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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S477

Probably, an important aspect is the anhedonia secondarily pro-

duced by neuroleptics.

Objective

We want to evaluate if Paliperidone Palmitate reduces

addictive behaviors in a small group of psychotic patient who have

agreed to recived injection after the switch from other antipsy-

chotics.

Method

We have identified four individual with chronic use of

drugs of abuse in aMental Health Center. These subjects were abus-

ing alcohol, cannabis, spice and benzodiazepine. We administered

before new treatment and after 2 months the Snaith-Hamilton

Pleasure Scale of Snaith et al. (1995) and the Leeds Dependence

Questionaire of Raistrick et al. (1994).

Results

The hedonic tone tends to improve and the addictive

behavior decreased.

Conclusion

The therapywith Paliperidone Palmitato is associated

with a reduction of the addictive behaviors but we need studies

with a larger number of patients.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1387

Consultation liaison psychiatry and

psychosomatics

EV403

Mental health and hearing

impairment - A German survey

M. Abdel-Hamid

1 ,

, K. Tretbar

2

, M. Grabemann

3

,

S. Meyer-Rötz

1

, N. Scherbaum

3

, W. Jens

1

, B. Kis

1

1

University Medicine Göttingen, Department of Psychiatry,

Göttingen, Germany

2

University Clinic Leipzig- Cochlea-Implant-Center Leipzig,

Department of Medicine, Leipzig, Germany

3

LVR-Clinics Essen- University Clinic- University of Duisburg-Essen,

Department of Psychiatry, Essen, Germany

Corresponding author.

Introduction

Only few international studies have focused on

mental diseases among the hearing-impairedpopulation. However,

Fellinger et al. (2012) underline the high discrepancy between the

current and future demand of mental treatment and the simulta-

neous impeded access to health care.

Aims

The aim of this multicenter project is to conduct the first

analysis of mental diseases among the hearing-impaired popu-

lation in Germany in order to quantify and qualify the specific

demands of treatment.

Objectives

In order to achieve this aim, we compiled an extensive

questionnaire battery.

Methods

This questionnaire battery measured sociodemo-

graphic data, non-verbal intelligence, quality of life, perception and

suffering from stress, psychosomatic symptoms as well as person-

ality traits.

Results

Our three samples consisted of 21 hearing-impaired

patients with a history of mental diseases (EG-HI), 21 hearing-

impaired subjects without mental diseases (CG-HI) and 21 hearing

participants without any psychological disease (CG-H). Compared

to the two control groups, the EG-HI shows significantly higher

rates in different fields, i.e. participants perceive a lower quality

of life, suffer from more psychosomatic symptoms and show more

pronounced personality traits. The two control groups did not differ

significantly from each other.

Conclusions

Certain psychological characteristics among

hearing-impaired patients can be detected which need to be

accounted for in treatment. Furthermore, a hearing impairment is

not inevitably linked to a reduced quality of life or even mental

disorders. Therefore, future research should focus on risk factors

and protective factors which could prevent mental diseases among

the hearing-impaired population.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1388

EV404

Psychogenic stuttering: A case and

review

A. Almada

1 ,

, R . S

imões

2 , M.

Constante

1 , P. C

asquinha

1 ,

M.J. Heitor

1

1

Hospital Beatriz Ângelo, Psychiatry, Loures, Portugal

2

Hospital Beatriz Ângelo, Neurology, Loures, Portugal

Corresponding author.

Introduction

Stuttering is a speech disorder characterized by

involuntary repetition, prolongation or cessation of a sound. This

dysfluencymay be developmental or acquired. Acquireddysfluency

can be classified as neurogenic or psychogenic.

Objectives

This case report aims to describe and discuss a case

of psychogenic stuttering, providing an updated review on this

disorder.

Methods

In and outpatient interviews were performed by Neu-

rology and Psychiatry. Investigation to exclude organic causes

included lab exams, electrocardiogram, electroencephalography,

computed tomography scan and magnetic resonance imaging. A

literature review in Science Direct database, with the keywords

“psychogenic stuttering”, was also conducted.

Results

A 63-year-old man was admitted to the Beatriz Ângelo

Hospital with an acute stuttering. Speech was characterized by the

repetition of initial or stressed syllables, little affected by reading

out loud or singing. Comprehension, syntaxes and semantic were

not compromised, as weren’t sensory and motor abilities. Dur-

ing admission, stuttering characteristics changed. Multiple somatic

complaints and stress prior to the onset and bizarre secondary

behaviors were also detected. Work-up didn’t show an organic

etiology for that sudden change. An iatrogenic etiology was con-

sidered, as sertraline and topiramate were started for depression 1

month before. However, the stuttering pattern, the negative results,

the psychological and the social life events suggested a psychogenic

etiology.

Conclusions

Psychogenic stuttering finds its origin in psycholog-

ical or emotional problems. It is best classified as a conversion

reaction. The differential diagnosis between psychogenic and neu-

rological stuttering can be challenging.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1389

EV405

Illness or simulation

A.M. Alvarez Montoya

1 ,

, C. Diago Labrador

2

,

T. Ruano Hernandez

3

1

Algeciras, Spain

2

Clinica Privada, Psiquiatria, Algeciras, Spain

3

Clinica Privada, Psicologia Clinica, Malaga, Spain

Corresponding author.

Objectives

The revision of the differential diagnosis of simulation

cases versus real psychopathological cases. Analysis of a case of

the Ganser syndrome by revising the diagnosis criterions and their

historical characteristics.

Method

We analyze the case of a 38-year-old male who came

to the community mental health team and reference hospital. Fol-

lowing symptoms were observed: involuntary movements of the

upper extremities associated with delirium coinciding with the