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S582

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

22,66% (

n

= 13) of them lost their profession since the beginning

of assistance’s relationship. Among caregivers, 8% were forced to

leave their homes to be closer to their ailing sibling.

Conclusion

Our results reflect the distress of informal caregivers

of Alzheimer’s patients, the importance of their involvement and

the adverse consequences on their quality of life and professional

activities.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1710

EV726

Mistreatment of Alzheimer’s patients:

Predictive factors

F. Ghali

1 ,

, L. Robbana

2

, G. Jmii

2

, M. Karoui

2

, F. Medini

2

,

I. Ben Ghzaeil

3

, R. Rafrafi

4

1

Ariana, Tunisia

2

Razi Hospital, Psychiatry, Mannouba, Tunisia

3

Razi Hospital, Neurology, Mannouba, Tunisia

4

Mongi Slim Hospital, Psychiatry, Tunis, Tunisia

Corresponding author.

Introduction

Violence against elderly persons is an intricate

social, legal and ethic issue. Alzheimer’s patients are the most vul-

nerable individuals to mistreatment and neglect. The aggressor can

be even the main helper of the patient. We noticed a wide underes-

timation of this phenomenon, which remains taboo subject in our

society.

Objectives and methods

The aim of our study is to identify pre-

dictive factors of mistreatment of Alzheimer’s patients through a

prospective and descriptive study, within patients following in the

department of neurology in Razi’s hospital.

– We evaluate cognitive function (MMSE) and the importance of

behavioural disorders.

– We explored helpers’ sociodemographic characteristics and the

quality of aid relationship.

– Anger and hostility within relationship were estimated through

family attitude scale.

Results

-Our sample accounts 60 informal caregivers predomi-

nately female (91,7%) with an average age of 49,67 years, mostly

are married (71,66%) and jobless (38,88%).

– In 78,3% of cases, caregivers spent about 12 to 24 hours per day

with Alzheimer’s patient.

– The average score of FAS was about52,4%with an important emo-

tional charge (score > 60).

– Twenty-five caregivers wished the death of the patient and 42

others admitted being sarcastic with him.

– We noticed a correlation between mistreatment and both cogni-

tive function and behavioural disorders.

Conclusion

Our results support the fact that mistreatment of peo-

ple with dementia is closely related with the exhausting situation

of the main caregiver.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1711

EV727

Questions about dementia with Lewy

bodies, personal beliefs and real

performance for financial capacity

tasks

V. Giannouli

, M. Tsolaki

Aristotle University of Thessaloniki, School of Medicine, Thessaloniki,

Greece

Corresponding author.

Introduction

Although cognitive impairment occurs early in the

course of dementia with Lewy bodies, little is known about DLB

and its impact on more complex civil capacities, such as financial

capacity.

Method

Three patients (mild DLB, severe DLB and MCI in DLB)

were examined. Their total scores and (sub)scores on a financial

capacity test revealed below normal (more than 1.5–2 SDs below)

performance in contrast to cognitive intact elders (see

Table 1 ).

Results

This is in contrast with their personal beliefs of financial

capacity, which reflect a tendency to overestimate their level of

financial capacity as recorded on a Likert-scale questionnaire.

Conclusions

The findings prompt a need for further research for

an emerging problem in forensic psychiatry, that takes the form of

the question: do all DLB patients – even in the stage of MCI – have

the capacity for financial transactions?

Table 1

Patient A Patient B Patient C Healthy

elders

(

n

= 146)

Sex

Female Female Female

Age

78

72

83

Education

6

12

2

MMSE or HINDI

17

27

21

> 26

FRSSD

13

1

7

< 5

GDS

6

5

2

< 6 or 7

Legal Capacity for

Property Law

Transactions

Assessment Scale

(LCPLTAS total score)

88

124

77

207.56

(13.64)

Basic monetary skills

4

12

4

13.78 (.95)

Cash transactions

1

4

0

7.84 (.54)

Bank statement

management

1

4

0

7.69 (.94)

Bill payment

3

7

3

7.81 (.62)

Financial conceptual

knowledge

15

27

9

31.36 (2.10)

Financial decision

making

44

50

47

111.43 (7.88)

Knowledge of personal

assets

20

20

14

27.62 (1.41)

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1712

EV728

Partial nephrectomy after

oncocytoma causing repeated lithium

poisoning with normal renal function

C. Gómez Sánchez-Lafuente

1 ,

, R. Reina Gonzalez

2

,

A. Gonzalez Moreno

1

, F. Moreno de Lara

1

, E. Mateos Carrasco

1

,

A. De Severac Cano

1

1

Hospital Universitario Virgen de la Victoria, Psychiatry, Málaga,

Spain

2

Hospital Regional Universitario, General Practitioner, Málaga, Spain

Corresponding author.

Introduction

Lithium has been widely used as mood stabilizer in

bipolar disease, despite its narrow therapeutic range and its side

effects. Sodium levels and water consumption could affect lithium

renal elimination.

Aims

Describe a lithium intoxication without risk factors and

normal kidney function.

Methods

A 71-year-old female, diagnosed with bipolar disorder,

current episode euthymic. On treatment with lithium 800mg/day,