European Psychiatry - Volume 33 - March 2016

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S284 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
Conclusions The Portuguese version of RS has good reliability
and validity. It could be very useful both in clinical and research
contexts, namely in an ongoing project on the relationship between
regret, personality and psychological distress.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW484
Bedtime Counterfactual Processing
Questionnaire (BCPQ): Validation of
the Portuguese version
J. Borges , D. Borges , A.T. Pereira ∗, A.S. Cabral , J. Azevedo ,
A. Macedo
1 University of Coimbra, faculty of medicine, Coimbra, Portugal
2 Faculty of medicine - university of Coimbra, psychological medicine,
Coimbra, Portugal
3 Coimbra hospital and university centre, Coimbra, Portugal
∗ Corresponding author.
Introduction Counterfactual thinking is a set of mental repre-
sentations of alternatives to the past actions. When it focuses
on personal decisions, the emotion that results is regret, which
has important implications for psychological distress (Borges
et al., 2015). The Bedtime Counterfactual Processing Questionnaire
(BCPQ; Schmidt and Linden, 2009) was developed to assess the
frequency of regret-related counterfactual thoughts during the pre-
sleep period.
Objective To investigate the psychometric properties of the BCPQ
(extended version) Portuguese version.
Methods A community sample composed of 108 uni-
versity students and 79 employees (78.1% females; mean
age = 33.16 ± 13.175; range: 17-62) answered the Portuguese
preliminary versions of the BCPQ and Regret Scale (Schwartz et al.,
2002). To study the temporal stability, 31 participants (83.9%
females; mean age = 26.54 ± 18.761) answered the BCPQ again
after 6 weeks.
Results The BCPQ2 Cronbach alpha was “very good” (a = 0.81).
All the items contributed to the internal consistency. The test-
retest correlation coefficient was high, positive and significant
(0.78; P = 0.05); there was not significant difference between test
and re-test scores [29.87 ± 5.309 vs. 30.13 ±5.353, t (30) = −0.204,
P = 0.840]. Following the Kaiser and the Cattel’s Scree Plot criteria,
two meaningful factors were extracted which explained variance
(EV) was of 65.06%: F1 Regret (EV 43.17%; a = 0.88), F2 low pride
(21.88%; a = 0.88). Pearson correlations of EA total scorewith BCPQ2
and F1 were significant and moderate (r@.50) and with F2 was
non-significant.
Conclusions Although the Portuguese version of the extended
version of BCPQ has good reliability and validity, the low pride-
related dimension seems to be relatively independent of regret.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Schizophrenia
EW485
Frequency of subtypes of irritable
bowel syndrome in positive and
negative subtypes of schizophrenia
S. Ahmed ∗, G. Rasool
1 Quetta, Pakistan
2 Bolan medical college and complex hospital, psychiatry, Quetta,
Pakistan
∗ Corresponding author.
Objective The aim of the study was to determine the frequency
of subtypes of irritable bowel syndrome in positive and negative
subtypes of schizophrenia.
Methods Sixty-two drug naïve hospitalized patients between 18
and 65 years (mean age: 33.6) with first episode of schizophrenia
based on DSM IV-TR and 69 control subjects matched for age and
sex completed this study. A semi-structured clinical interview was
used to assess both groups. Clinical data were obtained and basic
lab investigations and ultrasonography of abdomen were done in
all subjects to exclude any related abdominal pathology. Axis-I dis-
orders of DSM IV-TRwere excluded in control subjects. Positive and
Negative Syndrome Scale (PANSS) and Rome III Urdu language ver-
sion scale (cross-validation obtained) for irritable bowel syndrome
(IBS) were administered to assess the severity of positive and neg-
ative symptoms of schizophrenia and subtypes of irritable bowel
syndrome, IBS constipation (IBS-C), IBS Diarrhoea (IBS-D) and IBS
Mix (IBS-M) in case and control groups respectively.
Results Forty-seven patients (75.8%) and 15 patients (24.2%) had
positive and negative schizophrenia respectively. Patients with
positive and negative schizophrenia had higher rate of IBS-C 6.5%
(n = 4), IBS-D 8.1% ( n = 5), IBS-M 12.9% (n = 8), non-IBS 72.6% (n = 45)
versus healthy subjects IBS-C 1.4% (n = 1), IBS-D 2.9% (n = 2), IBS-M
2.9% (n = 2), and non-IBS 92.8% (n = 64), OR = 4.8; 95% CI.
Conclusion Irritable bowel syndrome ismore frequent in patients
with schizophrenia than in general population. This functional
gastrointestinal disorder associated with psychotic symptoms
requires attention and management while managing patients with
subtypes of schizophrenia.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW486
Cognitive dysfunctions in first episode
pychosis
K. Alptekin ∗, E. Aydınlı , A. Ayer , B. Yalınc¸ etin , H. Ulas¸ ,
T. Binbay , B. Akdede
1 Dokuz Eylul university, Izmir, Turkey
2 Manisa psychiatric hospital, psychiatry, Manisa, Turkey
3 Dokuz Eylul university, neuroscience, Izmir, Turkey
4 Dokuz Eylul university, psychiatry, Izmir, Turkey
∗ Corresponding author.
Cognitive dysfunctions are one of the main domains of symptom
clusters in schizophrenia that are strongly related to poor prognosis
and psychosocial impairment. We conducted a study to investigate
the level of cognitive functions in patients with first episode psy-
chosis (FEP) and effect of psychosocial factors related to psychosis
and cognitive dysfunctions in this population. We included 60 FEP
patients and 60 healthy control subjects. Cognitive functions of
the study population were evaluated by using neuropsychologi-
cal test battery including Stroop, Rey Verbal Learning and Memory,
Digit Span, Trail Making, Digit Symbols, Controlled Word Associ-
ation etc. Psychosocial risk factors were assessed using Childhood
Trauma Questionnaire, Social Environment Measurement Tool, Life
Events Scale, Tobacco Alcohol Use Scale and Substance/Marijuana
Use Scale. Cognitive functions were significantly impaired in FEP
patients compared to normal controls. Patients had poor perfor-
mance in verbal memory, attention, processing speed, working
memory and executive functions that is similar to the previous
literature findings. Stressful life events in the last year and famil-
ial liability of schizophrenia and psychosis in 1st degree relatives
were strong predictors to develop psychosis in patients with FEP.
Both factors also seemed to be related to cognitive dysfunctions.
In this study, patients with stressful life events in the last year