European Psychiatry - Volume 33 - March 2016

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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.
EV726
Mistreatment of Alzheimer’s patients:
Predictive factors
F. Ghali ∗, L. Robbana , G. Jmii , M. Karoui , F. Medini ,
I. Ben Ghzaeil , R. Rafrafi
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.
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
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.
EV728
Partial nephrectomy after
oncocytoma causing repeated lithium
poisoning with normal renal function
C. Gómez Sánchez-Lafuente ∗, R. Reina Gonzalez ,
A. Gonzalez Moreno , F. Moreno de Lara , E. Mateos Carrasco ,
A. De Severac Cano
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,