European Psychiatry - Volume 33 - March 2016

667 / 812

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S663
what is normal and what is pathologic. Pathological jealousy dif-
fers from normal by its intensity and irrationality. Obsessive and
delusional jealousies are different types of pathological jealousy,
difficult to distinguish, which is important, since they have different
treatment. Despite the differences, both result in significant distress
and carry the risk of homicide/suicide, so it’s a matter deserving the
psychiatrists’ attention.
Objective Explore the psychopathological differences between
obsessive and delusional jealousy and list the characteristics and
difficulties in the approach to pathological jealousy.
Methods The results were obtained searching literature included
on the PubMed and Google Scholar platforms.
Results Delusional jealousy is characterized by strong and false
beliefs that the partner is unfaithful. Individuals with obsessive
jealousy suffer from unpleasant and irrational jealous ruminations
that the partner could be unfaithful, accompanied by compulsive
checking of partners’ behavior. This jealousy resembles obsessive-
compulsive phenomenology and should be treated with SSRIs and
cognitive-behavioral therapy. Delusional jealousy is a psychotic
disorder and should be treated with antipsychotics.
Conclusion The common issue in pathological jealousy is the
problem of adherence to treatment and bad prognosis. In order
to achieve better treatment outcomes, we should follow-up the
patient regularly. One key factor is to explore the psychopathology
and motivate the sufferer for the proper pharmacological and psy-
chotherapeutic interventions, trying to reduce the suffering caused
by ideas of unfaithfulness.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV982
Differential diagnosis between
schizophrenia and in major
depression: The importance of
abnormal bodily phenomena
M. Mancini ∗ tanghellini
1 University “G. D’Annunzio”, Department of Psychological –
Humanistic and Territorial Sciences, Chieti, Italy
2 University “G. d’ Annunzio”, Department of Psychological –
Humanistic and Territorial Sciences, Chieti, Italy
∗ Corresponding author.
Introduction Anomalies of bodily experience have for long
been described as relevant features of schizophrenia and major
depression, yet such experiences are usually neglected in clini-
cal examination. Bodily experience is the implicit background of
our experiences against which we develop a coherent sense of
self as a unified, bounded entity, naturally immersed in a social
world of meaningful others. Such tacit experiential background is
often perturbed in schizophrenia and major depression. Empirical
research shows that patients with schizophrenia andmajor depres-
sion frequently present many different kinds of anomalies of bodily
experience in the course of their illness.
Objective To characterize the abnormal bodily phenomena in
both schizophrenia and major depression.
Aim To improve differential diagnosis based on the identifica-
tion of typical features of abnormal bodily experiences in persons
affected by schizophrenia and major depression and to provide
supplementary diagnostic criteria.
Method Analysis of empirical and theoretical research published
in the last 25 years.
Result Ongoing bodily feelings of disintegration/violation and
nothingness/mechanization (e.g. one’s body experienced as a
object-like mechanism) are the most typical experiences in peo-
ple with schizophrenia whereas major depressives are not able
to detach themselves from the experience of bodily failure or
chrematization (fromchrema = corpse, i.e., feeling like a corpse) and
therefore, feel worthless, guilty, or decaying. They feel chrematized
in their very self.
Conclusion These experiences might be considered as specific
and they can contribute to differential diagnosis of somatic com-
plaints in schizophrenia and in major depression.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV983
Psychosis in a blindness patient: A
case report
M. Marinho∗, C. Moreira , F. Catarina
Centro Hospitalar Psiquiátrico de Lisboa, Lisbon, Portugal
∗ Corresponding author.
Introduction Using a clinical case as illustration, the present work
engages the different psychopathologic alterations that blindness
patients could present.
Methods The presentation and discussion of a clinical case of
psychosis in a blind patient are addressed. The scientific documen-
tation used as support was obtained from PubMed/Medline search
engines using as keywords blindness and psychosis.
Results A 43-years-old male patient, with a medical history
of arterial hypertension, heroine dependence (presently with
methadone schema) and bilateral blindness caused by a bilateral
retinal detachment 20 years ago, was admitted in the psychiatric
ward. The patient’s historical record includes a previous personal-
ity with paranoid characteristics, as well as a hospitalization due to
persecutory and auto-reference ideas and kinaesthetic hallucina-
tions with 1 month of evolution, coincident with address changes.
Lab tests revealed the following results: haemoglobin 13.8; Leuco-
cytosis 13,400; CRP: 6.2; ALT > AST. Positive results were obtained
in the drug tests for cannabinoids, as well as for the anti-HCV anti-
body (IgG). Finally, the patientwasmedicatedwith an antipsychotic
and humour stabilizer, achieving a significant improvement after
10 days of hospitalization.
Conclusions Although studies reveal that mental and behavioural
disorders, especially those with symptoms of psychosis andmental
retardation, are common among people with congenital blindness,
more knowledge of the prevalence and aetiology of mental and
behavioural disorders among people suffering from blindness is
needed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV984
Cycloid psychosis: A case report
G. Martinez-Ales∗, I. Louzao , A. Irimia , M.F. Bravo ,
J. Marin
Hospital Universitario La Paz, Psychiatry, Madrid, Spain
∗ Corresponding author.
Introduction Episodes of time-limited acute psychosis, with full
recovery in between, are categorized as acute polymorphic psy-
chotic or brief psychotic disorders. Leonhard described the three
forms of cycloid psychosis (CP). Perry considers it a separate entity.
Case report We report the case of a 54-year-old male, with a 9-
year history of brief psychotic disorders. He was admitted to an
inpatient unit after a 4-day episode of persecutory delusion, leading
to high emotional repercussions and isolation at home. Euthymia
was present. Previous admissions, 9 and 5 years before, presented
similar clinical pictures. Treatmentwith lowdose paliperidone dur-
ing 6-month periods had led to the complete resolution of the
episodes (restitutio ad integrum: no psychotic manifestations and
the ability to run his business). In this episode, 8 days after the
reintroduction of 12mg of paliperidone per day, cessation of the