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S42

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S18–S55

schizophrenia or add to a better compensation. E.g. exercise may

serve as a coping strategy, produces changes in brain structure and

function and is already known to improve mood and cardiovascu-

lar health. First studies have shown beneficial effects of exercise in

schizophrenia. These studies feature a multitude of exercise types

and diagnostic tests and also lay emphasis on different research

questions.

From the diverse information of the studies, heterogenic character

conclusions for future therapy and research can be derived. From

the point of view of sports science, feasibility and effectiveness

of endurance training will be discussed on the basis of current

literature and results fromour own research. In a controlled trial 22

patients with schizophrenia participated in 12 weeks of endurance

training using bicycle ergometers resulting, e. g., in improvements

of endurance capacity and functioning. A special focus was laid on

analyzing the differences between the adaptations of patients and

healthy controls to test the transferability of methods and effects

of endurance training. The exercise intervention was feasible

and effective for both healthy controls and patients but some

interesting differences could be found.

Additionally, ideas and special circumstances regarding the imple-

mentation of endurance training in clinical settings or for

outpatients will be considered. From the current knowledge it can

be concluded, that the implementation of endurance training in

multimodal therapy strategies can be recommended to promote

recovery.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.891

S76

Adopting and maintaining physical

activity behaviour in people with

severe mental illness: The importance

of autonomous motivation

M. Probst

UPC K.U. Leuven, Belgium

Background

Physiotherapy can improve the health of people

with serious mental illness (SMI) but many are inactive. Adopting

theoretically-based evidence considering the motivational pro-

cesses linked to the adoption and maintenance of an active lifestyle

can assist physiotherapists in facilitating lifestyle changes in people

with SMI.

Purpose

Within the Self-Determination Theory (SDT) and the

Trans-Theoretical Model (TTM) (stages of change) frameworks, we

investigated differences in motives for physical activity between

different diagnostic SMI groups.

Methods

All participants with SMI from 15 different centers

completed the Behavioral Regulation in Exercise Questionnaire 2

(BREQ-2), the International Physical Activity Questionnaire (IPAQ)

and the Patient-centered Assessment and Counseling for Exercise

(PACE) questionnaire.

Results

Overall 294 persons with SMI (190

) (43.6

±

13.6years)

agreed to participate. People with affective disorders had higher

levels of introjected regulations than people with schizophrenia.

No significant differenceswere found for othermotivational regula-

tions. Moreover, no significant differences were found according to

gender, setting and educational level.Multivariate analyses showed

significantly higher levels of amotivation and external regulations

and lower levels of identified and intrinsic regulations in the earlier

stages of change. Strongest correlations with the IPAQ were found

for motivational regulations towards walking.

Conclusions

Our results suggest that in all people with SMI the

level of identified and intrinsic motivation may play an impor-

tant role in the adoption and maintenance of health promoting

behaviours.

Implications

The study provides a platform for future research to

investigate the relationships between autonomy support, motiva-

tional regulations and physical and mental health variables within

physiotherapy interventions for this population.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.892

Problematic sexual behaviours: Diagnostic,

categorical, epidemiological, imaging,

psychopathological and treatment considerations

S77

Gender-related differences in the

associations between sexual

impulsivity, psychiatric disorders and

trauma

G. Erez

1 ,

, C. Pilver

2

, M.N. Potenza

3

1

Yale University, Tel Aviv University, Psychiatry, Tel Aviv, Israel

2

Yale University, Biostatistics, New Haven, USA

3

Yale University, Psychiatry, New Haven, USA

Corresponding author.

Introduction

Sexual impulsivity (SI) has been associated with

conditions that have substantial public health costs, such as sexu-

ally transmitted infections and unintended pregnancies. However,

SI has not been examined systematically with respect to its rela-

tionships to psychopathology. The literature regarding associations

between SI and history of different types of trauma also scarce.

Aims

We aimed to deepen the understanding of the roots of SI,

both through the prism of history of trauma and through the prism

of psychopathology as an explanation for SI.

Objectives

We intended to investigate associations between SI

and psychopathology, and between SI and personal history of

trauma of different types, including gender-related differences.

Methods

We performed a secondary data analysis of Wave-2 of

the National Epidemiologic Survey on Alcohol and Related Condi-

tions (NESARC), a national sample of 34,653 adults in the United

States. DSM-IV based diagnoses of mood; anxiety, drug and per-

sonality disorders were assessed using the Alcohol Use Disorder

and Associated Disabilities Interview Scheduled DSM-IV Version.

Results

For both women and men, SI was positively associ-

ated with most Axis-I and Axis-II psychiatric disorders. Significant

gender-related differences (GRD) were observed. Among women

as compared to men, SI was more strongly associated with social

phobia, alcohol abuse/dependence and most personality disorders.

As for trauma, SI was positively associatedwith any trauma for both

women and men. Among women as compared to men, SI was more

strongly associated with sexual assault and kidnapping.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.893

S78

Classification and clinical issues

relating to hypersexuality

M. Potenza

, K. Shane , H. Rani

Yale, Psychiatry, New Haven, USA

Corresponding author.

Multiple terms have beenused to describe excessive and interfering

patterns of non-paraphilic sexual behaviors including sex addic-

tion, compulsive sexual behavior (CSB) and hypersexual disorder