European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237 S183
EW0226
True and variable response
inconsistency as indicators of
psychological distress in the
normative sample and mental
disorders
E. Rasskazova ∗, A. Spivakovskaya , A. Tkhostov
1 Clinical Psychology, Moscow State University, Mental Health
Research Center, Moscow, Russia
2 Clinical Psychology, Moscow State University, Moscow, Russia
∗ Corresponding author.
Introduction Despite a long psychological discussion on the
inconsistency and fragmentation in self-appraisals as factors of
neuroses and personality disorders (Horney, 1991, Lynch, 2014)
classical psychodiagnostic considers response inconsistency as an
indicator of protocol invalidity only.
Objectives Using MMPI-2 True and Variable Response Inconsis-
tency scales (TRIN, VRIN), we suggest that the inconsistency (within
normative range) is related to poorer psychological well-being in
the normative sample and is higher in affective disorders.
Aim To study the relationship between response inconsistency
and psychological well-being.
Methods In total, 1443 healthy controls and 190 patients with
mental illnesses (50 with affective disorders, 21with addictions, 73
with schizophrenia and schizotypal disorder, 46 with adjustment
disorder) who scored within normative range on all the validity
scales of the Russian version of MMPI-2 participated in the study.
Results In the normative sample, TRIN and VRIN correlated with
social and emotional alienation as well as conative lack of ego mas-
tery (r = .27–.33) and were higher in affective disorders (P< .05) and
in patients having symptoms of personality disorders (as appraised
by their doctors). In patients with affective disorders and adjust-
ment disorders, they were related to higher likelihood of invalidity
due to mental illness.
Conclusions Response incoherence within normative range is a
sign of poorer well-being in the normative sample (in the form
of fatigue, apathy, feelings of excessive strain, lack of understand-
ing from others and injustice). In line with psychological theories
of self-fragmentation, incoherence is related to affective disorders
(and poorer adjustment to them) and symptoms of personality dis-
orders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0227
Illness representation as a factor of
quality of life in youth with mental
illnesses
E. Rasskazova ∗, A. Spivakovskaya , A. Tkhostov
1 Clinical Psychology, Moscow State University, Mental Health
Research Center, Moscow, Russia
2 Clinical psychology, Moscow State University, Moscow, Russia
∗ Corresponding author.
Introduction Cognitive perspective considers beliefs as key fac-
tors of compliance and adjustment inmental disorders (Beck, 2011)
that are especially important in youth. In psychosis illness, repre-
sentation is related to CBT efficacy.
Objectives We suggest that indifferentmental disorders different
illness-related beliefs are important for quality of life domains.
Aim To reveal relationships between illness representation and
quality of life in mental disorders controlling for psychopatholo-
gical symptoms.
Methods One hundred and eighteen male patients 17 – 27 years
old : 33withmood disorders, 26with personality disorders, 27with
schizotypal disorder and 32 with schizophrenia recovering after
first episode of psychosis filled Illness Perception Questionnaire,
Symptom Checklist 90-R, Quality of Life and Enjoyment Question-
naire (version for mental illnesses).
Results After statistical control for psychopathological symp-
toms, in personality disorders feeling of personal and treatment
control (ˇ = .43–.52, P < .01) as well as belief in longer (ˇ = .42,
P < .05) but not cyclic (ˇ = –.65, P < .05) illness duration pre-
dicted satisfaction with health while belief in longer duration
and less consequences correlated with better satisfaction with
leisure time (ˇ= .87, P < .01). In mood disorders, feeling of treat-
ment control (ˇ = .32, P < .05) and belief in shorter illness duration
(ˇ = –.37, P < .05) were related to better satisfaction in emotional
sphere.
Conclusions Beliefs about illness duration, consequences and
control could be important in assessment and CBT for youth with
personality disorders while treatment control and illness duration
are important in work with youth with mood disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0228
Attitudes towards help seeking
behaviour and professional
psychiatric help in Slovenia
S. Roˇskar ∗, M. Braˇciˇc , U. Kolar , N. Konec Juriˇciˇc , K. Leki´c ,
T.G. Alenka , B. Dobnik , V. Poˇstuvan , M. Vatovec
1 NIJZ, National Institute of Public Health, Department of Health
promotion and disease prevention, Ljubljana, Slovenia
2 National Associaton for Quality of Life, OZARA, Department for
Intervention Programs, Ljubljana, Slovenia
3 Institute Andrej Maruˇsiˇc, Slovene Centre for Suicide Research,
Koper, Slovenia
4 Slovene Association for Suicide Prevention, Posvet counselling
Centre, Ljubljana, Slovenia
∗ Corresponding author.
Introduction Knowledge about signs and treatment of mental ill-
nesses is often not enough to seek professional help. Hence, it is
important to gain understanding of other determinants, i.e. atti-
tudes, stigma, which influence help-seeking behaviour.
Objectives Based on Ajzen’s theory of planned behaviour, we
aimed at collecting data of determinants known to be related to
behavioural action, in our case help seeking.
Aims To examine how attitudes, stigma and normative believes
influence help seeking behaviour and whether these determinants
differ in relation to demographic data and mental health indicators
of the respondents’ region.
Methods A representative sample of adult Slovene population
(n = 594) was recruited via an on-line invitation. They were asked
to (i) provide basic demographic data (region, age, gender, mental
health history. . .) and (ii) to complete the inventory of attitudes
toward seeking mental health services. The inventory variables
(attitudes, knowledge and stigma) were linked to demographic
data and mental health indicators in Slovenia.
Results The respondents dispose of good knowledge of where
and when to seek help either for themselves or others. How-
ever, the readiness to seek help was significantly lower, in
particular so in men, younger, single persons and respondents
from regions with lower mental health indicators. Accord-
ingly, stigma was significantly higher pronounced in the
same groups. More than 50% of respondents have already
experienced mental distress, however only 25% have sought
help.
Conclusions Reasons for this “help seeking gap” should be fur-
ther scrutinized. Future interventions shall be focused on changing
attitudes and destigmatization mental health issues.