European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S238–S302 S259
EW0448
Overweight/obese patient referrals to
plastic surgery: Temperamental and
personality traits
C. Pavan ∗, F. Bassetto , V. Vindigni
1 University of Padova, Department of Medicine, Padova, Italy
2 University of Padova, Department of Neurosciences, Padova, Italy
∗ Corresponding author.
Introduction Correlations between psychiatric disorders and
overweight/obesity are reported in the literature. The study aimed
at detecting correlations between psychiatric disorders, tempera-
mental traits and body image perception in overweight and obese
patients who seek surgical lipostructuring treatments.
Methods 28 overweight/obese patients (age 18–60 yrs, BMI 25
to 34.9 at recruitment) were enrolled in the period March
2008–June 2011 between those referring to the outpatient ser-
vice for Obesity-related lipodystrophisms of the Institute of Plastic
Surgery. Presence of psychiatric disorders, temperamental traits
and body image perception were evaluated, and compared to
a control group (n = 25) from general population sharing clini-
cal/demographic features. Psychiatric evaluation was based on
acquisition of clinical history, Mini-International Neuropsychiatric
Interview, Beck Depression Inventory, Yale Brown Scale (YBOCS),
Paykel Life Events Scale, NEO Five Factory Inventory, Tridimen-
sional Personality Questionnaire (TPQ), Body Shape Questionnaire
(BSQ).
Results The patients group presented higher scoring in lifetime
depression and BSQwithmoderate/mild concernwith body shapes.
With regard to personality traits, TPQ revealed higher score in
subscale RD4 (dependence/independence) in the patients, while
controls scored higher in “openness to experience” NEO-FFI sub-
scale. At YBOCS obese patients presented higher prevalence of
obsessive characters.
Conclusion The affective sphere is a relevant feature in obese
patients, but also obsessive traits, as negative body shape percep-
tion and temperamental and personality characteristics appear to
be involved in leading patients to seek surgical consultation. These
aspects are implicated inmedical/surgical outcome and compliance
to treatments.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0449
Psychological defense mechanisms in
patients with different forms of
essential hypertension
E. Pervichko ∗, Y. Zinchenko
Lomonosov Moscow State University, Faculty of Psychology, Moscow,
Russia
∗ Corresponding author.
Introduction Essential hypertension (EH) is one of the most
common diseases of the cardiovascular system. Today scientists
discover more andmore patients whose blood pressure values dur-
ing work appear to be higher than those values during free time.
This form of EH is called “hypertension at work”.
Objectives To indicate psychological defense mechanisms in
patients with “hypertension at work”, as compared with ‘classical’
EH and healthy individuals.
Materials and methods Defense mechanisms were evaluated by
the survey “The Life Style Index”. Eighty-five patients with ‘Hyper-
tension at work’ (mean age was 45.9 ± 2.8) and 85 patients with
‘classical’ EH (mean age was 47.4 ± 4.5 years) took part in the study.
Results The results showed the dominance of low level psy-
chological defences. The most common mechanisms were denial,
projection and regression. Moremature defense processes included
reaction formation and rationalization. The patients with ‘Hyper-
tension at work’ significantly (P < 0.05) differs from second group
by more frequent representation of displacement, denial, projec-
tion and reaction formation. Comprehensive interpretation of our
findings suggested that affection of EHpatients (specifically ‘Hyper-
tension at work’) can be characterized by dominance of negative
emotions and aggressive tendencies which would be projected,
denied or suppressed. Such a complex of defense mechanisms
is typical for those, who knows, based on own experience, that
uncontrolled negative emotional reactions could be unsafe in social
environment.
Conclusions Our findings can be considered as a basis to define
a “risk group” amongst EH patients by an attribute of “emotional
well-being” disorder and to develop psychological recommenda-
tions for them.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0450
The factor structure of the Portuguese
version of the personality inventory
for DSM-5 (PID-5)
R. Pires ∗, A. Sousa Ferreira , B. Gonc¸ alves
1 Universidade de Lisboa, Faculdade de Psicologia, Lisboa, Portugal
2 Universidade de Lisboa, Instituto Universitário de Lisboa, Business
Research Unit BRU-IUL, Faculdade de Psicologia, Lisboa, Portugal
∗ Corresponding author.
Introduction The DSM-5 Section III proposes a dimensional-
categorical model of conceptualizing personality and its disorders,
which includes assessment of impairments in personality function-
ing (criterion A) and maladaptive personality traits (criterion B).
The Personality Inventory for DSM-5 (PID-5) is a self-report, com-
posed of 220 items, organized into 25 facets nested in five domains
of personality differences, and was developed to operationalize cri-
terion B.
Objectives This study explores the factor structure of the Por-
tuguese adaptation of the PID-5.
Aims The five-factor structure that has emerged in previous
studies with the PID-5 (cf. Krueger & Markon) is expected to be
replicated in the current study.
Methods Exploratory factor analyses with varimax oblique rota-
tion were conducted on a sample of Portuguese adults from the
general population (n = 379,Mage = 31.49, SD = 14.16, 25.3% males,
74.7% females).
Results A six factor structure was retained in which the first 5
factors resemble the PID-5 domains. The model showed good fit
indices (KMO = 0.897). The total explained variance was 68.25%. All
the facets but four had primary loadings on the expected factor.
Conclusions The similarity of results across studies and nation-
alities contributes to the validation of the Portuguese translation
of the PID-5 and highlights the structural resemblance among the
DSM-5 model and the five factor model (FFM) and the personal-
ity psychopathology-five model (PSY-5), drawing attention to the
relevance of thesemodels for the diagnosis of PersonalityDisorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0451
Real life consequences of
stigmatization, misdiagnosis,
misunderstanding, and mistreatment
of borderline personality disorder
V. Porr