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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1862

EV878

Borderline personality disorder in

adolescence. Prevention and early

intervention from a cognitive analytic

approach

E. Gimeno

, C. C

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1863

EV879

Paliperidone palmitate study in

patients with personality disorder

M.A. Gutierrez Ortega

1 ,

, D .P

. María Dolores

1 , M.

A. Manue

l 2 ,

M.M. Esther

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1864

EV880

Malignant narcissism: The notorious

case of Jean-Claude Romand

Y. Lazaro

1 ,

, I. Mesian

2

, A. Perez

3

, I. Madrazo

4

, R. Baena

1

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