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Conformity to masculine norms and self-stigma of help-seeking are not unique barriers to formal help-seeking in men, but are also relevant for women

Introduction Studies that explain men’s reduced willingness for formal help-seeking for depressive symptoms often did not analyze whether assumed unique barriers, namely, conformity to masculine norms (CMN), reduced self-compassion, and self-stigma are also linked to women’s help-seeking behavior. Objectives The current study analyzed whether CMN, self-compassion, and self-stigma for help-seeking are linked to women’s and men’s willingness to seek formal help for depressive symptoms. Methods German-speaking participants (N=481; 68.8% women, 31.2% men; M age=35.6, SD=14.2) of an online-questionnaire study read a vignette about a character with depressive symptoms. Participants indicated how likely they would be to seek medical or psychological help if they were in the character’s situation. Furthermore, the Conformity to Masculine Norms Inventory, Self-Stigma of Seeking Help scale, and Self-Compassion Scale were used. Results Women and men were moderately willing to seek formal help for depressive symptoms. A manifest path model revealed that strong CMN and low self-compassion were linked to strong self-stigma in women and men. Strong self-stigma was associated with reduced help-seeking intentions. In men with low self-compassion CMN was directly linked to reduced willingness for help-seeking. In women and men with strong self-compassion no direct, but indirect links between CMN and reduced help-seeking intentions via self-stigma were found. Conclusions CMN and self-stigma of help-seeking were not unique barriers in men, but also were relevant for women’s formal help-seeking intentions. Even though increased self-compassion was associated with decreased self-stigma, interventions that aim to increase self-compassion may not help increase help-seeking behaviors. Disclosure No significant relationships.

Introduction: Ethnic disparities in treatment with clozapine, the antipsychotic recommended for treatment-resistant schizophrenia (TRS), have been reported. However, these investigations frequently suffer from potential residual confounding. For example, few studies have restricted the analyses to TRS samples and none has controlled for benign ethnic neutropenia.
Objectives: This study investigated if service-users' ethnicity influenced clozapine prescription in a cohort of people with TRS.
Methods: Information from the clinical records of South London and Maudsley NHS Trust was used to identify a cohort of serviceusers with TRS between 2007 and 2017. In this cohort, we used logistic regression to investigate any association between ethnicity and clozapine prescription while adjusting for potential confounding variables, including sociodemographic factors, psychiatric multimorbidity, substance use, benign ethnic neutropenia, and inpatient and outpatient care received. Introduction: Studies that explain men's reduced willingness for formal help-seeking for depressive symptoms often did not analyze whether assumed unique barriers, namely, conformity to masculine norms (CMN), reduced self-compassion, and self-stigma are also linked to women's help-seeking behavior. Objectives: The current study analyzed whether CMN, selfcompassion, and self-stigma for help-seeking are linked to women's and men's willingness to seek formal help for depressive symptoms. Methods: German-speaking participants (N=481; 68.8% women, 31.2% men; M age =35.6, SD=14.2) of an online-questionnaire study read a vignette about a character with depressive symptoms. Participants indicated how likely they would be to seek medical or psychological help if they were in the character's situation. Furthermore, the Conformity to Masculine Norms Inventory, Self-Stigma of Seeking Help scale, and Self-Compassion Scale were used. Results: Women and men were moderately willing to seek formal help for depressive symptoms. A manifest path model revealed that strong CMN and low self-compassion were linked to strong self-stigma in women and men. Strong self-stigma was associated with reduced help-seeking intentions. In men with low self-compassion CMN was directly linked to reduced willingness for help-seeking. In women and men with strong self-compassion no direct, but indirect links between CMN and reduced help-seeking intentions via selfstigma were found. Conclusions: CMN and self-stigma of help-seeking were not unique barriers in men, but also were relevant for women's formal help-seeking intentions. Even though increased self-compassion was associated with decreased self-stigma, interventions that aim to increase self-compassion may not help increase help-seeking behaviors. Introduction: Burnout is an occupational psychological syndrome induced by chronic stress defined by three dimensions: emotional exhaustion (EE), depersonalization (DP) and reduced personal accomplishment (PA). Objectives: Estimate burnout among residents and interns in Tunisia. Identify factors related to burnout. Methods: We conducted a cross-sectional, descriptive, and analytical study between March 1 and April 15, 2021. Data collection among young physicians was done by a self-questionnaire published online. The assessment of the degree of burnout was done by the Maslach Burnout Inventory (MBI). Results: The total number of participants was 56 of which 71.4% were women. The average age was 26.76 years. The pourcentage of the married was 21.4% of which 58.3% had children. 30.4% had parents in charge. Most of the participants worked in university hospitals and 75% of them in a medical department. Residents represented 64.3% of the participants. Number of working hours exceeded 40 hours per week in 60.7% of the cases with an average number of shifts per month estimated at 4.71AE2.36. According to MBI, 94.6% of the participants had a score in favor of burnout, of which 19.6% was severe. The number of hours worked per week and the number of shifts per month were significantly associated with the presence of a burnout syndrome with respective correlation factors of 0.027 and 0.047. Conclusions: Most residents and interns suffered from burnout with a variable degree of severity. The workload with a greater number of working hours and on-call duty favored the emergence of this burnout.

Disclosure
Disclosure: No significant relationships. Keywords: medical; intern; resident; burnout EPV0809 job satisfaction and its impact on resilience: a crosssectional study of Tunisian interns and residents in medicine.
F. Tabib 1 *, F. Guermazi 1 , A. Zouari 1 , S. Hentati 2 , I. Baati 2 and J. Masmoudi 2 Introduction: Preventing burnout and promoting resilience are important to the well-being of health care professionals and the quality of patient care. Indeed, it's a promising way to mitigate the negative effects of stressors and allow professional growth. Objectives: study the association between job satisfaction and resilience in medical interns and residents. Methods: As part of a descriptive and analytical cross-sectional study, interns and medical residents completed an online selfquestionnaire using 'Google Forms'. It collected sociodemographic data and assessed the level of job satisfaction using a 5-point Likert-type scale for each item. The Brief Resilience Scale (BRS) was used to assess the level of resilience. Results: The total number of participants was 56, of which 64.3% were medical residents.75% of the participants worked in a medical department and most had a number of shifts per month ≥4. The average years of practice was 2.27AE1.23 years. Participants expressed dissatisfaction at work with salary (69.6%), task allocation and organization (66.1%), availability of resources (66.1%), comfort (57.1%), safety (53.6%) and supervision (50%). Referring to the BRS scale, higher resilience scores were objectified in male participants (p=0.002). The level of resilience decreased with the number of years of practice (p=0.039). Good satisfaction by management and recognition at work could enhance the level of resilience (p=0.029 and p=0.043 respectively). Conclusions: The results of our study suggest that dissatisfaction with work-related aspects may influence the level of resilience. These results deserve special attention to improve job satisfaction and preserve resilience.
Disclosure: No significant relationships. Keywords: interns; resilience; residents; job satisfaction EPV0810 Organising Joint Primary & Secondary Care (CPA) Reviews for severe mental health disorders hosted at GP practice in Walsall UK, an exemplar of collaborative working S.S. Afghan 1 * and A. Shanker 2