European Psychiatry - Volume 33 - March 2016

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S630 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Introduction Borderline Personality Disorder (BPD) is a severe
psychiatric health problem with a reputation of being difficult to
deal with and to treat. Significant Others (SOs) of patients with
BPD show higher levels of psychological distress compared with
the general population. Strengthening the coping strategies of SOs
has been shown to play an important role in the recovery of the
person with psychiatric health problems. Research around SOs of
personswithBPD is, to our knowledge, scarce, especially qualitative
research exploring their experiences.
Objective We believe that if the personnel working in health care
and psychiatric care are able to better understand SOs experiences
and life situation, it could be an important step toward improved
care.
Aim The aim of this study was to describe SOs experiences of
living close to a person with BPD and their experience of encounter
with psychiatric care.
Methods Data were collected by free-text questionnaires and
group interviews and were analyzed by qualitative content anal-
ysis.
Results and conclusion The results revealed four categories: a life
tiptoeing; powerlessness, guilt, and lifelong grief; feeling left out
and abandoned; and lost trust. The first two categories describe
the experience of living close to a person with BPD, and the last
two categories describe encounter with psychiatric care.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV878
Borderline personality disorder in
adolescence. Prevention and early
intervention from a cognitive analytic
approach
E. Gimeno ∗ hiclana
University CEU San Pablo, department of psychology, Madrid, Spain
∗ Corresponding author.
Introduction Borderline personality disorder begins in adoles-
cence, however, its diagnosis is subject to some controversy and
tends to be underdiagnosed. Stigma associated with its diagnosis,
comorbidity with other axis I disorders or the changeable sense of
identity during adolescence are some of the elements that obscure
the diagnosis. Increasingly, recent studies have shown the utility
of prevention programs as well as instituting early intervention in
adolescents, with very hopeful outcomes.
Objectives The aim of this study is to review the benefits
derived from early prevention and intervention programs in ado-
lescents with borderline symptoms from a cognitive analytic
approach.
Methods A systematic review for scientific articles extracted
from research databases including Dialnet, EBSCO, Pubmed, Unika
and Scholar Google was conducted. Other high-impact studies in
the field were also included.
Results Evidence reported by reviewed articles supports Cogni-
tive analytical therapy as one of themost successful approaches, the
same as Mentalization based therapy, in the treatment of Border-
line personality disorder. From this approach, prevention and early
intervention have shown their effectiveness in reducing borderline
symptoms and risk factors besides they contribute to interpersonal
functioning improvement.
Conclusions Prevention and early intervention constitute the
main pillars to prevent the potential development of Borderline
personality disorder or its evolution in more complex and irre-
versible forms. But this intervention must be carried not only in
young already diagnosed, but also in those who are on the diagnos-
tic threshold, presenting risk factors for further development.
Keywords Cognitive analytic therapy; Borderline personality
disorder; Adolescents; Early intervention; Prevention
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV879
Paliperidone palmitate study in
patients with personality disorder
M.A. Gutierrez Ortega ∗ . María Dolores A. Manue
M.M. Esther
1 University hospital of Burgos, Residente medical of psychiatry,
department of psychiatry, university hospital of Burgos, Burgos, Spain
2 Divino Vallés hospital, department of psychiatry, Burgos, Spain
∗ Corresponding author.
Introduction Personality disorders are chronic affectation of
mood, impulsivity, aggression and anxiety. It is thought to have
biological factors related to the development of personality disor-
ders.
Aims To evaluate and compare the efficacy of injectable paliperi-
done in actual clinical practice of patients diagnosed with
Personality Disorder, compared to other treatments.
Methods We conducted a descriptive, restrospective and obser-
vational study from January 2012 to June 2015 including all the
patients who are treated with paliperidone palmitate extended-
release injectable suspension with a diagnosis of Personality
Disorder according to DSM 5. We included patients with at least 12
months of treatment and the resultswere comparedwith respect to
the 12 months prior to taking said drug. Variables studied: medical
diagnosis, hospital admissions, average length of stay, total number
of emergency visits or other devices, maintenance doses.
Results We recruited 14 patients (7 women and 7 men) with a
mean age of 36.2. 64.29% of patients had borderline personality dis-
order; 21.43% unspecified personality disorder. The mean dose of
maintenance treatment is 105.357. Before the treatment, the quan-
tity of total number of hospital admission are 1.14 versus 0.429
after treatment. The number of stay is also decreased from 13.7
to 3.5; like emergency room visits or to other devices. 78.57% of
patients continue to psychopharmacological treatment. Fifty per-
cent of patients undergoing treatment with another antipsychotic
(P < 0.05).
Conclusions The present results show that paliperidone palmi-
tate can be an effective way to control the most characteristic
symptoms of Personality Disorders, and reducing emergency visits,
hospitalisations and other devices.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV880
Malignant narcissism: The notorious
case of Jean-Claude Romand
Y. Lazaro ∗, I. Mesian , A. Perez , I. Madrazo , R. Baena
1 Hospital Clínico San Carlos, psychiatry, Madrid, Spain
2 Hospital Universitario Infantil Ni˜no Jesus, psychiatry, Madrid, Spain
3 Centro de Atencion Integral al Drogodependiente Mostoles,
psychiatry, Madrid, Spain
4 Hospital Universitario Marqués de Valdecilla, psychiatry,
Santander, Spain
∗ Corresponding author.
Introduction Twenty-two years ago, the murder of the wife, the
parents and the children of a doctor shook France. Some time later,
it was discovered that the doctor was the murderer and that he had
been faking his profession and social status. The prospect of being
caught determined his decision of killing all his close relatives and
trying – unsuccessfully – to commit suicide.
Objectives Review of the literature on the concept of pathological
narcissism from the analysis of the notorious case of Jean-Claude