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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.601

EW484

Bedtime Counterfactual Processing

Questionnaire (BCPQ): Validation of

the Portuguese version

J. Borges

1

, D. Borges

1

, A.T. Pereira

2 ,

, A.S. Cabral

3

, J. Azevedo

2

,

A. Macedo

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.602

Schizophrenia

EW485

Frequency of subtypes of irritable

bowel syndrome in positive and

negative subtypes of schizophrenia

S. Ahmed

1 ,

, G. Rasool

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.603

EW486

Cognitive dysfunctions in first episode

pychosis

K. Alptekin

1 ,

, E. Aydınlı

2

, A. Ayer

2

, B. Yalınc¸ etin

3

, H. Ulas¸

4

,

T. Binbay

4

, B. Akdede

4

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