European Psychiatry - Volume 33 - March 2016

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S628 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
dimensions of the TCI, only self-directedness presents a consistent
gender × age interaction. Our study confirmed that there were per-
sonality specific features in men and women. In addition, there
were personality changes with age in both temperament and char-
acter dimensions. Our research highlighted the need to take into
account both age and gender of subjects in the future analyses and
interpretations of findings from the temperament and character
inventories.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV871
Psychometric properties of the French
version of the TCI-125 in peer-report
assessments
B. Calvet ∗, M. Bricaud , J.P. Clément
1 CH Esquirol, pôle universitaire de psychiatrie de l’adulte et de la
personne âgée, Limoges, France
2 Inserm, UMR 1094, Limoges, France
3 Université de Limoges, faculté de médecine, Limoges, France
4 CH Esquirol, pôle de territoire, Limoges, France
∗ Corresponding author.
Many theories of personality have emerged, but currently, only
dimensional approaches seem able to fully capture the com-
plexity of this concept. The Cloninger psychobiological model is
organized according to temperament and character from a psy-
chobiological perspective that these variables would be related
to individual differences. This model is evaluated by the Tem-
perament and Character Inventory (TCI). Unfortunately, most of
versions of this inventory are in the self-report form. Thus, these
inventories cannot be used in a certain number of cases, especially
in situations where the subjects cannot respond by themselves.
This presentation describes the psychometric properties (inter-
nal consistency reliability, structural validity, concurrent validity,
interrater reliability and test-retest reliability) of the French TCI-
125 in peer-report form or hetero-questionnaire (TCI-125-HQ).
Studies have shown satisfactory properties for internal consistency
reliability, test-retest reliability and concurrent validity of the TCI-
125-HQ. Temperament factorial analysis found a structure in three
factors and not four, as in the theoretical model. Interrater reli-
ability highlighted that the character dimensions seemed harder
to assess compared with temperament dimensions, by the close
entourage. The TCI-125-HQ will be useful when subjects cannot
answer the TCI in self-report form because they have neurocog-
nitive disorders, in particular, memory impairment or language
disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV872
Recurrent depression over an schizoid
personality. Case report
M.C. Cancino Botell ∗ olina López , J.M. Hernández Sánchez ,
A. Pe˜na Serrano , M.D.L.A. Canseco Navarro
Consorcio hospital general universitario, psychiatry, Valencia, Spain
∗ Corresponding author.
Introduction According to Millon, personality is a “complex
pattern of psychological factors, which are mostly unconscious
and express themselves automatically in almost every functional
dimension of the subject”. It has been described how personality
traits can modify the expression of other mental diseases, leading
to confusion in diagnosis and treatment of the patient.
Method Systematic review of the literature in English (PubMed)
and clinical history of the patient. Keywords: “recurrent depression
disorder”; “schizoid personality”.
Objective To highlight the importance of making an accurate and
detailed diagnostic formulation, in patients with both mental and
personality disorders.
Case Sixty-seven-year-old woman, with many psychiatric hos-
pitalizations, secondary to a recurrent depression disorder with
psychotic symptoms and schizoid personality disorder. Both psy-
chiatric monitoring and pharmacological treatment have been
erratic. Initially, depressive episodes were considered as symptoms
of her personality disorder. However, over the years, it was pos-
sible to make a more accurate diagnosis and a better treatment
adjustment. In this case, lack of adherence is probably due to mul-
tiple factors, but no awareness of illness and personality disorder
itself are the most important ones. This fact makes the patient less
concerned about her personal care, leading to irregular treatment.
Conclusions People with schizoid, schizotypal or paranoid per-
sonality traits usually have a worse outcome, and they interfere
with the functionality of the patient. This explains the importance
of making an accurate and detailed diagnostic formulation, in order
to benefit the course of the underlying mental disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV873
Without awareness of what I am
T. Casanova ∗, J.A. Blanco Garrote , G. Isidro García ,
R. Hernández Antón , S. Gómez Sanchez , M. Hernández García ,
L. Rodríguez Andrés , A. Rodríguez Campos , C. Noval Canga ,
S. Cepedello Pérez
Hospital clínico universitario de Valladolid, Psiquiatría, Valladolid,
Spain
∗ Corresponding author.
Introduction Fifty-year-old male. As a summary note that has a
history of psychotic disorder from 25 years to coincide with the
theological studies and your income as a priest. It has continued
since then reviews and consultations in psychiatry, with two pre-
vious hospitalizations in private hospitals. It was stable with low
doses of risperidone. Apparently, it makes a routine life linked to
the activities of the church. Two months ago, he began to be irrita-
ble, suspicious, with discussions and problems at work, coinciding
with the abandonment of treatment. Since the death of her mother
a year ago has presented worsening.
Objectives It presents the case of a patient who has no awareness
of illness.
Methods Psychopathological examination: conscious, oriented,
scarcely manageable. Psychomotor restlessness. Expansive while
maintaining distances, dysphoric and irritable. Verbiage. Ideas
prejudice family-centered. There appears to be perceptual distur-
bances. Sleep-wake rhythms preserved.
Results Treatment was initiated with injectable paliperidone
administered dose of 150mg and 100mg, with 12mg of oral
paliperidone with good response progressively. At high partial
remission of symptoms, it is factual.
Conclusions The lack of awareness of the disease is non-
pharmacological factors that can make it difficult to comply with
neuroleptic treatment. These patients do not calibrate well how
important thatmedication has on the evolution of his illness. There-
fore, the therapeutic substance of such failure worsens the quality
of life of patients and their families, as well as the prognosis of their
disease presenting increasingly severe relapses.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.