25th European Congress of Psychiatry / European Psychiatry 41S (2017) S772–S846 S777

through psychotherapy gradually release the old family roles and no firm conclusions should, however be drawn based on this
experiment with new models of behaviour and thus change inter- study.
nalized object representations. Disclosure of interest The authors have not supplied their decla-
Aim The aim of this study was to investigate changes in object ration of competing interest.
relationships and self-esteem in the psychodynamic group psy- http://dx.doi.org/10.1016/j.eurpsy.2017.01.1472
chotherapy in young patients suffering from schizophrenia.
Subjects and methods The study included a total of 41 patients
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diagnosed with schizophrenia. Before joining the psychodynamic
group therapy and after two years of participation in the treatment, The use of art therapy in complex
all patients completed a test of object relations and the Rosenberg treatment on the quality of remission
self-esteem scale. in patients with melancholy in major
Results Comparison of the results in two time periods showed
downward trend results in all tested dimensions of object rela-
depressive disorder
H. Kozhyna ∗ , V. Korostiy , S. Hmain , V. Mykhaylov
tions, a statistically significant difference was found for dimension
Kharkiv National Medical University, Psychiatry, Narcology and
symbiotic fusion: after two years of participation in the psychody-
medical psychology, Kharkiv, Ukraine
namic group psychotherapy, patients had significantly expressed ∗ Corresponding author.
less need for symbiotic relationships. Self-esteem was higher in
the second period of testing, but without statistical significance. Introduction According to studies done in recent years regarding
Conclusion Taking into account the limitations of this study, we the treatment of patients with melancholy in major depressive
can conclude that the results are encouraging. During psychody- disorder, a shift of interest from studies evaluating the effec-
namic group processes in young patients with schizophrenia there tiveness of therapy to the study of remission is seen. Despite
is a trend of positive changes in terms of object relations and significant progress in the development of pharmacotherapy of
self-esteem and a significant reduction in the need for symbiotic depressive disorders, difficulty in achieving rapid reduction in
merging. depressive symptoms and stable remission in patients with melan-
Disclosure of interest The authors have not supplied their decla- cholic depression necessitated the search for new approaches to the
ration of competing interest. treatment of this pathology.
http://dx.doi.org/10.1016/j.eurpsy.2017.01.1471 Aims Evaluating the effectiveness of art therapy in treatment
in patients with melancholy in major depressive disorder on the
quality of remission.
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Methods The study involved 135 patients – 60 male and 75
The effectiveness of three female patients aged from 18 to 30 years old. The main group of
psychotherapies of different type and patients apart the combined treatment also participated in group
length in the treatment of patients art therapy with the use of drawing techniques, while the control
group – statutory standard therapy.
suffering from anxiety disorder Results The results of the use of art therapy in complex treatment
P. Knekt 1,∗ , O. Lindfors 2 , T. Maljanen 3 in patients with major depressive disorder is detected primarily in
1 National Institute for Health and Welfare THL, TERO/TESE, Helsinki,
reducing of the level of anxiety at the early stages of treatment (60%
Finland of patients have noticed decreasing of melancholic state), as well
2 National Institute for Health and Welfare, TERO/TESE, Helsinki,
as improving the quality of life in remission period.
Finland Conclusion These results support the use of art therapy in treat-
3 Social Insurance Institution, Research, Helsinki, Finland
∗ Corresponding author.
ment in patients with melancholy in major depressive disorder
during period of active treatment, and after achieving clinical
Introduction Data on the comparative effect of short and long- remission contributes to achieving and maintaining high-quality
term psychotherapy in anxiety disorder is scarce. and stable remission with full restoration of quality of life and social
Aim To compare the effectiveness of two short-term therapies functioning.
and one long-term psychotherapy in the treatment of patients with Disclosure of interest The authors have not supplied their decla-
anxiety disorder. ration of competing interest.
Methods Altogether 50 outpatients with anxiety disorder as http://dx.doi.org/10.1016/j.eurpsy.2017.01.1473
the only axis I diagnosis, were randomly assigned to long-term
psychodynamic psychotherapy (LPP), short-term psychodynamic
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psychotherapy (SPP), and solution-focused therapy (SFT) and were
followed for 5 years. The outcome measures were psychiatric Pollyanna syndrome in
symptoms, working ability, need for psychiatric treatment, remis- psychotherapy-or pseudotherapy.
sion, and cost-effectiveness. Counseling, consoling or
Results During the first year of follow-up, no significant dif-
ferences in the effectiveness between the therapies were noted.
counterfeiting?
B. Latecki
During the following 3 years, LPP and SFT more effectively reduced
Life Empangeni Private Hospital, Psychiatric private practice,
symptoms, improved work ability, and elevated the remission rate
Empangeni, South Africa
than SPP. No significant differences between LPP and SFT were seen.
At the end of the follow-up, the use of auxiliary treatment was Pollyanna syndrome, the name being taken from a book of the
lowest in the SFT group whereas remission rates or changes in psy- same title, means “an excessively or blindly optimistic person.”
chiatric symptom or work ability did not differ between the groups. The occurrence and danger of such attitudes in psychotherapy is
The average total direct costs were about three times higher in the discussed. Such attitudes may occur both in patients and their
LPP group than in the short-term therapy groups. therapists. Either of them may say “things will not be so bad...”
Conclusions The difference in effectiveness of LPP and SFT was attempting to console not him/himself but the other party. The
negligible, whereas SPP appeared less effective. Thus, the resource- main aim of psychotherapy is to facilitate taking responsibility
oriented SFT may be a cost-effective option in this selected patient and decisions. But there are also other aims, identical to those
group, while unconsidered allocation of patients to LPP does not attributed to philosophy in ancient times, namely, “to treat the
appear to be cost-effective. Given the small number of patients, soul” or, clinically speaking, to provide consolation. This is usu-

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