Læknablaðið : fylgirit - 01.08.2003, Blaðsíða 27

ABSTRACTS / 27TH NORDIC PSYCHIATRIC CONGRESS I
health did not correlate with sex or age groups. There was a signifi-
cant but weak negative correlation (r = -0.18, p = 0.04) between
poor general health and level of functioning according to GAF.
Poor general health did not correlate significantly with quality of
hfe, study setting or level of psychological distress according to the
SCL-111,
S-IV/4 Thursday 14/8,14:00-15:00
Sense of coherence among Finnish young men - a cross-
sectional study at military call-up
Kistkari Terja', MNSc, University of Turku, Dept. of Psychiatry, Kunnallissairaalantie
-0' rak. 9, 20500 Turku, Finland. Sourander Andre^, Parkkola KaP, Salantera Sanna**,
N'kolakaros Georgios2, Helenius Hans?.
niversity of Turku, Dept. of Psychiatry, 2University of Turku, Dept. of Child Psychi-
atry, -tThe Finnish Defence Forces, ■tUniversity of Turku, Dept. of Nursing Science.
- University of Turku, Dept. of Biostatistics.
Iena-ristkari@ulu.fi
Background: In recent years many studies have shown connections
between life control and health. Several studies are based on Anto-
novsky's theory about the sense of coherence (SOC). The sense of
coherence based on salutogenic model which stresses positive
aspects and resources of health rather than symptoms and diseases.
Aims: The aim of this study was to describe life control and its level
among Finnish young men measured as sense of coherence. Further-
more, associations between sense of coherence and mental health
problems, the use of mental health services, risk behaviour, predis-
position to suicide, and possible psychiatric diagnosis was studied.
Methods: The study was carried out as a questionnaire (SOC-13) at
lhe call up site. The study included 2348 18-19-year-old young men
vvho attended military call-up in the fall of 1999.
Results: Suicidality, perceived mental health problems, psychiatric
Tagnosis at military call-up, use of mental health services, excessive
alcohol consumption, and use of illicit drugs were identified as inde-
pendent factors contributing to sense of coherence.
Conclusions: Sense of coherence is a valuable construction in
psychiatric evaluation of adolescents. SOC-13 can be used both in
clinical practice and epidemiological research to evaluate adoles-
cents’ life control and health resources. Future research on its
aPplications in clinical practice is warranted.
S ~ 'V / 5 Thursday 14/8,11:00-12:300
Punctioning ability, quality of life and subtreshold
Psychotic symptoms
Siminula IMD, University of Turku, Dept. of Psychiatry, Kunnallissairaalantie 20 rak
n. 20810, Turku, Finland. Heinimaa Mi, Ilonen T>, Korkeila J1, Huttunen J1,
Kistkan T1, Hietala J2, Syválahti E2, McGlashan T3, Salokangas RKR1
mversity of Turku, Department of Psychiatry, ^University of Turku, Department of
tapasu@°^0fi' 3^a*e University’ Department of Psychiatry
Objectives: It has been repeatedly reported that subjects experien-
cmg subtreshold psychotic symptoms have relatively low func-
tioning ability and low quality of life (QoL). We examined which
mdividual symptoms explain the decrease (score below median) in
functioning ability and QoL the best.
Methods: 150 help seeking patients or first-degree relatives of psy-
chotic patients were assessed with Structured Interview for Prodro-
mal Symptoms (SIPS/SOPS), Global Assessment of Functioning
Ability (GAF-M) and Quality of Life Scale (QLS).
Results: The mean GAF scores and QLS scores decreased linearly
and statistically significantly as symptoms measured with SIPS/
SOPS approached more psychotic like phenomena. When all symp-
toms of the SIPS/SOPS were put in the same stepwise logistic re-
gression model only perceptual abnormalities (GAF: OR 4,434,
95% C.1.1,114-17,648, p<0,035) andcertain negative symptomslike
social isolation and withdrawal (GAF OR 18,655, 95 % C.I. 2,158-
161,274, p<0,008; QLS OR 3,438, 95 % C.I. 1,257-9,403, p<0,016)
and decreased experience of emotions and self (QLS OR 79,556,95
% C.I. 4,305-1470,332, p<0,003) remained statistically significant.
After taking sex, age, marital status, duration of education, study
sample, and disturbances in motor development, language develop-
ment, and social development into account, within SIPS symptom
categories positive, negative and disorganization symptom cate-
gories (OR 1,9,95 % C.1.1,098-3,288, p<0,022; OR 2,243,95 % C.I.
1,285-3,914, p<0,004; OR 0,419, 95 % C.1.0,206-0,849, p< 0,016, re-
spectively) remained statistically significant explaining low functio-
ning ability. In a similar analysis regarding low QoL only SIPS nega-
tive symptom category remained statistically significant (OR 2,044,
95 % C.1.1,212-3,450, p<0,007).
Conclusion: Negative symptoms commonly influence the functio-
ning ability and QoL of subjects with subtreshold psychotic symp-
toms.
S-V/1 Thursday 14/8,11:00-12:30
Mental health in children, adolescents and caretakers
Bruno Hágglöf, Professor, Department of Child and Adolescent Psychiatry, 901 85
Umeá University, Sweden, R Adolfsson, M Sandlund, M Jonasson, E Salander-Renberg,
M Nilsson, AM Sandeberg.
Bruno. Hagglof@psychiat. umu.se
Indicators of mental health and psychological well-being were
examined in a random sample (n=5 000) of the population in the
county of Vasterbotten. Valid self-rating scales were used for each
of 3 age groups: 4-12 y (n=1000) and their caretakers (n=1000), 13-
17 y (n=l 000) and 18-74 y (n=2000). The response rate was 69,2%
(n=3 461); 4-12 y (n=685), care takers (n=670), 13-17 y (n=735), 18-
74 y (n=l 371). In consideration of the limited space only some
results are presented for the younger cohorts.
12% in the 4-12 y group had psychic problem (measured by
CBCL 4-16; Achenbach 1991a) during the last year. Depressive
symptoms increased with increasing age and 5,7 % in the 10-12 y
group reported these symptoms sometimes/frequent. About 5%
reported psychic symptoms equivalent to what child psychiatric
patients with defined diagnosis have reported.
In the age group 13-17 y (Youth Self Report; Achenbach 1991b)
28% reported depressive symptoms, 38%. Thoughts of harming or
killing themselves was reported by 7,7%, and 3,7% had made vague
or serious suicide attempts. About 10% reported psychic symptoms
equivalent to what child psychiatric patients with defined diagnosis
have reported. Several psychosocial factors were associated with
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