European Psychiatry - Volume 33 - March 2016

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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.
EV1357
Women coping strategies to infertility
stress can impact IVF outcome
B. Kitanovic ∗, L. Tulic , I. Soldatovic
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.
EV1358
Examining the person X situation
interactions of internalized traits,
state body affect and upward
comparison behaviour
A. Rogers , V. Lewis , I. Krug ∗, M. Fuller-Tyszkiewicz
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 (R2 = .14 vs. R2 = .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. R2 = .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.
EV1359
Post-partum psychosis
F. Leite ∗, O. Campos , H. Salgado , P. Carvalho
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.