European Psychiatry - Volume 33 - March 2016

636 / 812

S632 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
EV884
Belle de jour: A case of hysteria
C. Noval Canga ∗, S. Gómez Sánchez ,
S. Cepedello Pérez , R. Hernández Antón , I. Sevillano Benito ,
L. Rodriguez Andrés , L. Gallardo Borge , G. Medina Ojeda ,
H. De la Red Gallego , A. Portilla Fernánadez
1 Valladolid, Spain
2 Hospital Clínico Universitario, Hospital Clínico Universitario,
Valladolid, Spain
3 Hospital de Navarra, Hospital de Navarra, Pamplona, Spain
∗ Corresponding author.
Introduction Histrionic Personality Disorder is one of the most
common personality disorders diagnosed in Psychiatry. This dis-
order has been known to be present in more than 40% of patients.
There is also a high tendency for those diagnosed with this disorder
to be female.
Objectives The case is to show all the difficulties caused by this
pathology, differencial diagnosis with other personality disorders,
groups of characteristics from different clusters and also, compli-
cations produced in daily routine.
Methods The purpose is to study a clinical case of a 27-year-old
woman, with a degree in journalism, who began with a depres-
sive episode after a failed relationship. After being diagnosed of
infertility, she debuted with dissociative episodes and somatiza-
tion symptoms. After that, she suffered several depressive episodes.
At the moment, all the clinical symptoms support the diagnosis of
histrionic personality disorder.
Results Histrionic Personality Disorder can be found in the clus-
ter B group of personality disorders. They often present in an overly
dramatic, erratic or emotional manner. They may fulfil their need
for attention through speech and behaviour that draws one’s focus
of attention toward themselves, and also demanding and manip-
ulative in interpersonal relationships. There are high comorbidity
rates in those who suffer from HPD with other diagnoses.
Conclusions Histrionic Personality Disorder appears to be one
of the least threatening diagnosis among personality disorders as
those affected are high functioning and do not seek relief for the dis-
order itself. There is also very little research on HPD which makes
treatment options limitless.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV885
Influence of temperamental and
character traits on antidepressant
response in patients affected by major
depressive disorder
V. Prisco ∗, C. Di Puorto , M. Fabrazzo
University of Naples SUN, department of psychiatry, Naples, Italy
∗ Corresponding author.
Several studies have been conducted to evaluate personality
characteristics in patients affected by major depressive disorder.
Temperamental and character traits may help clinicians to identify
responders to antidepressive therapy. The aim of our study was
to evaluate these characteristics as possible predictive indices of
response to SSRIs or SNRIs. A cohort of 41 patients was included
(30 F and 11M), whose diagnosis was made according to DSM-
IV criteria. Subjects were interviewed using the HAM-D and the
HAM-A scale in basal condition (T0) and after 4 weeks (T1) of
antidepressive treatment. Patients with a ≥ 50% reduction of HAM-
D and HAM-A score, have been considered as responders, when
compared to basal conditions. All subjects were in monotherapy
and evaluated using the TCI-R scale. In patients affected by major
depressive disorder, personality assessment was characterised,
from a temperamental point of view, by high levels of Persistence
and Reward Dependence and, from a character one, by high levels
of Self Directiveness and Cooperativity. After 4 weeks of antide-
pressive treatment, responders to HAM-D had higher levels of
Responsibility versus Guilt, which could be considered as a predic-
tor of positive response to SSRIs or SNRIs. Conversely, responders
to HAM-A showed higher values of Responsibility versus Guilt and
of Safety versus Fear of uncertainty. These values were predictive
of a recovery of anxious sintomatology associated with depres-
sive disorder. Our results are in line with those reported in the
literature, indicating that character dimensions “Self Directiveness”
and “Cooperativity” could be important predictors of response to
antidepressants.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV886
Organic personality disorder and
diogenes symptoms: Case report and
current status of the issue
N. Rodríguez Criado ∗, J.F. Cruz Fourcade ,
P. Mu˜noz-Calero Franco , B. Sánchez Sánchez , R. Martín Aragón ,
S. Bravo Herrero , G.E.M. Manuel , M. García-Poggio Fernandez ,
B.E. Pinilla Santos , M. Gutiérrez Rodríguez
Hospital Universitario de Móstoles, Psychiatry, Móstoles, Spain
∗ Corresponding author.
Objective To review the current knowledge about Diogenes
symptoms and organic personality disorder through systematic
review of the literature and the analysis of a case.
Methods Case report. Review. Literature sources were obtained
through electronic search in PubMed.gov database of 10 last years.
Results Background: Diogenes syndrome is a behavioral disorder
characterized by severe self-neglect, hoarding, domestic dirt, and
lack of shame regarding one’s living state. Patients may present
due to a range of reasons, few studies has been described hoard-
ing symptoms secondary to brain injury. Early management could
reduce their high-mortality condition.
Case presentation We present a case of a 67-year-old Caucasian
female known with a organic personality disorder secondary to a
head traumawith obsessive hoarding symptoms. After being hospi-
talizated, we were authorized to explore her personal items trough
photographs. Her handbag and her house were filled with rubbish
and rotting food. Our patient had no insight into any self-hygiene
or public health problems.
Conclusions Information of the characteristics of Diogenes syn-
drome can help in earlier recognition of such persons, in order to
decrease their morbidity and mortality.
Keywords Search; Organic personality disorder; Brain injuries;
Personality disorders; Diogenes syndrome; Obsessive hoarding;
Collector’s mania
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV887
Borderline man
T. Santos ∗ onde lmeida Leite Santos
J. Alcafache
1 Centro Hospitalar Baixo Vouga, Aveiro, Portugal
2 Centro Hospitalar Baixo Vouga, Psychiatry and Mental Health
Department, Aveiro, Portugal
3 Coimbra, Coimbra Hospitalar and University Center, Coimbra,
Portugal
∗ Corresponding author.
Introduction As it has been for the last 30 years, male border-
line personality are still misdiagnosed and herded into substance