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system (p=0.005) and the impression by the model of other doctors
who left Tunisia (p=0.01).
Conclusions: The rate of migration intentions expressed in this
study highlights the emergent need of interventions emanating
from the Tunisian health-care system’s problems in order to stop
the flow of young doctors towards developed countries in quest of
better conditions.
Disclosure: No significant relationships.
Keywords: causes; immigration; young doctors
EPV0879
Insomnia and the role of postmigration stress among
Syrian refugees
M. Straiton
1
*and A. Nissen
2
1
Norwegian Institute of Public Health, Department Of Mental Health
And Suicide, Oslo, Norway and
2
Norwegian Centre for Violence and
Traumatic Stress Studies, N/a, Nydalen, Norway
*Corresponding author.
doi: 10.1192/j.eurpsy.2022.1625
Introduction: Research on the prevalence of and risk factors for
insomnia among refugee populations is limited and tends to focus
on pre-migratory trauma. Yet, post migratory stressors are just as
important for mental health and may also relate to insomnia.
Objectives: Objective: To determine the association between dif-
ferent post-migration stressors and insomnia among Syrian refu-
gees living in Norway.
Methods: We used data from the REUFGE study, a cross-sectional
survey with 902 Syrian refugees who arrived in Norway between
2015 and 2017. Insomnia was measured with the Bergen Insomnia
Scale and post-migrant stress with the Refugee Post-Migration
Stress Scale (RPMS). We applied logistic regression analyses to
investigate the association between seven different postmigration
stressors and insomnia after controlling for demographics, trau-
matic experiences and post traumatic stress symptoms.
Results: Of the 873 participants who completed questions on insom-
nia, 515 (41%) reported insomnia. There was no significant difference
between men and women. The most commonly reported postmigra-
tion stressors were Competency Strain [SML1],FamilyandHome
Concerns,andLoss of Home Country. After controlling for demo-
graphics, traumatic experiences and post-traumatic stress symptoms,
Financial Strain,Loss of Home Country, Family and Home Concerns
and Social Strain were still associated with higher odds of insomnia.
Conclusions: Resettlement difficulties are related to poorer sleep
among refugees. Measures to improve the social conditions and
financial concerns of refugees in receiving countries could poten-
tially reduce insomnia among refugees which in turn, may benefit
mental and physical health.
Disclosure: No significant relationships.
Keywords: Refugees; Insomnia; Postmigration stress; Forced
migration
EPV0880
Equality in healthcare: transcultural psychiatry
C. Alvarez Garcia*and A. Gomez Martín
Hospital Universitario Príncipe de Asturias, Psychiatry, Alcalá de
Henares, Spain
*Corresponding author.
doi: 10.1192/j.eurpsy.2022.1626
Introduction: Migratory flows are increasing more and more,
especially regarding the refugee crisis during the last years. There
are around 86,7 million migrants in Europe. Migrants share similar
experiences that may affect their physical and mental health, such
as loss of a social network, lack of economical support or high levels
of stress and discrimination.
Objectives: To analyze the obstacles that migrants must face to
obtain a mental health assistance and the importance of an inter-
cultural approach.
Methods: A narrative review of the existing literature on the subject.
Results: Although there exists evidence that shows that migrants
tend to have more health needs, they usually seek less medical advice
and receive a poor-quality attention, fulfilling the inverse-care law. This
is due to several reasons. Many migrants are excluded of the health care
system due to bureaucratic impediments. Also, the language has a
determining role, since a higher quality of communication could lead
to a better understanding of the symptoms, reducing the risk of
erroneous evaluations. Besides, different background and culture
between the patient and the doctor can result in lack of communication,
mistrust, mistreatment, poor adherence, and worse prognosis.
Conclusions: Despite the exponential growth of migration in the
last decade and the continue progression, migrants still face many
barriers to receive healthcare. It is necessary to do more research on
the mental health of migrants and ethnic minorities to ensure
quality care to different cultures.
Disclosure: No significant relationships.
Keywords: migrants; transcultural; mental healthcare
EPV0881
Cultural syndromes in the era of globalization.
M.D.C. Molina Liétor
1
*and I. Cuevas Iñiguez
2
1
Hospital Universitario Príncipe de Asturias, Psiquiatría, Alcalá de
Henares, Spain and
2
Hospital Principe de Asturias, Psiquiatría, Alcala
de Henares, Spain
*Corresponding author.
doi: 10.1192/j.eurpsy.2022.1627
Introduction: Cultural syndromes are pathologies that cannot be
understood outside the cultural or subcultural context of the person
who suffers from it, since both their etiology and symptoms are
symbolized by the patient and by the environment in fields of signifi-
cance inherent to their culture. The globalization process in which we
are involved affects the presentation, understanding, diagnosis and
treatment of cultural syndromes as they were traditionally understood.
Objectives: The objective of this work is to review the current state
of cultural syndromes, the evolution of incidence and prevalence in
recent years, as well as whether the globalization process has
affected their understanding.
Methods: A bibliographic review has been carried out on cultural
syndromes and case reports in both endemic and foreign popula-
tions. Likewise, a reflection is made on the possible evolution of
these syndromes.
Results: Globalization has been understood as a natural process of
integration of nations and their cultures, incorporating the diversity
and specificity of the other without forgetting their own and
traditional characteristics. Within the globalization process,
S634 E-Poster Viewing
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