Table of Contents Table of Contents
Previous Page  165 / 812 Next Page
Information
Show Menu
Previous Page 165 / 812 Next Page
Page Background

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

S161

Aims

The aim is to provide useful information regarding this fre-

quent, often disregarded, comorbidity.

Methods

Our results proceed from the Andalusian delusional

disorder case-register (DelirAnda). We reviewed 1927 clinical his-

tories of patients diagnosed of delusional disorder. Upon having

verified the diagnosis following DSM-V criteria, we recollected data

on the prevalence of blindness andhearing loss, whichwere defined

based on clinical diagnosis.

Results

One thousand four hundred and fifty-two patients

matched DSM-5 delusional disorder criteria. Among them, 49.8% of

our sample were women. The overall prevalence of sensory deficits

was 7.4%, 3.5% of the patients with delusional disorder were blind,

while 3.9% of them suffered from hearing loss.

Conclusions

Our results are consistent with previous studies,

such as the Deliremp study, which found a 5.7% prevalence of sen-

sory deficit among delusional disorder patients. These results show

a higher prevalence of sensory deficit among delusional disorder

patients compared with the general population. However, causal-

ity could not be established. Further study should be undertaken

regarding the relationship between these two conditions.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.249

EW132

Comorbidity between delusional

disorder and chronic physical

conditions. Results from the

Deliranda case register

A. Porras Segovia

1 ,

, C. Carrillo de Albornoz Calahorro

2

,

M. Guerrero Jiménez

2

, J. Cervilla Ballesteros

1 , 3

1

University Hospital San Cecilio, Mental Health Services, Granada,

Spain

2

Santa Ana Hospital, Mental Health Services, Motril, Spain

3

University of Granada, Psychiatry Department, Granada, Spain

Corresponding author.

Introduction

Mental disorders are often comorbid with chronic

physical conditions. This relationship has been looked into in some

mental disorders, such as depression or schizophrenia. However,

very few studies have explored this comorbidity in the delusional

disorder.

Objectives

The objective of this study is to establish the preva-

lence of common chronic medical conditions across delusional

disorder.

Aims

The aim is to provide useful information regarding this fre-

quent, often disregarded, comorbidity.

Methods

Our results proceed from the Andalusian delusional

disorder case-register (DelirAnda). We reviewed 1927 clinical his-

tories of patients diagnosed of delusional disorder. Upon having

verified the diagnosis following DSM-5 criteria, we recollected data

on the prevalence of 10 different medical conditions, which were

defined based on clinical diagnosis.

Results

One thousand four hundred and fifty-two patients

matched DSM-5 delusional disorder criteria. Among them, 49.8%

of our sample were women. The overall prevalence of medical con-

ditions was 66%. Thirty-one percent of the patients with delusional

disorder had only one comorbid physical condition, 20% of them

suffered from two conditions, and 15% of them had three or more

chronic conditions. The most prevalent physical condition among

delusional disorder patients was diabetes, affecting 16% of these

patients.

Conclusions

Chronic physical conditions are highly prevalent

among patients with delusional disorder. Comorbid physical con-

ditions may have an important impact on the course of delusional

disorder. A correct diagnosis and treatment of this comorbidity

should be made to help improve the prognosis and life quality of

these patients.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.250

EW133

Punding in Parkinson’s disease: To a

better understanding of a common

phenomenon between Parkinson’s

disease and addictions

A. Tremey

, I. de Chazeron , G. Brousse , P.M. Llorca

CHU Clermont-Ferrand, psychiatry, Clermont-Ferrand, France

Corresponding author.

Introduction

Punding is a stereotypical motor behaviour charac-

terized by a repetitive, excessive and non-goal oriented activity

that causes an important loss of time. Since its first description in

psychostimulant addicts, data on punding has only derived from

studies on Parkinsonian patients treated with dopaminergic drugs.

Little is known in the literature about Parkinsonian patient’s char-

acteristics who suffer from punding.

Objective

We propose to study characteristics of Parkinsonian

“punders” in order to investigate the pathophysiology of this phe-

nomenon.

Methods

In this retrospective study, we use the “Ardouin Scale of

Behavior in Parkinson’s disease” database. This database was ini-

tially used to design a global scale to detect changes in mood and

behavior of Parkinson’s disease (PD) patients. We compared dif-

ferent variables between Parkinsonian patients who suffer from

punding with non-punder Parkinsonian patients.

Results

Eighty of the 258 patients were identified as punders.

In univariate analysis, the punder and non-punder groups differed

statistically with regard to the age of diagnostic of PD, hypersexu-

ality and dopaminergic agonist treatment. In multivariate analysis,

the punder and non-punder groups only differed statistically with

regard to dopaminergic agonist treatment (

P

= 0.05).

Conclusion

Dopaminergic agonist treatments appear to be more

represented among patients with punding in our sample. Impulse

control disorders (ICD) are known to be more common in patients

treated by dopamine agonists. Punding could be considered as the

most severe form of ICD that is linked to psychomotor stimulation

and reward mechanisms.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.251

EW134

Alexithymia and asthma

M. Turki

1 ,

, R. Naoui

1

, N. Moussa

2

, S. Sellami

2

,

I. Gassrara

1

, N. Halouani

1

, N. Hamza

1

, J. Aloulou

1

, S. Kammoun

2

,

O. Amami

1

1

Hedi Chaker University Hospital, Psychiatry Department, Sfax,

Tunisia

2

Hedi Chaker University Hospital, Pulmonary Department, Sfax,

Tunisia

Corresponding author.

Introduction

Alexithymia refers to difficulties in verbal expres-

sion of emotions, commonly observed in patients with psycho-

somatic symptoms. In this context, asthma is described as one of

psychosomatic diseases.

Objectives

Identify clinical profile of asthmatic patients and

assess the alexithymia level as well as associated factors.

Methods

We conducted a cross-sectional, descriptive and ana-

lytic study, including 30 patients followed for asthma at pulmonary

outpatient department, Hedi Chaker Hospital, Sfax, Tunisia, dur-

ing September and October 2015. We collected socio-demographic

and clinical characteristics. Asthma control level was assessed by