European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S661
Aims Identify the core factors for management of patients with
FSP in the context of IPOLT.
Methods We isolated a sample including patients affected by
severe mental illness (SMI); within this sample, we selected a small
group of patientswith FSP. During the last three years, we have been
evaluating patients with FSP in terms of day hospital attendance,
number of psychotic episodes and number of hospital admissions
comparedwith data obtained fromother patients with SMI without
diagnosis of FSP.
Results The two data sets revealed no statistically significant dif-
ferences in terms of the three standards.
Conclusions Our preliminary study showed a good effect for
IPOLT treatment on patients with SMI. We expected that patients
affected by SMI with FSP would have a different response to
IPOLT, but it was not. We do not know whether such results
depend on a too small sample of patients or inappropriate
descriptors.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV976
Hypertensive patients and minor
psychopathology profile
M. Henry ∗, A.A. Henry-Gonzalez , A. Morera-Fumero ,
L. Huerga-Garcia , A.A. Perez-Morell
1 University of La Laguna, Department of Internal Medicine-
Dermatology and Psychiatry, Santa Cruz de Tenerife, Spain
2 Gerencia de Atención Primaria, Health Care Department, Santa Cruz
de Tenerife, Spain
3 University of La Laguna, Department of Internal
Medicine-Dermatology and Psychiatry, Santa Cruz de Tenerife, Spain
4 University of La Laguna, Medical School, Health Sciencies Campus,
Santa Cruz de Tenerife, Spain
5 University of La Laguna, Medical School-Health Sciencies Campus,
Santa Cruz de Tenerife, Spain
∗ Corresponding author.
Introduction Nowadays, observation reinforces earlier research
suggesting that psychological factors may be one of the many
contributory factors to the initiation of the disease. Initial blood
pressure increases may impact cognitive and/or affective function.
There is some evidence for an impact of blood pressure on the
perception and experience of affect. On the other hand, essen-
tial hypertension so far is often symptomless, so screening is vital
before damage is done.
Objectives and aim This study aims at studying minor psy-
chopathology profile in a sample of hypertensive outpatients in a
primary health care facility setting.
Methods The psychopathology profile pattern in a sample of 46
hypertensive patients in a primary healthcare setting, mean age:
48.16 (SD: 9.32), 18 males/30 females, is studied. Derogatis SCL-
90-R Self-Report Questionnaire was used. The Statistical Package
for Social Science was applied.
Results The psychopathology profile in the overall sample is
marked by amain score in the dimensions of Anxiety (1.88), Depres-
sion (1.72) and Interpersonal Sensitivity (1.62), and lower scores
recorded in Obsession-Compulsion (1.42) and Hostility (1.38).
These scores mainly portrait the minor psychopathology pattern in
our hypertensive patients. A significant relationship between the
Global Severity Index (GSI) and hypertension recorded figures was
observed as well (r= .886).
Discussion and conclusions Anxiety and affective symptoms are
highlighted in our sample as the main psychopathology com-
plaints alongside with other studies. Management implications
of the outlined psychopathology profile should be considered in
understanding and treating hypertensive patients regarding their
lifestyle and therapeutic assessments.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV977
Late onset psychosis. Review
J.M. Hernández Sánchez ∗ . Canseco Navarr
M. Machado Vera aray Bravo Pe˜na Serrano
1 Valencia, Spain
2 Hospital General de Valencia, Psychiatry, Valencia, Spain
3 Hospital Generla de Valencia, Psychiatry, Valencia, Spain
∗ Corresponding author.
Introduction Several risk factors make older adults more prone to
psychosis. The persistent growth in the elderly population makes
important the necessity of accurate diagnosis of psychosis, since
this population has special features especially regarding to the
pharmacotherapy and side effects.
Objectives To review the medical literature related to late-life
psychosis.
Methods Medline search and ulterior review of the related liter-
ature.
Results Reinhard et al. ighlight the fact that up to 60%
of patients with late onset psychosis have a secondary psy-
chosis, including: metabolic (electrolite abnormalities, vitamines
defficiency. . . ); infections (meningitides, encephalitides. . . ); neu-
rological (dementia, epilepsy . . .); endocrine (hypoglycemia. . .);
and intoxication. Colijn et al. escribe the epidemiological and
clinical features of the following disorders: schizophrenia (0.3%
lifetime prevalence > 65 years); delusional disorder (0.18% lifetime
prevalence); psychotic depression (0.35% lifetime prevalence);
schizoaffective disorder (0.32% lifetime prevalence); Alzheimer
disease (41.1% prevalence of psychotic symptoms); Parkinson’s dis-
ease (43% prevalence of psychotic symptoms); Parkinson’s disease
dementia (89% prevalence of visual hallucinations); Lewy body
dementia (up to 78% prevalence of hallucinations) and vascular
dementia (variable estimates of psychotic symptoms). Recommen-
dations for treatment include risperidone, olanzapine, quetiapine,
aripiprazole, clozapine, donepezil and rivastigmine.
Conclusions Differential diagnosis is tremendously important in
elderly people, as late-life psychosis can be a manifestation of
organic disturbances. Mental disorders such as schizophrenia or
psychotic depression may have different manifestations in com-
parison with early onset psychosis.
Keywords “Psychosis”; “Elderly”; “Late onset schizophrenia”
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
References
[1] ReinhardMM. Late-life psychosis: diagnosis and treatment. Curr
Psychiatry Rep 2015;17(2):1.
[2] ColijnMA, et al. Psychosis in later life: a review and update. Harv
Rev Psychiatry 2015;23(5):354–67.
EV978
Late onset schizophrenia. A case
report
J.M. Hernández Sánchez ∗, M.C. Cancino Botello ,
M.F. Molina Lopez , M. Mu˜noz Carril , S. Arnés González ,
J.A. Monzó
1 Valencia, Spain
2 Hospital General de Valencia, Psychiatry, Valencia, Spain
3 Hospital General de Valencia, Emergency Medicine, Valencia, Spain
4 Hospital General de Valencia, Internal Medicine, Valencia, Spain
∗ Corresponding author.
Introduction The presence of elderly people is more and more
common in developed countries. Unlike other medical conditions,