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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1960

EV976

Hypertensive patients and minor

psychopathology profile

M. Henry

1 ,

, A.A. Henry-Gonzalez

2

, A. Morera-Fumero

3

,

L. Huerga-Garcia

4

, A.A. Perez-Morell

5

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1961

EV977

Late onset psychosis. Review

J.M. Hernández Sánchez

1 ,

, M

. Canseco Navarr

o 2 ,

M. Machado Vera

2 , C. G

aray Bravo

2 , D.

Pe˜na Serrano

3

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.

[1] h

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.

[2] d

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1962

EV978

Late onset schizophrenia. A case

report

J.M. Hernández Sánchez

1 ,

, M.C. Cancino Botello

2

,

M.F. Molina Lopez

2

, M. Mu˜noz Carril

3

, S. Arnés González

3

,

J.A. Monzó

4

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,