European Psychiatry - Volume 33 - March 2016

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S252 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
non-significant conditional direct effect of Concern over Mistakes
on psychological distress only at any level of perceived support.
Conclusion PNT prospectivelymediates the relationship between
negative perfectionism and PD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW394
Effects of different types of
instruction on the Scores of PID-5
profile
K. Riegel ∗, M. Preiss , P. Harsa
1 Charles University in Prague - 1st Faculty of Medicine, Department
of Psychiatry, Prague, Czech Republic
2 National Institute of Mental Health, Department of Clinical
Psychology, Klecany, Czech Republic
∗ Corresponding author.
Introduction Section III of 5th edition of the Diagnostic and Statis-
tical Manual of Mental Disorders (DSM-5) includes a hybrid model
of personality pathology, in which dimensional personality traits
(PTs) are used to derive one of six categorical Personality Disorder
(PD) diagnoses. The Personality Inventory for DSM-5 (PID-5) has
been developed to assess PTs within this new system.
Objectives PT is a tendency to feel, perceive, behave, and think in
relatively consistent ways across time and situations. PD diagnosis
is generally stated if a pattern of maladaptive PTs persists at least
5 years. Nevertheless, the PID-5 instruction does not cover duration
of symptoms.
Aims We have explored the effect of two different types of
instructions, in which duration of symptoms is or is not explicitly
mentioned, on the PID-5 scores. Moreover, we have asked whether
the scores differ in psychiatric patients and healthy individuals.
Methods Differences between original and modified instructions
of the Czech PID-5 version have been evaluated in a group of 62 psy-
chiatric patients and 38 healthy controls; each respondent has been
administered both instruction types in random sequence. ANOVA
mixed design has been used to test the relation between groups
and different sequence of administration.
Results We have found no consistent differences in PID-5 scores
using the different types of instruction described above.
Conclusions In our sample, PID-5 seems to reflect strong beliefs
of a subject regardless of symptoms’ duration and could be reli-
ably used with both types of instruction. The PID-5 represents an
appropriate instrument for the assessment of maladaptive PTs.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW395
Perfectionism, cognitive emotion
regulation and perceived
distress/coping
C. Juliana , M.J. Soares ∗ . Pereira , A. Macedo
Faculty of Medicine, University of Coimbra, Department of
Psychological Medicine, Coimbra, Portugal
∗ Corresponding author.
Introduction Perfectionism and cognitive emotion regula-
tion (CER) mechanisms have been associated with perceived
stress/coping, negative affect (NA) and mental problems. Com-
paratively, the correlates of Positive Affect (PA) have been less
studied.
Aim To compare Perfectionism, CER and Perceived dis-
tress/coping by groups with different levels of NA/PA.
Methods A total of 344 medical students (68.4% girls) completed
the Hewitt & Flett and the Frost Multidimensional Perfectionism
Scales (H&F-MPS/F-MPS), the Profile of Mood States, the Perceived
Stress Scale, and the Cognitive Emotion Regulation Questionnaire.
Results The subjects with high NA, when compared to those
with low NA, showed significant higher levels of Evaluative Con-
cerns (EC), Positive Striving (PStr), of H&F-MPS/F-MPS total and
dimensions scores (excluding Organization) of Rumination, Blam-
ing others, Self-blaming, Catastrophizing and Perceived distress
(all P < 0.01). They also revealed lower levels of Positive reevalu-
ation and planning; Positive refocusing, Putting into perspective
and Perceived coping (all P < 0.01). The subjects with high and
medium levels of PA, when compared to the subjects with low PA,
showed significant lower levels of Perceived distress, EC, Socially-
Prescribed Perfectionism, Doubts about action, Concerns over
Mistakes, (all P< 0.01), Self-Oriented Perfectionism, PStr (P < 0.01,
P < 0.05, respectively) and higher levels of Perceived coping, Pos-
itive reevaluation and planning, Positive refocusing, Putting into
perspective (all P < 0.01) and Acceptance (P < 0.01, P < 0.05, respec-
tively).
Conclusions NA is associated with perfectionism, high mal-
adaptive and low adaptive CER, and also with high Perceived
distress/low coping, which might increase the subject’s vulnerabil-
ity to psychopathology. Low perfectionism, high adaptive CER and
perceived coping are associated with PA and might be protective
factors.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Post-traumatic stress disorder
EW396
The psychological impact of trauma in
plastic surgery
N. Bansal
Lancashire, United Kingdom
Introduction Post-traumatic stress disorder (PTSD) is triggered
by an extremely threatening or catastrophic event. Untreated PTSD
can lead to depression, panic disorder, phobias and substance
abuse. Early intervention and referral to a clinical psychologist has a
role in preventing chronic problems subsequently. Trauma patients
in our plastic surgery department are not routinely screened how-
ever due to the nature and severity of their injuries, they are at
considerable risk of developing PTSD and/or depression.
Aim To identify and treat trauma patients at risk of PTSD and
depression in plastic surgery.
Methods We used a validated 10-point questionnaire, the post-
traumatic adjustment scale (PAS), to assess risk of depression and
PTSD in plastic surgery trauma patients. Patients scoring total >16
were at risk of PTSD and scores > 4 (PAS sum of scores from ques-
tions 1 + 2 + 4 + 7 + 8) were at risk of depression.
Results Twenty-one cases collected from inpatients on the plas-
tic surgery ward. Nature of injuries included crush, stabbing/knife
lacerations, dog bites and road traffic accidents. Of these, 19% were
at risk of PTSD and 19% at risk of depression. The studywas repeated
in plastics trauma clinic where patients first present. A further 20
cases were collected and of these, 40% were at risk of depression
and 5% at risk of PTSD.
Conclusion In both samples, 1/3 patients were at risk of depres-
sion. Numbers at risk of PTSD were greater in the sample collected
from plastics inpatient ward. Based on this, we propose trauma