European Psychiatry - Volume 41 - April 2017

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S134 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169
Results Four distinct clusters were identified (1) a ‘pos-
itive cluster’, (2) a ‘mild cluster’, (3) a ‘negative cluster’, and (4) a
‘mixed group’. These clusters are similar to those found by Dolffus
et al.
There was a significant association between cluster and co-morbid
personality disorder, P < 0.05. No significant association was found
between clusters and other clinical variables.
Conclusions Among difficult-to-treat institutionalised patients
four distinct subtypes of psychosis could be identified, comparable
to those found in a cohort of schizophrenia patients.
Fig. 1 Dendrogram showing a 4 cluster solution.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Reference
[1] Dolffus, et al. Identifying subtypes of schizophrenia by cluster
analyses. Schizophrenia Bulletin 1996:545–55.
EW0086
Relationship of severity of ADHD
symptoms with the presence of
psychological trauma while
controlling the effect of impulsivity in
a sample of university students
E. Dalbudak , C. Evren , B. Evren ∗, S. Ozen
1 Private practice, Ankara, Turkey
2 Bakirkoy Training and Research Hospital for Psychiatry Neurology
and Neurosurgery, Research, Treatment and Training Center for
Alcohol and Substance Dependence Amatem, Istanbul, Turkey
3 Baltalimani State Hospital for Muskuloskeletal Disorders,
Department of Psychiatry, Istanbul, Turkey
∗ Corresponding author.
Objective The aim of the present study was to evaluate rela-
tionship of severity of ADHD symptoms with the presence of
psychological trauma while controlling the effect of impulsivity in
a sample of university students.
Method Participants included 321 volunteered university stu-
dents. Participants were evaluated with the Short Form Barratt
Impulsiveness Scale (BIS-11-SF), the Adult ADHD Self-Report Scale
(ASRS) and the Traumatic Experiences Checklist (TEC).
Results Age and gender did not differed between those with the
history of psychological trauma (n = 271, 84.4%) and those without
(n = 50, 15.6%). BIS-11-SF and subscale scores did not differ between
groups, other than motor impulsivity, which was higher among
thosewith the history of psychological trauma. ASRS score, inatten-
tiveness and hyperactivity/impulsivity subscale scores were higher
among those with the history of psychological trauma than those
without. Severity of ADHD symptoms, particularly inattentiveness
score, predicted the presence of psychological trauma, together
with the severity of motor and attentional impulsivities in a logistic
regression model.
Conclusion These findings suggest that the severity of ADHD
symptoms may be related with the presence of psychological
trauma, while severity of motor and attentional impulsivities may
have an effect on this relationship among young adults.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0087
Relationship of high PTSD risk with
severity of ADHD symptoms while
controlling the effect of impulsivity in
a sample of university students
E. Dalbudak , C. Evren ∗, B. Evren , S. Ozen
1 Private practice, Istanbul, Turkey
2 Bakirkoy Training and Research Hospital for Psychiatry, Neurology
and Neurosurgery, Research, Treatment and Training Center for
Alcohol and Substance Dependence Amatem, Istanbul, Turkey
3 Baltalimani State Hospital for Muskuloskeletal Disorders,
Department of Psychiatry, Istanbul, Turkey
∗ Corresponding author.
Objective The aim of the present study was to evaluate relation-
ship of high PTSD risk with severity of ADHD symptoms while
controlling the effect of impulsivity in a sample of university stu-
dents.
Method Participants included 271 volunteered university stu-
dents. Participants were evaluated with the Short Form Barratt
Impulsiveness Scale (BIS-11-SF), the Adult ADHD Self-Report Scale
(ASRS) and PTSD Checklist Civilian version (PCL-C).
Results Age and gender did not differed between those with the
high PTSD risk (n = 224, 82.7%) and those without (n = 47, 17.3%).
BIS-11-SF and subscale scores, other than non-planning impulsi-
vity (which showed no difference), and ASRS scores were higher
among those with the high PTSD risk than those without. Severity
of ADHD symptoms, particularly inattentiveness (IN) score, pre-
dicted the high risk of PTSD, together with the severity of motor
impulsivity in a logistic regression model.
Conclusion These findings suggest that the severity of ADHD
symptoms is related with the high risk of PTSD, while severity of
motor impulsivity may have an effect on this relationship among
young adults.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0088
Dual diagnosis: On the way to an
integrated treatment model?
I. Ezquiaga ∗, Z. González Vega , P. Rossi , F. Fonseca ,
C. Tamarit , C. Castillo , I. Castro , M. Torrens
1 Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar-,
Psychiatry, Barcelona, Spain
2 Hospital Obispo Polanco, Psychiatry, Teruel, Spain
∗ Corresponding author.
Introduction Substance use disorders (SUD) with psychiatric co-
morbidity (dual diagnosis) represent a challenge for both mental
health and addiction networks. Dual patients present greater
disorder severity and worse prognosis than those with SUD or psy-
chiatric disorders alone. There is a lack of consensus regarding
which treatment model (sequential, parallel or integrated) is the
most appropriate for them. Despite integrated treatment is seen as
the model of excellence, it is a standard difficult to achieve.