European Psychiatry - Volume 33 - March 2016

46 / 812

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.
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.
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 ∗, C. Pilver , M.N. Potenza
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.
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