European Psychiatry - Volume 33 - March 2016

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S250 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
EW388
Mutual influence between mood
disorders and personality disorders
R. Khemakhem ∗, W. Homri , D. Karoui , M. Mezghani , L. Mouelhi ,
N. Bram , I. Ben Romdhane , R. Labbane
Razo Hospital, Psychiatry C, Mannouba, Tunisia
∗ Corresponding author.
Introduction Several studies have explored the vulnerability to
mood disorders that constitute some personality traits.
Aims To study the potential relationship between mood disor-
ders and personality disorders.
Objective We hypothesized that personality disorders can be
related to severe mood disorders.
Methods Thiswas a retrospective study including the period from
January 2000 till September 2015 and related to patients in whom
the diagnosis of mood disorder and personality one were retained
according to the criteria of the DSM-IV TR while the sociodemo-
graphic and clinical were collected by a pre-established railing.
Results We included 28 patients (15 ♂, 13 ♀). The average age
was 38 years. Eighteen (64.3%) patients (7 ♂, 11 ♀) are unemployed.
Fifteen patients (10 ♂, 5 ♀) were schooled until secondary level. Sev-
enteen patients (60.7%) were married. The bipolar I disorder (BD I)
was most frequently founded (50%), followed by the major depres-
sive disorder in 25% (n = 7) then by the bipolar II disorder in 21.4%
(n = 6). A case of dysthymia was also noted. Half of the personality
disorders were the borderline type, followed by the histrionic type
in 28.6% (n = 8) then by the antisocial in 17.9% (n = 5) and finally one
patient presented a paranoiac personality. The antisocial personal-
ity was significantly associated with the BD I ( P = 0.011) and half of
the patients with a pathological personality, presented a depressive
symptomatology.
Conclusion The personality disruption is a factor of severity of the
thymic disorders. Consequences on the management of patients
and their response to treatments remain available.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW389
Emotional agility – a new language
and paradigm for psychiatry
R. Kurz
Cubiks, IPT, Guildford, United Kingdom
Introduction Emotional Agility constitutes an alternative to the
DSM-5 personality trait model.
Objective The presentation outlines how Emotional Agility is
conceptualised and measured through self-report and multi-rater
questionnaires.
Aims The paper highlights the development of a short Emotional
Agility trait questionnaire and a corresponding behavioural mea-
sure with 18 items.
Method Data ( n = 929) from a substantial personality question-
naire with 161 questions was utilised to create a 54 question ‘short
form’ that measures the Big 5 personality factor plus Need for
Achievement through 18 facet scales of 3 items each. Data on the
same subjects from a 50-item criterion measure was reduced to 18
items that are structurally aligned to the 18-predictor facets.
Results Predictor reliabilities averaged 0.752 at Factor as well
as Facet level. The unit weight sum of the 54 questions achieved
an uncorrected validity of 0.28 (n = 929) against external ratings
of effectiveness. Joint factor analysis showed good discrimination
between the six factors. A ‘positive manifold’ of Emotional Agility
scales emerged as expected which could be conceptualised as the
opposite of the MMPI2 ‘Demoralisation Factor’.
Conclusion The Emotional Agility approach could ground men-
tal health assessments firmly in positive approaches that use
every-day terminology. It seems preferable to vague scales claiming
to measure obscure ‘clinical’ constructs through hugely overlap-
ping items that are often not fit for purpose.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW390
The relationships among psychopathy,
empathy, and aggression
J. Lee ∗ . Lee
1 Seoul National University Hospital, Neuropsychiatry, Seoul, Korea
2 Seoul National University, Psychology, Seoul, Korea
∗ Corresponding author.
Introduction The lack of empathy is often described as one of the
core characteristics of psychopaths. However, prior studies on cog-
nitive empathy in psychopaths have led to mixed conclusions, with
some indicating that psychopaths have no impairments in cognitive
empathy.
Objectives This study set out to resolve this inconsistency by
distinguishing the two factors that constitute the construct of psy-
chopathy: Factor 1 (e.g., emotional callousness, lack of guilt) and
Factor 2 (e.g., irresponsible lifestyle, poor behavioral controls).
Aims The main aim of this study was to examine the differen-
tial relationship between these two factors and relevant variables
including empathy, aggression, satisfaction with life.
Methods Self-report questionnaires and two online experiments
(facial affect recognition task, emotional scenario task) were
administered to 306 undergraduate students to collect data about
psychopathy, cognitive/affective empathy, aggression, satisfaction
with life.
Results Correlation analysis revealed that both Factor 1 and Fac-
tor 2 had negative correlations with self-reported measures of
cognitive/affective empathy, and only Factor 1 emerged as a signif-
icant predictor of both kinds of empathy. Aggression also showed
a stronger positive correlation with Factor 1 than with Factor 2,
regardless of subtypes (instrumental, reactive, relational, overt
aggression). On the other hand, satisfaction with life was more
negatively correlated with Factor 2 than Factor 1, and regression
analysis revealed that only Factor 2 was a significant predictor.
Conclusions This study showed Factor 1 is more important than
Factor 2 in explaining both empathy and aggression in psychopath,
while satisfaction with life is better explained by Factor 2 than by
Factor 1.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW391
Borderline personality disorder and
working memory: A systematic review
S. Marini ∗, C. Ranalli , C. Di Gregorio , E. Cinosi , M. Corbo ,
M. Lupi , M. Carlucci , V. Mancini , R. Santacroce , F. Vellante ,
T. Acciavatti Di Giannantonio
1 University G. d’Annunzio, Neurosciences and Imaging, Chieti, Italy
2 Hospital G. Mazzini, Mental Health, Psychiatric Service of Diagnosis
and Treatment, Teramo, Italy
∗ Corresponding author.
Purpose of the study The purpose of this study was to investigate
cognitive functioning in Borderline Personality Disorder subjects,
with particular reference to the Working Memory functioning. The
Working Memory seems to be relate to core features of the dis-
turb. The final aim was to better understand the disorder and to
implement a cognitive training to improve the deficits.
Methods A literature search was conducted in April 2015.
Pubmed and Scopus databases were used to find studies to include