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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S781

women. Psychometric tests were administered at the first visit to

100 women undergoing IVF treatment at Clinic of Gynecology and

Obstetrics, Clinical centre of Serbia, University of Belgrade, Serbia.

We used questionnaire that covered key demographic and obstetric

information and Serbian version of COMPI test, specially designed

test measuring stress in infertility, as well as, Zung Depression

Self-Rating Scale and Beck Anxiety Inventory. Results of pregnant

and non-pregnant group were compared. In the cohort of Serbian

women, it has been remarked that they predominantly use active

confronting coping style. We found statistically significant differ-

ences ways of coping styles between pregnant and non-pregnant

group. Women from the pregnant group had significantly lower

scores of marital distress, and significantly higher use of meaning-

based coping styles. It is found that the use of active avoidance

coping correlates negatively with the level of depression and per-

sonal, marital and social distress. Clinicians should be aware that

infertility is a stressor itself and that coping strategies can influence

IVF outcome. Therefore, psychosocial assessment should be a part

of an IVF unit.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2341

EV1357

Women coping strategies to infertility

stress can impact IVF outcome

B. Kitanovic

1 ,

, L. Tulic

2

, I. Soldatovic

3

1

PHC Zvezdara, Mental Health Unit, Belgrade, Serbia

2

Institute for Gynecology and Obstetrics, Clinical Centre of Serbia

University of Belgrade, IVF Unit, Belgrade, Serbia

3

Institute for Statistics, Clinical Centre of Serbia, University of

Belgrade, Belgrade, Serbia

Corresponding author.

Infertility is defined as a failure to achieve a pregnancy after a

woman has attempted to get pregnant for more than 12 months.

The impact of psychosocial factors on IVF outcome is a growing

field of research. This is the first study estimating the impact of psy-

chosocial stress and women coping on IVF outcome in Serbia. In the

cohort of Serbian women, it has been remarked that they predom-

inantly use active confronting coping style. We found statistically

significant differences ways of coping styles between pregnant and

non-pregnant group. Women from the pregnant group had signifi-

cantly lower scores of marital distress, and significantly higher use

of meaning based coping styles. It is found that the use of active

avoidance coping correlates negatively with the level of depres-

sion and personal, marital and social distress, and total fertility

distress. Clinicians should be aware that infertility is a stressor itself

and that coping strategies can influence IVF outcome. Therefore,

psychosocial assessment should be a part of an IVF unit.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2342

EV1358

Examining the person X situation

interactions of internalized traits,

state body affect and upward

comparison behaviour

A. Rogers

1

, V. Lewis

2

, I. Krug

3 ,

, M. Fuller-Tyszkiewicz

4

1

Deakin University, Psychology, Melbourne, Australia

2

University of Canberra, Psychology, Canberra, Australia

3

University of Melbourne, Psychology, Melbourne, Australia

4

Deakin University, Deakin University, Melbourne, Australia

Corresponding author.

Objective

Although the influence of trait internalization and state

body satisfaction on appearance comparisons has been well docu-

mented, their interactive influence on comparison behaviours is

unknown. Therefore, the present study thus tested a person X sit-

uation model in which both mood state and trait internalization

interacted to predict engagement in upward comparisons.

Method

One hundred and forty-eight women aged 18 to 40

completed baseline measures of trait internalization, and then

completed via iPhone app an experience sampling phase in which

they reported momentary experiences of mood and comparison

behaviours at up to 6 random times daily for 7 days.

Results

Multilevel analyses revealed that although upward com-

parisons were more likely for individuals who internalized the thin

ideal (

t

= 3.27,

P

< .001), this effect wasminimized in instanceswhen

a participant was satisfied with her appearance (

t

= –1.90,

P

= .031).

Further exploratory analyses showed that state body satisfaction

was a stronger predictor than trait internalization of comparison

behaviours (

R

2

= .14 vs.

R

2

= .11) when the time lag between state

body satisfaction and comparison event was less than 2 hours, but

this pattern reversed as the time lag between state level predictor

and outcome increased beyond 2 hours (

R

2

= .09 vs.

R

2

= .12).

Conclusions

Present findings suggest that bolstering one’s body

satisfaction in the moment may be as clinically important as reduc-

ing a client’s interest in the thin ideal for alleviating occurrence of

unhealthy body comparisons.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2343

EV1359

Post-partum psychosis

F. Leite

1 ,

, O. Campos

2

, H. Salgado

3

, P. Carvalho

3

1

Matosinhos, Portugal

2

Hospital de Magalhães Lemos, Departamento de Psiquiatria,

Matosinhos, Portugal

3

Hospital de Magalhães Lemos, Departamento de Psiquiatria, Porto,

Portugal

Corresponding author.

Introduction

Postpartum psychosis (or puerperal psychosis) is

a term that covers a group of mental illnesses with the sudden

onset of psychotic symptoms following childbirth. A typical exam-

ple occurs when after childbirth, a woman becomes irritable, has

extreme mood swings and hallucinations with the possibility of

needing psychiatric hospitalization. Often, out of fear of stigma or

misunderstanding, women hide their condition.

Aims and objectives

To review the evidence regarding prophylac-

tic treatment and acute management of postpartum psychosis and

affective disorders in the puerperium.

Methods

Online search/review of the literature has been carried

out, using Medline/Pubmed, concerning “postpartum psychosis”,

“postpartum”, “mental disorders”, “mania” and “depression”.

Results

Postpartum psychosis is a rare and severe psychiatric

condition requiring rapid restoration of health in view of signifi-

cant risks to bothmother and the infant. The known risk factors and

negative consequences of postpartumpsychosis point to the impor-

tance of preventive and acute treatment measures. The majority of

patients who develop psychosis immediately following childbirth

suffer from bipolar disorder.

Conclusions

Understanding the relationship between postpar-

tumpsychosis and affective disorders has implications for perinatal

and long-term treatment. The rapid and accurate diagnosis of post-

partum psychosis is essential to expedite appropriate treatment.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2344