European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S451
Conclusions DSM V changes in mental retardation diagnosis and
classification allows a better perspective of the disease and its
impact of functionality.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV321
A case of acute and transient
psychosis–What to expect?
M. Oliveira ∗ ebelo , A.S. Costa , C. Santos
Centro Hospitalar São João, EPE, Psychiatry and Mental Health Clinic,
Porto, Portugal
∗ Corresponding author.
Introduction The Tenth Revision of the International Classifica-
tion of Diseases (ICD-10) introduced the category of Acute and
transient psychotic disorders (ATPD), that assimilate clinical con-
cepts such as the French Bouffée Délirante, Kleist and Leonhard’s
cycloid psychosis, and the scandinavian reactive psychosis.
Methods and aims The authors present a clinical case of ATPD
and a literature review based on PubMed/MEDLINE, using the key-
words: “acute and transient psychotic disorder”, “prognosis” and
“diagnostic stability”, aiming to discuss themain challenges regard-
ing the diagnosis, treatment and prognosis.
Results The patient is a male with 37 years old with two previ-
ous psychotic episodes (with 2.5 years of interval), both with an
acute onset (of 7 and 3 days respectively), and a fast response
to antipsychotic treatment, with periods of complete symptom’s
remission. Hemaintains treatmentwith 6mg of paliperidone. In the
literature, we found scarce information on ATPD. Though several
variables have been described as having influence on the progno-
sis (gender, pre-morbid functioning, acute onset and presence of
affective symptoms), this topic remains controversial. Another dif-
ficult aspect about ATPD seems to be its low diagnostic stability,
with diagnosis changing mostly to Schizophrenia, Schizoaffective
disorder and Bipolar disorder. Duration of treatment after com-
plete remission of symptoms is another controversial aspect of this
disease.
Conclusions ATPD seems to have low diagnostic stability and
poor research investment, and so it represents a challenge for psy-
chiatrists on managing these patients in terms of treatment and
follow-up plan. Further studies should be held regarding prognosis
and treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV322
Folie à deux through a case report
L. Pérez Gómez ∗, A. Barrio Nespereira ,
A. González Fernández ,
O.W. Muquebil Ali Al Shaban Rodríguez , C.F. Rueda Rodríguez
1 CSM El Coto, MIR Psiquiatría, Oviedo, Spain
2 AGC de Salud mental del Hospital de Cabue˜nes, PIR, Gijón, Spain
3 Hospital San Agustin, Unidad de Psiquiatría, Avilés, Spain
4 Centro de Salud Mental de Mieres, Psiquiatría, Mieres, Spain
5 CTI Montevil, Psiquiatría, Gijón, Spain
∗ Corresponding author.
Introduction The first reference to the shared delusions emerged
in France in the nineteenth century. Shared delusions can be classi-
fied in three frames with different nosological value: simultaneous
folie à deux, imposed folie à deux and communicated folie à deux.
Objectives A review of the structures of presentation of this
psychiatric disorder through a case report and checking the catego-
rization of the classic folie à deux in the current diagnostic manuals.
Methods Discussion through a case report of delusional disorder
among twins. After several interviews with the patients we found
that both have a complex delusional system, structured and bizarre
at the same time. Therewas a clearly paranoid tinge in the narration
which main theme is religion.
Results Delusional clinical appears identically and simultane-
ously in both subjects with equal readiness and doesn’t give up
after the admission of the patients in two different psychiatric hos-
pitalization units.
Conclusions In the ICD-10 and DSM-5, diagnostics would be dif-
ferent depending on the kind of folie à deux. In simultaneous folie
à deux and communicated folie à deux the dominant partner would
receive a diagnosis of delusional disorder with ICD-10 and DSM-
5. The acceptor partner would receive a diagnosis of delusional
disorder induced with the ICD-10 and a diagnosis of unspecified
schizophrenia spectrum and other psychotic disorder with the
DSM-5. In a simultaneous folie à deux, both subjects would have
a diagnosis of delusional disorder in both manuals. We think that
this is the right choice.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV323
Presentation of the Comprehensive
and Brief International Classification
of Functioning, Disability and Health
Core Sets (ICF-CS) for schizophrenia
O. Pino ∗, G. Guilera , E. Rojo , J. Gómez-Benito
1 Hospital Benito Menni CASM, University of Barcelona, Psychiatry,
Barcelona, Spain
2 University of Barcelona, Methodology and Behavioural Sciences,
Barcelona, Spain
3 Hospital Benito Menni CASM, University International of Catalonia,
Psychiatry, Barcelona, Spain
∗ Corresponding author.
Objective The aim this presentation is present the results of the
preparatory studies were presented at an international consensus
conference, a multi-stage, iterative, decision-making and consen-
sus process that took place 12–14 May 2015 in Barcelona, Spain.
At this consensus conference, schizophrenia experts from different
countries worldwide and working in a broad range of professions
decided which ICF categories should be included in the first version
of the ICF Core Sets for schizophrenia.
Method Four preliminary studies intend to capture the
researcher’s perspective, the patient’s perspective, the expert’s
perspective and the clinician’s perspective, respectively, on the
most relevant aspects of functioning of persons living with
schizophrenia. The final definition of ICF Core Sets for schizophre-
nia have been determined by integrating the results of preliminary
studies in a consensus conference with international expert.
Result The experts included 97 categories in the Comprehensive
ICF Core Set and 25 categories in the Brief ICF-CS. The specific
categories of each ICF-CS are shown in this presentation. The
Comprehensive ICF-CS can guide multidisciplinary assessments of
functioning in persons with schizophrenia, and the brief version is
ideal for use in both clinical and epidemiological research, since it
includes a small and practical number of categories, but sufficiently
wide for finding utility in clinical assessments.
Conclusion ICF-CS are being designed with the goal of provid-
ing useful standards for research, clinical practice and teaching,
and it will stimulate research and will improve understanding of
functioning, health and environmental factors in schizophrenia.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.