European Psychiatry - Volume 41 - April 2017

781 / 916

25th European Congress of Psychiatry / European Psychiatry 41S (2017) S772–S846 S777
through psychotherapy gradually release the old family roles and
experiment with new models of behaviour and thus change inter-
nalized object representations.
Aim The aim of this study was to investigate changes in object
relationships and self-esteem in the psychodynamic group psy-
chotherapy in young patients suffering from schizophrenia.
Subjects and methods The study included a total of 41 patients
diagnosed with schizophrenia. Before joining the psychodynamic
group therapy and after two years of participation in the treatment,
all patients completed a test of object relations and the Rosenberg
self-esteem scale.
Results Comparison of the results in two time periods showed
downward trend results in all tested dimensions of object rela-
tions, a statistically significant difference was found for dimension
symbiotic fusion: after two years of participation in the psychody-
namic group psychotherapy, patients had significantly expressed
less need for symbiotic relationships. Self-esteem was higher in
the second period of testing, but without statistical significance.
Conclusion Taking into account the limitations of this study, we
can conclude that the results are encouraging. During psychody-
namic group processes in young patients with schizophrenia there
is a trend of positive changes in terms of object relations and
self-esteem and a significant reduction in the need for symbiotic
merging.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1142
The effectiveness of three
psychotherapies of different type and
length in the treatment of patients
suffering from anxiety disorder
P. Knekt ∗ Lindfors aljanen
1 National Institute for Health and Welfare THL, TERO/TESE, Helsinki,
Finland
2 National Institute for Health and Welfare, TERO/TESE, Helsinki,
Finland
3 Social Insurance Institution, Research, Helsinki, Finland
∗ Corresponding author.
Introduction Data on the comparative effect of short and long-
term psychotherapy in anxiety disorder is scarce.
Aim To compare the effectiveness of two short-term therapies
and one long-termpsychotherapy in the treatment of patients with
anxiety disorder.
Methods Altogether 50 outpatients with anxiety disorder as
the only axis I diagnosis, were randomly assigned to long-term
psychodynamic psychotherapy (LPP), short-term psychodynamic
psychotherapy (SPP), and solution-focused therapy (SFT) and were
followed for 5 years. The outcome measures were psychiatric
symptoms, working ability, need for psychiatric treatment, remis-
sion, and cost-effectiveness.
Results During the first year of follow-up, no significant dif-
ferences in the effectiveness between the therapies were noted.
During the following 3 years, LPP and SFT more effectively reduced
symptoms, improved work ability, and elevated the remission rate
than SPP. No significant differences between LPP and SFTwere seen.
At the end of the follow-up, the use of auxiliary treatment was
lowest in the SFT group whereas remission rates or changes in psy-
chiatric symptomor work ability did not differ between the groups.
The average total direct costs were about three times higher in the
LPP group than in the short-term therapy groups.
Conclusions The difference in effectiveness of LPP and SFT was
negligible, whereas SPP appeared less effective. Thus, the resource-
oriented SFT may be a cost-effective option in this selected patient
group, while unconsidered allocation of patients to LPP does not
appear to be cost-effective. Given the small number of patients,
no firm conclusions should, however be drawn based on this
study.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1143
The use of art therapy in complex
treatment on the quality of remission
in patients with melancholy in major
depressive disorder
H. Kozhyna∗, V. Korostiy , S. Hmain , V. Mykhaylov
Kharkiv National Medical University, Psychiatry, Narcology and
medical psychology, Kharkiv, Ukraine
∗ Corresponding author.
Introduction According to studies done in recent years regarding
the treatment of patients with melancholy in major depressive
disorder, a shift of interest from studies evaluating the effec-
tiveness of therapy to the study of remission is seen. Despite
significant progress in the development of pharmacotherapy of
depressive disorders, difficulty in achieving rapid reduction in
depressive symptoms and stable remission in patients with melan-
cholic depression necessitated the search for newapproaches to the
treatment of this pathology.
Aims Evaluating the effectiveness of art therapy in treatment
in patients with melancholy in major depressive disorder on the
quality of remission.
Methods The study involved 135 patients – 60 male and 75
female patients aged from 18 to 30 years old. The main group of
patients apart the combined treatment also participated in group
art therapy with the use of drawing techniques, while the control
group – statutory standard therapy.
Results The results of the use of art therapy in complex treatment
in patients with major depressive disorder is detected primarily in
reducing of the level of anxiety at the early stages of treatment (60%
of patients have noticed decreasing of melancholic state), as well
as improving the quality of life in remission period.
Conclusion These results support the use of art therapy in treat-
ment in patients with melancholy in major depressive disorder
during period of active treatment, and after achieving clinical
remission contributes to achieving and maintaining high-quality
and stable remissionwith full restoration of quality of life and social
functioning.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1144
Pollyanna syndrome in
psychotherapy-or pseudotherapy.
Counseling, consoling or
counterfeiting?
B. Latecki
Life Empangeni Private Hospital, Psychiatric private practice,
Empangeni, South Africa
Pollyanna syndrome, the name being taken from a book of the
same title, means “an excessively or blindly optimistic person.”
The occurrence and danger of such attitudes in psychotherapy is
discussed. Such attitudes may occur both in patients and their
therapists. Either of them may say “things will not be so bad...”
attempting to console not him/himself but the other party. The
main aim of psychotherapy is to facilitate taking responsibility
and decisions. But there are also other aims, identical to those
attributed to philosophy in ancient times, namely, “to treat the
soul” or, clinically speaking, to provide consolation. This is usu-