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

S665

Attention deficit and hyperactivity disorder (ADHD) is associated

with increased engagement in risk-taking behaviors. The present

study aimed to further our knowledge regarding the extent and

the reasons for the association between ADHD symptoms and

risk-taking, using a theory-driven behavioral economy theory. The

Domain Specific Risk-Taking scale was used, on which 244 adults

rated the likelihood of engagement in a range of risky behaviors,

across five real life domains, as well as the magnitude of perceived

benefit and risk they ascribed to these behaviors. Level of ADHD

symptoms was positively correlated with engagement in risky

behaviors and benefit perception, but not with risk perception.

Mediation analysis confirmed that benefit perception, but not risk

perception, mediated the association between ADHD symptoms

and engagement in risk-taking behaviors

( Fig. 1 ).

These findings

emphasize the role of benefit perception in facilitating risk-taking

by people with ADHD symptoms.

Fig. 1

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1973

EV989

The delusion of aurora (a structural

and dynamic analysis)

D. Porta Pelay

o 1 ,

, L . L

ópez Alonso

2

1

Hermanas Hospitalarias, Mental Health Area, Málaga, Spain

2

Psiquiatría, Psiquiatría, Las Palmas de Gran Canarias, Spain

Corresponding author.

Introduction

The classical authors associate the insanity with

delusions, without delusions there was not insanity. This axiom

has changed nowadays, and it’s also accepted that insanity can exist

without delusions.

Aim

We aim to know and describe which factors are involved in

the development of the delusion. Use these conclusions to drive the

patient to the comprehension and acceptance of the reality.

Objective

(a) Unravel the mechanism of delusion, (b) seek the

causes, (c) find out an explanation about the origin and develop-

ment of the delusional thematic.

Method

Clinical biographic review, carried on in 2 steps: (a)

review the delusions store in the Hermanas Hospitalarias Spanish

hospitals (17 centres), (b) choose one of them, (c) use the induc-

tive method for analyzing the details and for making conclusions

in order to be apply in the delusional process.

Results

(a) Understand the internal dynamic of delusion and how

the delusion becomes the main axis of the patient life. (b) The

patient finds on the delusion a life motive, which did not exist

before.

Conclusion

Paraphrasing Dr.Castilla del Pino, “the delusion is a

necessary mistake”. From the emotional point of view, it can be

said “the delusion is a cry of a captured heart”.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1974

EV990

The psychopathology scan from the

phenomenology

S. Rodrígue Vargas

Almería, Spain

Introduction

This is a doctrinal movement that seeks to analyze

mental illness without reductionism and seeks to grasp the nearest

as possible to the reality of the patient.

Aims

This is the analysis of an event, a concept, a feeling, trying

to grasp as it is lived by the subject and in the direction you may

have for him.

Methods

Review of literature.

Results

It was the first approach to the knowledge of the patho-

logical experience and was the first scientific model to characterize

themental pathology. It was the central doctrine of psychiatry until

the end of World War II, when the hegemony of the German psy-

chiatric science gave way to the views that are primarily developed

in Anglo-Saxon countries (psychoanalysis and behavioral psychol-

ogy), although some European countries such as Germany and

Spain continued growing until the 1980s, when it culminated in

the publication of the DSM-III (1980).

Conclusions

These approaches are “old fashioned” but are essen-

tial to understand and know the reality of human sick, “mentally ill

man.”

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1975

EV991

Late paraphrenia. A case report

B. Serván Rendón-Luna

1 ,

, L. Reyes Molón

1

,

R. Fernández García-Andrade

1

, J. Fernández Aurrecoechea

2

1

Hospital Clínico San Carlos, Psychiatry, Madrid, Spain

2

Hospital Rey Juan Carlos, Psychiatry, Madrid, Spain

Corresponding author.

Introduction

Paraphrenia is a chronic delusion, which may or

may not be accompanied by hallucinations, usually with a late

onset, and whose chronic course, unlike what it usually happens

in schizophrenia, is not typically associated to the schizophrenic

defect. When it appears in over 60-years-old people, we talk about

late paraphrenia.

Objective

Highlighting relevant aspects of paraphrenic symp-

toms and excluding entities such as dementia.

Methods

Bibliographical review in literature and pub med using

as keywords: “paraphrenia”; “megalomania”; “mystic-religious”;

“late psychosis”.

Results

We present the case of a 69-years-old woman who

showed megalomania, mystic-religious delusions, demonic pres-

ence and kinaesthetic and visual hallucinations. Brain SPECT: data

within normal limits, neuropsychological study: possible mild cog-

nitive impairment. First contact with psychiatry at age 63. History

of 3 psychiatric income with different diagnoses: “dissociative

state”, “acute polymorphic psychotic disorder” and “frontotem-

poral dementia”. The patient has been treated with different

treatments (lithium, neuroleptics and benzodiazepines). Along the

track has never been asymptomatic, presenting psychotic and

affective semiology.

Conclusions

A late paraphrenia case is shown. The study of senile

psychoses has been traditionally full of controversies. Entities such

as paraphrenia have been relegated in the current, however, it is a

disorder with differential characteristics within the psychotic spec-

trum, so it seems wrong to do without the diagnosis.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1976