European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S453
be assigned in this dichotomy created a debate, that lasts until our
days. These “atypical psychoses” had been described under many
terms and concepts in different countries.
In 1926, Kleist coined the term “cycloid psychosis” to describe cases
which did not meet the typical presentation shown in Kraepelian’s
dichotomy. Three decades later, Karl Leonhard established the con-
cept of cycloid psychosis as a nosologically independent group of
endogenous psychosis.
Objectives/Aims Make an historical review of the concept of
cycloid psychosis. Discuss the clinical features and debate the clas-
sification of this clinical entity.
Methods A bibliographical review is made of the cycloid psy-
chosis, based on the data published in Pubmed.
Results According to Leonhard, cycloid psychosis generally
present with bipolar, polymorphous clinical symptomatology, and
run a phasic course with complete remissions after each episode.
Furthermore, Leonhard delineated three subtypes: anxiety-
happiness psychosis, confusion psychosis and motility psychosis
presenting with different symptoms. In 1981, Perris and Brock-
ington formulated the first set of operational criteria for cycloid
psychoses. In recent years, new data about this entity have been
acknowledged due to information displayed by different clinical
studies and imaging techniques.
Conclusion The phenomenology and classification of cycloid psy-
chosis still needsmore evidence for a greater use in clinical practice.
However, this clinical entity can solve the void for the diagnosis of
many of the so-called “atypical psychoses”.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Cognitive neuroscience
EV328
Are neurocognition and facial
emotion recognition related in
schizophrenia?
A. Arous ∗ rizak , R. Trabelsi , A. Aissa , H. Ben Ammar ,
Z. El Hechmi
Razi Hospital, Departement Psychiatry F, Tunis, Tunisia
∗ Corresponding author.
Introduction Patients with schizophrenia (SCZ) show impair-
ments in many social cognition domains including facial emotion
recognition (FER). The existence of a relationship association
between FER and neurcognitive functioning (NF) remains uncer-
tain.
Objectives To investigate the association between ToM function-
ing and neurocognitive functioning in SCZ.
Methods FER was evaluated in 58 patients with stable
schizophrenia with a newly validated FER task constructed from
photographs of the face of a famous Tunisian actress representing
the Ekman’s six basic emotions. They also completed a neurocog-
nitive battery comprising the following tests: the Hopkins Verbal
Learning Test–Revised (HVLT-R), the Letter Digit Substitution Test
(LDST), the Stroop Test (ST), the “Double Barrage” of Zazzo (DBZ),
the Modified Card Sorting Test (MCST), Verbal Fluency (VF), the
Trail Making Test-Part A (TMT-A) and the Digit Span (DS).
Results Patients who performed better in the FER task had better
performance in the VF task (P = 0.001) and in the immediate recall
of theHVLT-R (P = 0.021). No correlationswere foundwith the other
neurocognitive tests.
Conclusions Our results suggest that FER represents an
autonomous cognitive function which does not necessarily
require good NF.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV329
Neuropsychological characteristics of
individuals with mild cognitive
impairment
Q. Wang∗ heng
Peking Union Medical College, School of Nursing, Beijing, China
∗ Corresponding author.
Introduction As the population ages, cognitive impairment is
prevalent among older adults and this may cause a huge burden
to society. In order to take precautions effectively, we need to
understand the characteristics of cognitive function of older adults,
especially the individuals with mild cognitive impairment (MCI).
Objectives To explore the characteristics of cognitive function
changes in individuals with mild cognitive impairment.
Methods A total of 108 individuals with MCI as MCI group and
108 volunteers as control group were recruited in the study. The
age, gender and years of schooling were matched between the two
groups. The cognitive function was evaluated with the Montreal
Cognitive Assessment (MoCA).
Results Individuals of MCI group performed poorer than those
of control group on executive function, attention, calculation, lan-
guage and delayedmemory. The difference between the two groups
was statistically significant (P < 0.05). The cognitive impairment
in participants with MCI were delayed memory (100%), language
(75%), executive function (66.7%), attention (44%) and calculation
(20.4%).
Conclusions The impairment of memory, language and execu-
tive function is the primary characteristics in individuals with MCI.
Individuals with MCI have similar characteristics with early stage
Alzheimer’s disease (AD). We should take preventive measures to
improve or delay AD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV330
Frontotemporal dementia and
psychosis: Literature review
D. Brandão ∗, J. Massano
1 ULSAM, Psiquiatria, Tunis, Portugal
2 Hospital Pedro Hispano, Neurologia, Porto, Portugal
∗ Corresponding author.
Introduction Frontotemporal dementia (FTD) is a progressive
neurodegenerative disease especially sporadic. About 30–40% have
positive family history, with an identifiable genetic mutation in
a percentage of cases increasing. Although the FTD psychosis has
been recognized for many years, it is not included in the clinical
criteria.
Objectives To assess the prevalence and characteristics of psy-
chotic symptoms in FTD, compare the presence of psychosis in FTD
C9+ versus C9− and analyze the occurrence of wrong diagnoses in
FTD with psychosis.
Methods Literature review, using computerized databases
(Pubmed® ). Articles were selected based on the content of their
abstract and their relevance.
Results It is frequently the presence of psychotic symptoms
in FTD associated with C9+ versus C9−. These may arise as
initial symptom often leading to a psychiatric diagnosis years