European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S69–S105 S71
Results A total of 175 patients was randomized. At 3-month
follow-up, patients randomized to intervention reportedmore days
abstinent and less drug use severity than patients randomized to
treatment as usual. In addition, patients randomized to interven-
tion were at lower risk of dropout after intervention. In addition,
patients randomized to intervention were more likely to report
having received help for antisocial personality disorder at follow-
up interviews.
Conclusions A brief psychoeducational intervention may
improve outcomes for outpatients with antisocial personality
disorder.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
O006
Childhood parental childrearing
differently influences on adulthood
fears, agoraphobia and navigation
strategy selection in females and
males
J. Kállai ∗, S. Rózsa , G. Vincze , L. Martin , Á. Csathó ,
K. Dorn , I. Török
1 University of Pécs, Institute of Behavioral Sciences, Pécs, Hungary
2 Eötvös Loránd University, Institute of Psychology, Budapest,
Hungary
3 Pándy Kálmán Country Hospital, Gyula, Hungary
4 Kaposvár University, Department of Pedagogy and Psychology,
Kaposvár, Hungary
5 University of Pécs, Pediatric Clinic, Pécs, Hungary
6 Semmelweis University, Department of Applied Psychology,
Budapest, Hungary
∗ Corresponding author.
Introduction Using self-report assessment methods, the present
study examined affective factors that influenced the gender spe-
cific use of a survey-based orientation strategy and landmark-based
route-finding strategy in an unfamiliar environment. First, we ana-
lyzed the role of early navigation experiences and the influence of
early parental attachment (emotional warmth, overprotection and
rejection) on way finding strategy. Second, the study analyzed the
intercorrelations between way finding strategies and fear-related
avoidance behavior and anxiousness.
Methods Three hundred and sixteen male and female students
were recruited in a study to analyze the relationships between
navigation strategies, fears, early parental childrearing behavior
and navigation experiences. We proposed that use of navigation
strategy depends on not only the physical features of the current
environment and the participants’ gender, but also fears of closed
and opened spaces and types of perceived parental childrearing
behavior.
Results We found that when exploring strange places, females
used a route-finding strategy in contrast to males who used an
orientation strategy for exploring a strange environment. Fear
enhanced the preference for a route-finding strategy in both
females and males. A route-finding strategy was associated with
agoraphobic scores in females and with social fears in males.
Perceived rejection from father and emotional warmth from
mother together induces usage of route-finding navigation strat-
egy.
Conclusion The family background influence on the capability to
have personal experiences in unfamiliar environment and to cope
with fears and behavioral avoidance in strange opened and closed
places.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
O007
Reasons for acute psychiatric
admissions and psychological
interventions for patients with
borderline personality disorder
N.P. Lekka∗, G. Carr , T. Gilpin , B. Eyo
Sheffield Health and Social Care Foundation Trust, Acute Inpatient
Service, Sheffield, United Kingdom
∗ Corresponding author.
Introduction NICE guidelines advise to consider admission for
patients with borderline personality disorder (BPD) for the man-
agement of crises involving significant risk to self or others.
Furthermore, to consider structured psychological interventions
of greater than three months’ duration and twice-weekly sessions
according to patients’ needs and wishes.
Objectives We aimed to assess reasons for admission and access
to psychological interventions in an acute inpatient BPD popula-
tion.
Methods Case notes of patients with a diagnosis of BPD (ICD-10
F60.3 and F60.31), discharged from four acute general adult wards
in Sheffield during a period of twelve months were studied ret-
rospectively, using a structured questionnaire based on BPD NICE
guidance.
Results Of the 83 identified BPD patients, seventy-eight percent
were female and 82% between 16–45 years old. Eleven patients had
four or more admissions. Eighty percent reported suicidal ideation
at admission, with 50% having acted on it (70% by overdose, 50%
cutting, 10% hanging). Of this cohort, 58% reported they intended
to die. Psychosocial factors at admissionwere identified in 59 cases,
including relationship breakdown (47.5%), alcohol/drug use (30.5%)
and accommodation issues (17%). Disturbed/aggressive behaviour
was documented in 27.1% of these cases. Sixty-eight percent of
patients had psychology input in the 5 years preadmission: 38%
(21 patients) received structured therapy, whilst 62% received only
one assessment or advise to teams.
Conclusions Patientsweremainly admitted for riskmanagement.
A high proportion received unstructured psychological inter-
ventions. Services offering structured psychological interventions
should be supported, as hospitalisations only temporarily address
BPD patients’ suicidality and psychosocial difficulties.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
O008
Assessing the role of weight
suppression (WS) and weight loss rate
(WLR) in eating disorders
G. Miotto∗, I. Chiappini , A. Favaro , P. Santonastaso , D. Gallicchio
Università degli Studi di Padova, Clinica Psichiatrica, Padova, Italy
∗ Corresponding author.
Introduction and aims In this study, we aim to assess the role
of weight suppression (WS) in eating disorders, not only from a
quantitative point of viewbut also assessing the speed of theweight
loss by using a new parameter: the weight loss rate (WLR). We
analysed the role of these two indexes in different eating disorders
domains, considering both eating behaviours and outcome profiles.
Methods The sample consisted of 414 patients, including 62 with
AN binge purge subtype (ANBP), 146 with AN restrictive subtype
(ANR) and 206 with bulimia nervosa (BN). Data about response
to treatment were available for a subsample of 201 patients. A
cross-sectional design was used for the clinical symptoms detected
during the initial assessment and a longitudinal designwas adopted
for the response to treatment analysis.
Results No significant relationship emerged between both WS
and WLR and variables collected at baseline assessment. We