an improvement on the experience of burden associated to caregiving and on wellbeing; please see Table 1 for details. The improvement on BECI included its four subscales: Stigma/Effects on Family, Positive Personal Experiences, Problems with Services and Difficult Behaviours. Qualitative feedback elicited that the participants felt listened to, their knowledge about psychosis and management had increased, and they felt less lonely.

Table 1

A psychoeducational group for carers was well received by participants, and on average they experienced an improvement on the burden associated to caregiving and their wellbeing. Analysis of results was limited due to drop outs, but their feedback included that they did not feel the need anymore for this intervention. Further feedback from participants has contributed to change the sessions’ content based on co-production, and the time of the group to enable attendance.

None Declared

Mental illness is a kind of change in mental health status which affected thought, feeling, emotion, behaviors, and so on. Labor work training is one of common rehabilitation programs in psychiatric medical institutes in Taiwan. This rehabilitation program has been implemented for many years, being an important indicator of psychiatric hospital accreditation. However, we couldn’t analysis and apply effectively.

We aim to investigate different labor work training performances of the patients with mental illness in a public psychiatric center in Taipei City. Furthermore, we can apply in shared decision making and modifying the labor work training project according to the data results.

In this cross-sectional study, 89 participants with mental illness who were stably engaged in labor work training for at least 1 month were included in Taipei City Hospital Songde Branch. Descriptive statistics will be used in characteristic of population, incentive record and score of the comprehensive occupational therapy evaluation scale (COTES). We used one-way ANOVA to test the difference of work behavior scores in different labor work training.

This study results showed that the percentage of participants in the cleaning labor group, manual group, and sales & delivery group were 15% (N=13), 49% (N=44), and 36% (N=32) respectively. The most people engaged in the manual group. The average total score of psychiatric patients’ work behavior was highest in the sales & delivery group (p<.05). There were significant differences at scores of work behavior items, including motivation (p=.006)、duration (p=.001), responsibility (p=.002), comprehension (p=.002), technique (p=.005), and fine motor coordination (p=.005).

Image 1:

Image 2:

In comparison, the patients with mental illness in the sales & delivery group are better at work behavior. According to the analysis of the result data, when the therapist and the patient make shared decisions, they can discuss appropriate labor work training based on the patient’s work behavior.

None Declared

Attention-deficit hyperactivity disorder (ADHD) significantly impacts adults’ work performance, yet their lived experiences and perceptions of their work challenges remain underexplored. Understanding these subjective viewpoints is crucial for capturing the complexities of this population’s daily work challenges and needs, serving as a foundational step in developing targeted intervention to enhance work performance and participation.

This study aimed to explore the work performance experiences, challenges, and needs of adults with ADHD.

Twelve adults (ages 20-46) diagnosed with ADHD participated in three separate online focus groups, each comprising four participants.

Participants reported key challenges in executive functions, including difficulties with time management (lateness, missing deadlines), planning (prioritizing tasks, multitasking), working memory (forgetting instructions and names), maintaining focus, managing distractions, and emotional regulation (struggles in relationships with colleagues and employers). These challenges often led to frustration, stress, and low occupational self-efficacy. Identified needs included psychoeducation, self-regulation strategies, work and environment accommodations, and personalized interventions.

The study highlights the unique executive challenges and emotional consequences faced by working adults with ADHD. Hence, it emphasizes the need for personalized interventions to enhance work performance, participation, and overall well-being in this population.

None Declared

Patients with severe mental disorders (SMD) often report unhealthy dietary patterns, including low intake of fruits and fiber, high consumption of junk food, and alcohol misuse, leading to poor nutritional status and increased oxidative stress, which negatively impacts physical and mental health. Psychoeducational interventions focusing on dietary habits and alcohol consumption have shown promising results, but long-term data is currently scarce.

The main objective was to evaluate the LIFESTYLE intervention’s one-year effectiveness in helping individuals with SMD improve their eating habits. Secondary objectives included evaluating the impact of psychiatric symptoms on lifestyle behaviors and the reduction of alcohol consumption.

The study included 401 patients with SMD from 7 university centres in Italy. Participants were randomized to either the control group, which received general health education, or the experimental group, which received a 5-month psychoeducational intervention. The intervention featured group sessions focused on diet, physical activity, and behavior modification. Univariate analysis was performed to investigate the correlation between psychiatric symptoms and changes in lifestyle behaviours, such as eating habits, physical activity, and alcohol consumption.

Univariate analysis showed significant improvements in lifestyle behaviors among the experimental group. There was an increase in fish consumption (OR: 1.67, 95% CI: 1.45-1.97; p < 0.05), fresh fruit intake (OR: 1.36, 95% CI: 0.80-2.31; p < 0.05), and vegetable consumption (OR: 1.91, 95% CI: 1.56-1.96; p < 0.05). Moreover, there was a reduction in junk food consumption (OR: 0.814, 95% CI: 0.53-1.25; p < 0.05) and daily alcohol intake (OR: 0.70, 95% CI: 0.42-1.15; p < 0.05).

The results of this study support the efficacy of structured lifestyle intervention for enhancing physical activity and eating behaviors in patients with severe mental disorders. They also support the translation of similar interventions into clinical practice and illustrate the necessity of physical activity and dietary advice in patients with SMD as part of their treatment schedule. Psychoeducational interventions can greatly improve the long-term health outcomes for those with SMD.

None Declared

Individuals with severe mental illness (SMI) frequently experience challenges in daily life, often attributable to cognitive impairments. Cognitive rehabilitation interventions can be implemented to enhance thinking abilities and improve functional outcomes. Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique that may promote neural plasticity and therefore, may enhance learning.

This trial aims to determine whether individuals with SMI who need supported housing can improve cognitive and daily functioning after following cognitive remediation (CR). Next, this trial evaluates whether CR combined with tDCS will enhance the effect of CR alone. Lastly, this trial will investigate the subjective experience of the CR intervention. We expect that participants will improve in goal attainment and cognitive and daily functioning.

In this pragmatic, triple-blinded, randomized, sham-controlled multi-center trial, we will compare the experimental group (CR + active tDCS) with the control group (CR + sham tDCS). 126 participants with SMI will receive 16-20 weeks of twice-weekly CR (32-40 sessions of 30-45 minutes) combined with active (N = 63) or sham tDCS (N = 63), separated over five cohorts. We will recruit participants aged between 18 and 65 with SMI residing in supported living facilities. Functional, cognitive, and clinical outcome assessments will be performed at baseline, post-16-week waiting period, post-treatment, and 6-month post-treatment. Additionally, post-treatment participants will be asked to engage in an in-depth interview to evaluate their meta-cognitive skills and subjective experience of the treatment.

Preliminary results from the post-treatment effects, along with insights from in-depth interviews conducted in the first cohort (N = 15) as well as post-16-week waiting period effects for goal attainment (including the second cohort, N ≈ 40) will be presented.

This randomized controlled trial will investigate the efficacy of CR and tDCS in enhancing recovery in people with SMI. If the intervention proves to be effective, it has the potential to be implemented into standard care for service users requiring long-term support.

None Declared

There exponential rise in prescribing SSRIs and antipsychotic medication have highlighted the paucity of shared decision making, holistic therapies and weight management programmes. Guidelines are vague about checkpoints and deprescribing, seeming to ignore the metabolic consequences, failing to advocate for physical health monitoring.

We undertook a retrospective analysis of (n =492) patients initiated on psychotropic medication to understand the physical consequences, assessing the metabolic consequences of long-term prescribing of psychotropic medication in a rural primary care population.

Electronic patient records were analysed from depression and serious mental health registers across three primary care sites. Data collected included the start date of treatment, BMI measurements before and after treatment.

Among the 220 patients studied, 150 (67.7%) experienced weight gain, while 70 (31.8%) lost weight. The average treatment duration was 11.5 years. Weight gain was more prevalent among males (71.6%) compared to females (66.7%). Patients who gained weight were, on average, prescribed cumulatively more psychotropic medications (3.21) than those who lost weight (2.89).

Shared decision making and acknowledgement of the metabolic consequences of these medications at the point of initiation, and identification of pre-existent metabolic risks, monitor weight gain, and ensure adequate life-style changes to mitigate side effects. These methods should continue throughout the duration of treatment, and when possible, the option of deprescribing should always be available to the patient. It is time care bundles for patients with mental health illness are resourced for primary care.

None Declared