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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.511

EW394

Effects of different types of

instruction on the Scores of PID-5

profile

K. Riegel

1 ,

, M. Preiss

2

, P. Harsa

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.512

EW395

Perfectionism, cognitive emotion

regulation and perceived

distress/coping

C. Juliana , M.J. Soares

, A.T

. 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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.513

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