The authors have not supplied their declaration of competing interest.

Psychological problems of multiple sclerosis patients are often studied in context of distress and depression or quality of life concept. However, analysis of social frustration still has not been an object of research interest. Whereas ignoring patients’ feelings of frustration and social worry may worsen the prognosis of treatment.

To study if the social frustration prevalent among multiple sclerosis patients.

We studied 104 multiple sclerosis patients during in-patient treatment in neurological unit. Male and female patients aged between 19 and 64 years were diagnosed relapsing-remitting multiple sclerosis (RRMS) and secondary progressive multiple sclerosis (SPMS). Psychological indicators of social frustration were assessed by using “The level of social frustration” questionnaire.

Lack of social frustration was revealed only in 5% of multiple sclerosis patients. The most frequent area of social frustration in the patients was the sphere of health and labor activity (45%). The second area of social frustration was dissatisfaction with the socio-economic status (37%), the third – the social status (26%). Both male and female patients were equally dissatisfied with their physical condition. Men were more frustrated with their material condition, women – with their inability to work. Some differences were also defined in clinical groups. RRMS patients were more frustrated in need for their status in the society, SPMS patients with their psychological and emotional state.

The directions of typical social frustration in multiple sclerosis patients, associations with clinical and gender factors may be considered in system of treatment and rehabilitation.

The authors have not supplied their declaration of competing interest.

In Portugal, the National Mental Health Plan sought to reform the mental health care system, decentralizing mental health care by promoting community based services. Guidelines point to treatment of Psychotic Disorders with collaborative, person directed and individualized approaches.

The authors propose to describe the development of a new psychosocial rehabilitation unit in a recently created psychiatric department.

The CHEDV's psychiatry department (2009) serves a population of around 340,000. The Psychosocial Rehabilitation Unit (2015) aims to ensure a multidisciplinary and integrated response to users with major psychiatric disorders. The Psychosocial Rehabilitation Unit structures 4 axes of response: detection and initial approach of the disease, intervention in crisis, psychosocial rehabilitation and management of difficult patients.

CHEDV's psychosocial rehabilitation unit is responsible for the care of about 25 patients daily. Treatment activities range from specialized consultations, home visits, medication management and crisis telephone to social skills training, psycho-education, neurocognitive rehabilitation, occupational workshops and social intervention/orientation. The unit bases its work on constant communication within the team but also with all other carers of the patient (in or out of hospital).

Bringing to the population a set of previously unavailable responses is the most blatant success of this unit that is helping people getting a better and closer care. To improve our work we aim at integrating the quantitative and qualitative psychometric evaluation of the patients. The lack of resources, necessity of further training, insufficient funding, and low political priority remain as the main barriers to community based mental health care.

The authors have not supplied their declaration of competing interest.

The authors have not supplied their declaration of competing interest.

The authors have not supplied their declaration of competing interest.

Barbacena is a Brazilian city with 140,000 inhabitants, 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 transferred to assisted residential services.

Describe the process of deinstitutionalization and social rehabilitation of psychiatric patients.

The following characteristics were studied: sex, age, medication use, psychiatric diagnosis and the development of social skills.

In each therapeutic residence (RT) lives eight patients, supervised by upper and mid-level professionals. Since the implementation 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 performance, such as dating, started at professional courses, attending exercise classes, travelling and learn how to use money.

In despite of difficulties in the psychiatric reform process, the community-based treatment and psychosocial rehabilitation 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 support, professional staff and rehabilitation programs as a condition for good outcomes.

The authors have not supplied their declaration of competing interest.

An important aspect to consider in chronic patients on psychotropic medication is their physical health status. Along with an aging population and the side effects of the medication it is key to identify complexities of their physical health that may be troubling the patient or can potentially effect the patient.

Using the standards for inpatient mental health rehabilitation services highlighted by AIMS Rehab.

we will assess if the current method used to highlight any physical health concerns are being met for the new patients admitted in to the unit from January 2016 to September 2016.

Evaluate the quality of physical healthcare in Margaret Laurie House (Surrey and Borders NHS trust Rehabilitation unit).

We designed a spreadsheet to capture the standards as outlined in ‘physical healthcare’ section of the AIMs Rehab document.

We obtained the relevant patient data using the System One electronic patient record. The system contains an embedded template where physical health parameters are entered so we were able to simply copy the data from these sections. We then translated this information into an Excel spreadsheet format.

The analysis of the data remains as work in progress at the current time. We anticipate low compliance with the 8 outlined standards (9.1.1–9.2.2). These were all considered type 1 standards; according to the AIMS rehab guidance the expectation is that the service must meet 100% of these standards. Upon re-audit we aim for 100% compliance.

Work in progress-to be updated.

The authors have not supplied their declaration of competing interest.

The adult hope scale (AHS) was developed as measure of hope with a 12-item using an 8-point Likert-type scale (Snyder et al., 1991). Although there is an Arabic version of AHS, it is not identical to the original version in terms of the number of items response.

To evaluate the psychometric properties of the Arabic version of the AHS in undergraduate sample.

The participants were undergraduate Kuwaitis (1000) males and (1000) females. The mean age of the males was (20.25 ± 0.05) years, and for females was (19.96 ± 1.44) with a significant age difference (t = 4.22. P < .000). The Arabic version of the AHS was administered to participants. The internal consistency reliability, factor structure, and convergent validity of the AHS with Life Orientation Test (LOT-R), oxford happiness inventory (OHI), and Satisfaction With Life Scale (SWLS),while the divergent validity of AHS were assessed with Beck Depression Inventory-II (BDI-II) and the beck anxiety inventory (BAI).

Internal consistency was satisfactory for the AHS (Cronbach's alpha = 0.83) for males and (Cronbach's alpha = 0.81) for females. The results revealed no significant gender differences on happiness (F = 1.68, P > .05). Principal component analyses (PCA) showed that a three -component solution explains %54.56 of the total variance for males and 51.99% for females. The AHS positively correlates with the following variables: SWLS (r = .43), LOT-R (r = 0.40) OHI (r = .49) while the AHS correlates negatively with BDI-II (r = −.49) and with BAI (r = −.39).

This study provides evidence for the reliability and validity of the Arabic AHS for Kuwaitis.

The author has not supplied his/her declaration of competing interest.

Affective attitudes play a significant role in health behaviors. However, comparing to cognitive attitudes, affective attitudes are much less investigated.

To study affective attitudes towards health among adolescents, we measured associations between words related to health and positive/negative emotions.

We used the modified Etkind Color Test (Etkind, 1980) as a new measure of affective attitudes.

Subjects (n = 79, Mage = 14.34 ± 1.21, 35 males) ranked 8 colors from Lüscher's color test (1971) from best to least associated with each of 13 words related to health (e.g. sport, risky behaviors) and 6 words related to positive and negative emotions. To calculate an association between an emotion and a health-related word we used a scoring algorithm, similar to Palmer's and colleagues MCA score (Palmer et al., 2013).

Means of associations between words and positive emotions were assessed: my body (0.74 ± 2.02), environment (1.17 ± 1.82), eating (1.23 ± 1.98), health (1.60 ± 1.78), risky behaviors (−1.14 ± 2.14), family (2.13 ± 2.00), sport (2.02 ± 1.86), sleep (0.74 ± 1.85), school stress (−0.95 ± 1.89), hygiene (0.91 ± 1.85), medicine (0.61 ± 1.95), psychological well-being (1.11 ± 2.24), illness (−0.43 ± 1.39). Positive emotions had inverse relation with risk behaviors, illness and school stress and direct relation with the rest 10 factors.

All correlations between negative and positive attitudes towards health related words were significant and negative (−.223 < r < 559), except two (medicine and illness).

The modified Etkind Color Test describes semantic space of affective attitudes towards health. It showed that adolescents mostly did not have ambivalent attitudes towards health related factors.

The authors have not supplied their declaration of competing interest.

The F-Multidimensional Perfectionism Scale is a widely used instrument to assess perfectionism trait. The original scale comprises 35-items that measure the six dimensions of Frost et al (1990) conceptualization of perfectionism: personal standards (PS), concern over mistakes (CM), doubts about actions (DA), parental criticism (PC), Parental expectations (PE) and Organization (O).

To examine the factor structure of the 24-items short form of the F-MPS using confirmatory factor analysis (CFA), in a sample of Portuguese university students.

The sample comprises 344 university students (68.4% females), with an average age of 20.69 years (SD = 1.59; range = 17–24). They completed a version of F-MPS with 24 items that results from the selection of the four items with highest loadings in the respective six dimensions of the original Portuguese version (Amaral et al., 2013).

After correlated errors, we obtained a good fit for the FMPS with six factors (X2/df = 2.125; CFI = .936; GFI = .891, RMSEA = .057; P[rmsea≤ .05] = .043). The 24-item F-MPS short form revealed good internal consistency (α = .825). The six dimensions showed acceptable or good internal consistency, as revealed by Cronbach's alpha (α: PS = .80; CM = .76; DA = .82; PC = .84; PE = .89, O = .85).

The F-MPS 24 items short form CFA confirmed the six factor model as a reliable and valid measure to assess multidimensional perfectionism in Portuguese university students.

The authors have not supplied their declaration of competing interest.

The new theory of the cognitive process by A Bernardini.

to single out and recover deficits of the information processing by a new research method.

to demonstrate dyslexia/language can be considered as an answer to what we are able to perceive. This depends on the way in which the C.N.S. elaborates the two aspect of energy of the internal and external space according to the new theory of the cognitive process by A. Bernardni which underlies her relevant re-educative methodology.

this study was carried out in Italy, in pre-high school education where students with moderate learning abilities and special needs are integrated into mainstream education. The performance of F 81 subjects was examined. They were divided into two groups: the first supported by A. Bernardini's method, the second one supported by a remedial teacher (traditional method) and the control group being the rest of the class. For five months, tailored programs were followed three times a week, for one hour and a half.

At the end of the treatment the second group did not show significant results while the first group showed marked improvement. Among the students of the first group, Tobia was the student who best represented dyslexia; for this reason he has been taken as an example.

Dyslexia and disturbances in language depend on perceptive deficits and can be singled out and recovered by A. Bernardini method. The last revolutionizes the current research method.

The author has not supplied his/her declaration of competing interest.

Self-efficacy is the belief or personal confidence related to the own ability to perform a specific action necessary to obtain a certain result. Its use refers to the application of validated instruments.

Describe the process of cross-cultural adaptation of the drug-taking confidence Questionnaire (DTCQ-8) drugs’ version and to verify its content validity and reliability.

It's a methodological study accomplished by nine experts to the process of adaptation and validation and had a sample of 40 drug users in treatment in the Center of Psycho-Social Attention for alcohol and other drugs, Recife, Pernambuco, Brazil.

The mean index semantics’ agreement (0.989; 0.989; 1.00), idiomatic (0.967), experiential (0.956), conceptual (0.978) and content validation on the clarity of language (0.972), practical relevance (0.958), the theoretical importance (0.958) and theoretical dimension (1.00) demonstrated a satisfactory process. The clinical validation showed that 57.5% of users were classified as moderate on the self-efficacy item to resist the urge to use drugs in high-risk situations, and the Cronbach's alpha coefficient was 0.889 for the complete instrument, ranging from 0.863 to 0.890 among its items.

DTCQ-8 drugs proved to be easy to apply and understand. Its adaptation process was satisfactory for the application in the Brazilian context. The results showed that in this sample, this instrument was suitable to measure the Brazilian user's self-efficacy to resist the urge to consume these substances in high-risk situations.

The authors have not supplied their declaration of competing interest.

The advances and massification of technology have allowed new developments in effective assessment methodologies for the evaluation of cognitive functions and associated functions of several brain systems and structures. Computerized test batteries have become more robust alternatives to paper-and-pencil test batteries and useful tools for research in several scientific domains, including psychiatry, psychology, genetics and neurosciences.

To validate and disseminate the Portuguese PennCNP battery for clinical and non-clinical studies.

To translate and provide preliminary psychometric data of the Portuguese PennCNP tests in 9 neurocognitive domains.

The PennCNB (Gur et al., 2010) was translated and administered to a sample of 120 Portuguese participants from the general population.

Findings on the internal consistency and performance (speed and accuracy) are presented for the 19 tasks included in the PennCNB, in addition to results of correlation analysis within tests on the same domain for criterion validity, and gender sensitivity analysis.

Computerized assessment provides efficient and reliable results, based on performance of abstract.

The administration requires minimal training and provides a quick and automated scoring procedure, with great utility in several research and clinical fields. The availability of a test battery suitable for a large number of Portuguese native-speakers worldwide is of added value, since the translation of measures to several languages allows creating more extensive normative samples and direct results comparability in future research, including transnational or cross-cultural studies and clinical trials.

The authors have not supplied their declaration of competing interest.

Autism spectrum disorders (ASD) is a group of neurodevelopmental disorders characterized by deficits in social cognition, communication, and behavioral flexibility. Most of the cases appear to be caused by the combination of autism risk genes and environmental factors affecting early embryonal brain development. The current animal and 2D cellular models are not able to recapitulate the complex integrity of the developing brain. Therefore a model of the brain that can cast a light on the pathological processes during brain development is of a high need.

The aim of our research is to develop a three-dimensional brain organotypic system (brain organoids) for culturing patient's derived induced pluripotent stem cells (iPSC).

We propose a multidisciplinary approach, involving the generation of patient specific iPSC from somatic cells (fibroblasts) and 3D culturing techniques to build a complex “humanized” in vitro platform for ASD research. Further we will investigate differences in gene expression of potential disease related markers and cellular phenotype between autistic patients and controls.

Brain organoids have the ability to recreate the right complexity of the brain. On the cellular and gene expression level, organoids demonstrate a high similarity to the neurodevelopment in vivo and can therefore recapitulate early stages of the neurogenesis.

To date organoids are the most relevant cellular in vitro platform for the understanding the mechanisms behind ADS pathology. Organoids are a good modeling system for elucidating the role of epigenetic and environmental factors for development of ASD.

The authors have not supplied their declaration of competing interest.

Pictorial representation of illness and self-measure (PRISM) was developed as screening tool assessing implicit reaction to somatic illnesses. Conclusion is based on comparisons of the positions of illness-related (“Illness” and major symptoms) and unrelated (“Me”, “Family”, “Work/study”) objects on the list.

Due to its easiness and implicitness PRISM could be promising addition to illness representation questionnaires in mental illnesses.

Aim was to reveal validity of the PRISM in youth with ultra-high risk for psychosis.

Eighty-one male patients 16–25 years old meeting criteria of ultra-high risk for psychosis; preliminary diagnoses of mood disorders 34, personality disorders 26, schizotypal disorder 21 patients) filled PRISM, beck cognitive insight scale, symptom checklist 90-r, illness perception questionnaire, quality of life and enjoyment questionnaire and happiness scale.

According to hierarchical regression, conditional “Self-Illness” distance (after control for mean distances on the list) was related to less psychopathological complaints, lower subjective illness severity and emotional representations, higher treatment control and better quality of life. “Self-symptoms” distance was related to better cognitive insight, lower emotional representations and consequences and moderated the relationship between “Self-Illness” distance and appraisals of illness length and dynamic.

Conditional “Self-Illness” distance in PRISM could reflect cognitive appraisal of illness based on symptoms and related to life satisfaction while “Self-Symptoms” distance reflects merely emotional reaction based on cognitive insight.

The authors have not supplied their declaration of competing interest.

Empathy has received a lot of attention with the creation of an Interpersonal Reactivity Index (IRI). IRI is assessed using a 28-item questionnaire with four 7-item scales:

– perspective-taking (PT) scale;

– fantasy (FS) scale;

– empathic concern (EC) scale and iv) personal distress (PD) scale.

Such questionnaires have been translated in many languages (see Table 1). This work aims to compare the original model with existing modified, hierarchical, shortened models in the literature and to also translate and validate the IRI for Portuguese.

A convenience sampling was used (n = 130) to conduct confirmatory factor analysis (CFA) using AMOS software. The original four-factor model is contrasted with modified, hierarchical and shortened models proposed in the literature, reporting internal consistency statistics and their fit indices.

The same structure of factors was found in the sample with reasonably good fit indices χ2/df = 1.57, CFI = 0.77, AGFI = 0.72 and RMSEA = 0.067. Internal reliability for each scale of the IRI was not excellent (< 0.90), but it is in line with the literature: PT with a Cronbach's alpha of 0.74, FS with 0.79, EC with 0.74 and PD with 0.65. The comparison with other modified versions of the IRI latent factor structure revealed that two models with better fit than the original version, and the potential for a shortened Portuguese version of the IRI.

IRI is a valid instrument to measure empathy in the Portuguese Population and is in line with previous findings. Some modifications to the original latent structure provide a better data fit than the original one.

The author has not supplied his/her declaration of competing interest.

Self-reports provide rich information about the types of activities people engage in. Reviewing current activity measures two issues become evident. Firstly, they were developed and validated in healthy populations. Secondly, they are diverse in their applications and measured domains. Thus, to assess the construct of activity fully large numbers of measures need to be used.

The study aimed to explore different dimensions of activity (e.g. work, physical, mental, leisure, sedentary behaviours) using a new scale assessing multiple domains of daily activities.

A new activity scale was used to investigate the types of activity and inactivity in people with chronic illness (asthma, chronic fatigue syndrome (CFS)) and in a healthy group. The types of activities measured included; leisure and sport, home and outside, social activity, work and education, and mental activity. The scale also aimed to measure the construct of inactivity, represented by sedentary behaviours, such as staying in bed during the day.

The results showed a pattern of significant correlations between the new activity scale, specifically its two major domains of activity and inactivity, and other measures of functioning and activity in the illness groups, but not in the healthy group.

The lack of significant associations between the new activity scale and other measures of activity and functioning within the healthy group indicated the measure may be more suitable for assessing activity in people with chronic illness than in healthy people. Additionally, the results underscore the importance of measuring inactivity as a separate domain.

The authors have not supplied their declaration of competing interest.

The assessment of therapeutic outcomes and the evaluation of treatment efficiency and effectiveness is an area of interest for clinicians and researchers. Scientific evidence demands randomized controlled trials and inter-groups comparisons with a minimum number of participants in each treatment modality, a requirement rarely feasible in clinical practice where the assessment of treatment outcomes, with regards to therapeutic goals, is crucial both in terms of statistical significance and clinical relevance.

The aim of this poster is to present an alternative methodology which permits to evaluate the individual's change.

The reliable change index methodology allows for the estimation of statistical significance (statistically reliable change) and clinical relevance (calculation of cutoff points and its interpretation criteria). Two examples are presented: a group of patients with asthma in treatment and a female with major depression who underwent electroconvulsive therapy (ECT).

Both cases were analyzed using standardized statistical analyses and the RCI method in order to estimate clinical change. The results illustrated the adequacy of both procedures for decision making in terms of effectiveness. However the RCI offered greater specificity with regards to individual changes. More specifically, RCI provided a more concrete estimation of the proportion of cases of asthma that showed change after the intervention, and also, indicated if such change were not only statistically significant, but also clinically relevant. Besides, when a single case was assessed (ex: ECT case) this methodology proved useful to estimate the efficacy of a continuation and maintenance program.

The authors have not supplied their declaration of competing interest.

The cognitive emotions regulation questionnaire (CERQ) is a 36-item questionnaire to measures specific cognitive emotion regulation strategies used in response to the experience of threatening or stressful life events. The Portuguese version of CERQ proved to be a reliable and valid measure to evaluate eight dimensions: Positive reappraisal and planning, positive refocusing, rumination, blaming others, putting into perspective and self-blame.

To confirm the dimensional structure of a Portuguese short version of the CERQ using Confirmatory Factor Analysis (CFA).

Items selection was based on the previous results of the exploratory factor analysis of the 36-items version. Items presenting the highest loading (≥ 70) in their respective factor were selected. A preliminary short version composed of 22 items were answered by a sample of 480 university students (81.9% females), with a mean age of 19.49 years (SD = 2.047; range = 17–30). CFA (using Mplus software) was used to test if the eight dimensions’ model suggested by prior exploratory factor analyses fitted the data.

The eight dimensions’ model has a good fit (χ2 = 424.015, P < .01; RMSEA = 0.056, 90%CI = 0.049–0.063; CFI = 0.930; TLI = 0.910; SRMR = 0.051). Although composed of fewer numbers of items, all subscales presented good reliability (Cronbach alpha< 70).

The CERQ-22 is a reliable and valid measure to evaluate cognitive emotion regulation strategies in young adults. Being a shorter version it is particularly useful for multivariate and prospective studies. In the near future we will test this structure in a clinical sample.

The authors have not supplied their declaration of competing interest.

Personality traits such as Impulsivity and Sensation seeking are associated with aggressive and/or risky driving behaviour. Understanding the influence of these traits in the driving task is important to perform a more comprehensive study of road trauma, which is an increasing public health and economic concern.

To study the reliability and the construct validity of the Portuguese version of impulsive sensation seeking scale (ImpSS) using exploratory and confirmatory factor analysis (EFA and CFA).

747 participants [417 (55.8%) women; mean age = 42.13 ± 12.349 years; mean driving license years = 21.30 ± 11.338; mean years of regular driving = 20.33 ± 11.328] answered an online survey which included this scale, and other socio-demographic information. Inclusion criteria were: driving license and regular driving for at least three years and age lower than 75 years old. The total sample was randomly divided in two sub-samples, with sample A (n = 373) being used to perform EFA, and sample B to perform CFA.

The most acceptable factor model for ImpSS scale was the two-factor model found with EFA, excluding items 4, 6, 7 and 10 (χ2/df = 2.13; TLI = .90; CFI = .92; RMSEA = .05, P = .211). The internal consistency analysis resulted in: Sensation seeking, α = .79; Impulsivity, α = .76; total ImpSS score, α = .82.

These findings suggest that the ImpSS Scale is a valid and reliable measure to assess those personality traits in the Portuguese drivers.

The authors have not supplied their declaration of competing interest.