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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S238–S302


replicate results of previous studies in a mixed gender sample of

Egyptian outpatients.


The aim of the current study was to examine the effective-

ness of DBT without drug replacement relative to treatment as

usual “TAU” in improving behavioral outcomes related to SUD and

BPD, and improving emotional regulation.


Forty outpatients with co-morbid BPD and SUD in

Alexandria and Cairo were assigned for one year either to com-

prehensive DBT program (20 patients), or TAU defined as ongoing

outpatient psychotherapeutic treatment from referring center (20

patients). Patients were assessed at baseline and follow up assess-

ment at 4, 8, 12 and 16 months was done using Arabic version of

Difficulties in Emotion Regulation Scale (DERS), urine multidrug

screen and time line follow-back method for assessment of alcohol

and substance use history.


Following one year of treatment, DBT group showed sig-

nificantly lower doses of drugs used, DERS score, rates of hospital

admission, ER visits, suicidal attempts and episodes of NSSI. Also,

DBT patients showed markedly increased retention in treatment

and longer duration of total alcohol abstinence and other drugs of

abuse. Positive outcomes were maintained for four months post-



DBT demonstrated superior efficacy in comparison to

TAU for treatment of Egyptian patients suffering from co-morbid

borderline personality and substance use disorder across behav-

ioral domains of SUD, BPD and reduction hospital admission,

emergency room visits and DERS score.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Empirical redundancy of burnout and

depression: Evidence from

time-standardized measures

R. Bianchi

, A. L


University of Neuchâtel, Institute of Work and Organizational

Psychology, Neuchâtel, Switzerland

Corresponding author.


Burnout and depression are ordinarily assessed

within different time frames. Burnout is most frequently assessed

on an annual or a monthly basis whereas depression is gener-

ally assessed over a one- or two-week period. This state of affairs

may have partly obscured the burnout-depression relationship in

past research and contributed to an underestimation of burnout-

depression overlap.


We investigated burnout-depression overlap using

time-standardized measures of the two constructs. We addition-

ally examined whether burnout and depression were differently

associatedwithwork-related effort and reward, occupational social

support, and intention to quit the job.


We enrolled 257 Swiss schoolteachers (76% female;

mean age: 45). Burnout was assessed with the Shirom-Melamed

Burnout Measure and depression with a dedicated module of the

Patient Health Questionnaire. Work-related effort and rewardwere

measuredwith a short versionof the Effort-Reward Imbalance Scale

and occupational social support with a subscale of the Job Content

Questionnaire. Intention to quit the jobwas assessedwith 3 generic

items (e.g., “I plan on leaving my job within the next year”).


We observed a raw correlation of .82 and a disat-

tenuated correlation of .91 between burnout and depression.

Burnout’s dimensions (physical fatigue; cognitive weariness; emo-

tional exhaustion) did not correlate more strongly with each other



= .63) than with depression (mean


= .69). Burnout and

depression showed similar associationswith the job-related factors

under scrutiny.


Burnout and depression may be empirically-

redundant constructs. Measurement artifacts probably contributed

to an underestimation of burnout-depression overlap in many


Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Vulnerable narcissism as key link

between dark triad traits, mental

toughness, sleep quality and stress

H. Annen


, C. Nakkas


, D. Sadeghi Bahmani


, M. Gerber



E. Holsboer-Trachsler


, S. Brand

5 ,


Military Academy at the Swiss Federal Institute of Technology,

Military Academy at the Swiss Federal Institute of Technology, Zurich,



Swiss Armed Forces, Psychological-Pedagogical Service of the Swiss

Armed Forces, Thun, Switzerland


Psychiatric Clinics of the University of Basel, Center for Affective

Stress and Sleep Disorders, Basel, Switzerland


University of Basel, Department of Sport and Psychosocial Health,

Basel, Switzerland


Psychiatric University Hospital, Center for Affective Stress and Sleep

Disorders, Basel, Switzerland

Corresponding author.


The concept of the Dark Triad (DT) consists of the

dimensions of Machiavellianism, narcissism, and psychopathy, and

has gained increased interest within the last 15 years for its predic-

tive power to explain success in the fields of economy, politics, and

professional sport. However, recent research suggests that the asso-

ciations between DT and behavior are not as uniform as expected.


Investigating the associations between DT traits and vul-

nerable narcissism, mental toughness, sleep quality, and stress



A total of 720 participants between 18 and 28 years took

part in the study. The sample consisted of military cadres in the US



= 238), Switzerland (


= 220), and of students from the university

of Basel (


= 262). Participants completed self-rating questionnaires

covering DT traits, mental toughness, vulnerable narcissism, sleep

quality, and perceived stress.


Irrespective of the sample, participants scoring high on

vulnerable narcissism also reported higher DT traits, lower men-

tal toughness, poor sleep quality, and higher scores on perceived



The present pattern of results suggests a more fine-

grained association between DT traits and further behavior, calling

into question to what extent DT traits might be a predictor for

greater success in the fields of economy, politics or elite sports.

Specifically, vulnerable narcissism seems to be key for more

unfavourable behavior.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Associations between chronotype and

schizotypy in healthy adults

A. Chrobak

1 ,

, A. Tereszko


, A. Arciszewska


, M. Siwek



D. Dudek



Jagiellonian University Collegium Medicum, Faculty of Medicine,

Cracow, Poland


Jagiellonian University Collegium Medicum, Department of

Affective Disorders, Cracow, Poland

Corresponding author.