European Psychiatry - Volume 41 - April 2017

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S408 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464
Treatment strategies should integrate neurobiological, attachment
and trauma insights resulting in body oriented therapy, develop-
ment of affect – and stress – regulation strategies, restructuring the
internal workingmodel, the therapeutic relationship as attachment
bond. . .
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0010
Does depression explain poor effort
on Symptom Validity Tests (SVT)?
J. De Jonghe ∗, T. Schoemaker , S. Meyer , D. Lam
1 Noordwest Ziekenhuisgroep, Geriatric Medicine/Medical
Psychology, Alkmaar, Netherlands
2 Noordwest Ziekenhuisgroep, Medical Psychology, Den Helder,
Netherlands
3 Slotervaart Hospital, Medical Psychology, Amsterdam, Netherlands
∗ Corresponding author.
Background and aims Valid assessments require sufficient effort
from the part of the testee. Motivation may be compromised,
particularly in psychiatric conditions. We examined associations
between response bias on free recall and self-reported symptoms
in depressed and PTSD patients.
Participants and methods This is a cross-sectional study. Patients
had depression (n = 48), or PTSD or other anxiety disorders (n = 37).
A control group (n = 47%) had chronic pain disorder, fibromyalgia
or chronic fatigue. The Green Word Memory Test (GWMT) was
administered to all subjects. The Structured Inventory of Malin-
gered. Symptomatology (SIMS), and the Beck Depression Inventory
(BDI-II) were administered in subsamples. Study outcome was self-
reported depressive symptoms in Symptom Validity Test (SVT)
negative cases.
Results Average age of the participants was 45.1 years (SD 9.5),
48.5%were female. GWMT was positive in 52.3% of all cases, GWMT
and SIMS were positive in 33.8%, and GWMT and SIMS were neg-
ative in 37.7%. No significant group effects on GWMT were found.
Average BDI-II scores were 32.8 (SD 13.9) for depressed patients,
28.3 (15.5) for those with anxiety disorders, and 27.6 (14.1) for con-
trols (P = 0.43). Seventy-eight percent of depressed GWMT negative
cases reported at leastmoderate depressive symptoms (BDI-II > 18),
and 44.4% severe symptoms (BDI-II > 29). Approximately half of the
GWMT negative cases with anxiety disorders and controls scored
BDI-II > 18.
Conclusions Non credible test performance is prevalent in
disability claimants with affective, mood disorders. However,
depressive symptoms per se do not explain poor effort on cognitive
tasks.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0011
The cortisol awakening response in
anxiety disorders and personality
disorders and changes in salivary
cortisol level after psychotherapy
E. Dembinska ∗ utkowski , J. Sobanski , K. Cyranka ,
M. Mielimaka , A. Citkowska-Kisielewska
Jagiellonian University Medical College, Department of
Psychotherapy, Krakow, Poland
∗ Corresponding author.
Introduction The hypothalamus—pituitary—adrenal axis (HPA
axis) dysregulation plays an important role in the pathophysiology
of anxiety disorders. Salivary cortisol level is a useful indicator of
HPA axis dysfunction.
Objectives Most data suggests elevated cortisol awakening
response (CAR) in anxiety disorders, but there are studies indicating
opposite pattern (flat CAR).
Aim Goal of this study was to determine whether patients with
anxiety and personality disorders show a specific daily cortisol pat-
terns and weather this pattern changes after 12 weeks of intensive
predominantly psychodynamic combined group and individual
psychotherapy.
Method The studied population comprised 77 patients, mainly
females (72.7%), with primary diagnosis of anxiety disorder 40.9%
or personality disorder 59.1%. The Symptom Checklist “0” was used
to assess the pre- and post-treatment levels of patients’ symptoms.
Pre- and post-treatment cortisol levels were measured in three
saliva samples collected during one day (at awakening, 30min after
awakening, at 22.00).
Results The obtained results were partly similar to previous
research. We found four different daily CAR patterns: decreased
(drop 30min after awakening), flat (rise 0–49% 30min after awak-
ening), normal (rise 50–75% 30min after awakening) and elevated
(rise over 75% 30min after awakening), two of them (flat and ele-
vated) were considered as typical for anxiety disorders. Groups of
CAR pattern differed significantly in the level of sleep symptoms,
dysthymia symptoms and avoidance/dependency symptoms. The
changes in the CAR pattern after psychotherapy were not signifi-
cant.
Conclusions Anxiety disorders and personality disorders are
characterized by more than two specific daily salivary cortisol pat-
terns.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0012
Neurotic personality dysfunctions as
factors predisposing for reacting with
suicidal ideation to intensive
psychotherapy
P. Rodzinski , A. Ostachowska , K. Cyranka , K. Rutkowski ,
E. Dembinska∗, J. Sobanski , A. Citkowska-Kisielewska ,
M. Mielimaka
Jagiellonian University Medical College, Department of
Psychotherapy, Krakow, Poland
∗ Corresponding author.
Introduction Identifying patients’ risk of reacting with suicidal
ideation (SI) to psychotherapy is an important clinical problem that
calls for empirical verification.
Objectives Analysis of associations between patients’ initial
neurotic personality dysfunctions not accompanied by SI and emer-
gence of SI at the end of a course of intensive psychotherapy
conducted in integrative approach with predominance of psycho-
dynamic approach in a day hospital.
Methods Neurotic Personality Questionnaire KON-2006 and Life
Inventory were completed by 680 patients at the time of admis-
sion to a psychotherapeutic day hospital due to neurotic, behavioral
or personality disorders. Symptom Checklist KO “O” as a source
of information about emergence of SI was completed both at the
admission and at the end of the treatment. Among 466 patients
without SI at the admission, in 4% SI occurred at the end of the
treatment.
Results A number of neurotic personality dysfunctions
(demeanors declared) that significantly predisposed to SI emer-
gence at the end of the treatment were found: physical aggression
against close ones ( P < 0.001), grandiose fantasies (P = 0.043),
tendencies to resignation (P = 0.022) and resignation-related