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S632

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

EV884

Belle de jour

: A case of hysteria

C. Noval Canga

1 ,

, S. Gómez Sánchez

2

,

S. Cepedello Pérez

2

, R. Hernández Antón

2

, I. Sevillano Benito

2

,

L. Rodriguez Andrés

2

, L. Gallardo Borge

2

, G. Medina Ojeda

2

,

H. De la Red Gallego

2

, A. Portilla Fernánadez

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1869

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1870

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1871

EV887

Borderline man

T. Santos

1 ,

, E . C

onde

2 , R. A

lmeida Leite

2 , V.

Santos

3 ,

J. Alcafache

2

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