European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S710–S771 S711
other personality traits. PES could be very useful both in clinical and
research contexts.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0938
Personality dark triad: Portuguese
validation of the dirty dozen
A. Macedo . Araújo ∗ abac¸ os J. Brito
L. Mendonc¸ a . Pereira
1 Faculty of Medicine, University of Coimbra, Department of
Psychological Medicine, Coimbra, Portugal
2 Faculty of Medicine, University of Coimbra, Department of
Psychological Medicine, Macieira de Cambra, Portugal
3 Faculty of Medicine, University of Coimbra, Faculty of Medicine,
University of Coimbra, Coimbra, Portugal
∗ Corresponding author.
Introduction The Dark Triad is a term used to describe a constel-
lation of three socially undesirable personality traits: narcissism,
psychopathy, and Machiavellianism. Contrary to Altruism (the
desire to help others with no personal reward or gain), these traits
are harmful to others. Given the increased scientific interest on the
dark triad, Jonason andWebster developed a shorter questionnaire
to evaluate these three independent-yet-related constructs with
only 12 items – Dirty Dozen (D12).
Objective To investigate the psychometric properties of the Por-
tuguese version of the Dirty Dozen.
Methods A community sample composed of 286 university stu-
dents (69.2% females; mean age = 21.09 ± 2.133; range: 17–33)
answered the Portuguese preliminary versions of the Dirty Dozen
and of the Altruism dimension from HEXACO-100. To study the
temporal stability, 30 participants (66.7% females) answered the
D12 again after six weeks.
Results The EACronbach alphawas “very good” (a = 0.72). Follow-
ing Kaiser and Cattel Scree Plot criteria, three meaningful factors
were extracted which explained variance (EV) was of 54.64%: F1
Machiavellianism (EV 32.07%; a = 0.73), F2 Narcissism (13.665%;
a = 0.74), F3 Psychopathy (8.90%; a = 0.64). The test-retest correla-
tion coefficients were high, positive and significant for the total D12
and its dimensions (r > 0.70; P < 0.001). Pearson correlations of D12
total and dimensional scores and Altruismwere negative, moderate
and significant (r@ −0.30).
Conclusions The Portuguese version of Dirty Dozen has good reli-
ability and validity. It could be very useful both in clinical and
research contexts, namely in an ongoing project on the relationship
between dark triad and perfectionism traits.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0939
Suffering of the spouses of narcissistic
perverts: About two cases
S. Ben Saadi∗ Moula , O. Zerriaa , S. Chebli , R. Ghachem
Razi Hospital, Department B, Mannouba, Tunisia
∗ Corresponding author.
Introduction The narcissistic perversion is a psychoanalytical
term resulting from the association of 2 Freudian notions: per-
version and narcissism. The concept of narcissistic pervert has
no clinical validity. The companions of the narcissistic perverts
undergo moral suffering, often unknown by their entourage.
Objectives We suggest studying the trajectory of life of two wives
of narcissistic perverts.
Aims Emphasize the peculiarities of the narcissistic perverse per-
sonality.
Methods We are going to postpone 2 clinical cases of spouses of
narcissistic perverts.
Results Case 1: Mrs. A., 60-year-old, divorced once. Mother of a
girl. Shemet her current husband during themarriage of her daugh-
ter. At the beginning of their common life, Mr. M. was loving and
in the small care with his wife. After three months of the mar-
riage, Mrs. A. reported the change of character of her husband who
became aggressive, decreasing her and taking her away from her
family. He seized all her goods. She is actually getting a divorce.
Case 2: Mrs. R., 27-year-old, married Mr. C. after 9 months of
knowledge. At the beginning of their marriage, they had a good
agreement. Forced to stay at home to take care only of domestic
spots, she reported a real-life experience of neglect and emotional
carelessness, she felt belittled and isolated. At present engaged in a
divorce procedure after been physically assaulted threatened with
death.
Both women consulted for depression.
Conclusion The narcissistic perversion is a personality prob-
lem which affects as well the person involved but especially his
entourage. When you are in connection with a narcissistic pervert,
even after leaving him, you never recover from it.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0940
Low compliance to pharmacological
treatment of severe chronic illness:
Passive suicide ideation in borderline
personality disorder?
M. Bonea∗, I. Miclutia
University of Medicine and Pharmacy, Psychiatry, Cluj-Napoca,
Romania
∗ Corresponding author.
Introduction The core features of Borderline Personality Disorder
(BPD), such as deliberate self-harm, suicide attempts and demand-
ingness in interpersonal relationships persist with age, even though
impulsivity decreases. Impairing progressive disease combined
with affective instability and chronic feelings of emptiness can lead
to a desire for death.
Objectives To present a case of BPDwith severe chronic endocrine
pathology and liver cirrhosis who refused to take his treatment as
prescribed.
Methods A case report is presented and discussed.
Results We report the case of a 61-year-old man with BPD and
liver cirrhosis, complex endocrine pathology (pituitary adenoma,
diabetes insipidus and primary hypothyroidism), type 2 diabetes
mellitus with insulin therapy, essential hypertension and alcohol
use disorder. He had a history of 5 suicide attempts caused by
marked feelings of rejection and emptiness and a pattern of unsta-
ble relationships and lack of commitment, thus his marriage lasted
only 2 years. He idealized and was extremely familiar with his clin-
ician and displayedmarked affective instability (dysphoria, periods
of anger and despair, affective ambivalence towards his parents and
recurrent depressive symptoms). Because of his liver disease, the
psychotropic medication was ceased by his physician. The patient
refused to follow the rest of his treatment plan and diet as pre-
scribed, resulting in the deterioration of his somatic status. The
patient denied an active suicidal ideation, but did not explain his
non-compliance.
Conclusion The impairment from BPD and the risk of suicide per-
sist even in older age affecting the outcome of co-morbid somatic
conditions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.