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


Relationship between self-reported

and clinician-rated psychopathology

in youth psychiatric outpatients

J. Silva Ribeiro

, S. Morais , P. Oliveira , E. Mendes , A. Botelho ,

H. Godinho , L. Vale , A. Bessa , P. Renca , V. Santos , N. Madeira

Psychiatry Department, Coimbra Hospital and University Centre,

Coimbra, Portugal

Corresponding author.


Psychopathology rating scales have been widely

used. Studies evaluating the congruence between self and observer-

reported ratings show inconsistent results.

Objectives or aims

Determine whether there was consistency

between psychopathology as assessed by patients and clinicians’

assessment in outpatients observed in the Young Adult Unit of our

Psychiatry Department (Coimbra Hospital and University Centre-



Socio-demographic characterization was undertaken

with young adult outpatients observed during nineteen months

(1st January 2015–31st July 2016). Brief Symptom Inventory–53

items (BSI-53) and Brief Psychiatric Rating Scale (BPRS) were

applied at the first clinical evaluation. Spearman correlation coeffi-

cient between General Severity Index (GSI) of BSI-53 and BPRS total

score was calculated.


During the mentioned interval 255 outpatients were

observed: 64.3% females and 35.7% males; aged between 17 and

39 years old (average: 20.56; median: 20). Fifty percent were

diagnosed with neurotic, stress-related and somatoform disor-

ders (ICD-10 F40-48) and 14.1% with mood disorders (ICD-10

F30-39). BPRS and BSI-53 rating scales were administered to 55

patients: 72.5% females and 27.5% males; average age 21.2. A sta-

tistical significant correlation was found between BPRS total and

GSI score.


Several factors can determine the accuracy of psy-

chopathology self-assessment, including diagnosis and severity of

illness. In fact, studies show strong correlation between self and

observer assessment of depressive and anxious psychopathology,

but no correlation in psychotic psychopathological dimensions.

Therefore, the correlation found in this population can be explained

by the fact that the majority of patients were diagnosed with neu-

rotic, stress-related and somatoform and mood disorders.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Executive functions in delusion-prone

individuals – Preliminary studies

A. Tereszko

1 ,

, W. Janeczko


, J. Słowik


, K. Brzezicka



K. Prochwicz


, M. Siwek


, D. Dudek



Students Scientific Association of Affective Disorders, Jagiellonian

University Medical College, Kraków, Poland


Institute of Psychology, Jagiellonian University, Kraków, Poland


Department of Affective Disorders, Jagiellonian University Medical

College, Kraków, Poland

Corresponding author.


Executive dysfunctions in psychotic disorders,

mainly schizophrenia are well-known phenomenon, however the

information about executive functioning in subclinical psychotic

states are still scarce. The rationale for focusing on the delusion-

proneness (delusion-like states) is suggested role of executive

dysfunction in the process of developing delusions.


Our aim is to assess the relationship between delusion-

proneness and executive functions.


We would like to assess two cognitive func-

tions: shifting and inhibition and updating, depending on the

severity of delusion-like symptoms. We expect that higher

delusion-proneness is associated with more pronounced executive

dysfunctions, as it is observed in clinical population with existing



In order to assess delusion-proneness, we used Polish

version of Peters et al. Delusions Inventory (PDI). To evaluate shift-

ing and inhibition, two test were conducted–Berg’s Card Sorting

Task (BCST) and Stroop task respectively. Correlation analysis were



Sixty-four participants (41 women and 23 men) were

recruited in this study. Mean age was 28.8, SD = 10.37. Statistical

analysis revealed significant negative correlation of PDI distress

subscale and BCST non-perseverative errors. The overall score, as

well as all PDI subscales correlated negatively also with the Stroop

task’s total number of errors and positively with the accuracy in

incongruent variant.


Contrary to our expectation, results have shown that

delusion-proneness is associated with better results in executive

functions test, especially in terms of accuracy. These results suggest

that executive functions may play a role in the development and

maintenance of delusional ideation, however, its relationship may

be a bit more complex.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

e-Poster Walk: Schizophrenia and other psychotic

disorders - Part 3


Impact of an intervention of

neuro-cognitive rehabilitation in

treatment resistant schizophrenia

(TRS) compared to schizophrenia

responder patients

L. D’Ambrosio , E. Prinzivalli , N. Oliviero , R. Balletta , G. Callovini ,

A. Benedetta , M.V. Formato , S. Lattanzio , E. Razzino ,

C. Avagliano , F. Iasevoli

, A. de Bartolomeis

Department of Neuroscience Reproductive Sciences and

Odontostomatology, University of Naples Federico II, Naples, Italy

Corresponding author.


Schizophrenia is a condition with high impact in

terms of disability, also because between 30% and 60% affected indi-

viduals do not respond to treatment. It has been proposed that

cognitive functioning is strongly impaired in schizophrenia and

even more in TRS patients. Cognitive dysfunctions are regarded

to worsen psychopathology, psychosocial functioning, and overall

course of the illness.


To investigate the impact of Cognitive Remediation

(CR) on psychopathology and psychosocial functioning in TRS vs.

schizophrenia responder patients.


To determine whether a CR intervention could improve

functional outcomes in TRS patients.


We evaluated proximal and distal effects of CR on

approximately 20 schizophrenia responders and 20 TRS patients.

Patients in each group were randomized to receive CR or not.

Patients were assessed in training task performance, neurocogni-

tion, functional capacity, symptoms and psychosocial functioning.

Evaluations were conducted at baseline, at the end of the 4-month

intervention, and at 6-month, 1 and 2 year-follow-ups. The study

is still in active recruitment phase.


Both TRS and schizophrenia responder patients exposed

to CR exhibited a significant improvement in specific neurocog-