Table of Contents Table of Contents
Previous Page  670 / 812 Next Page
Information
Show Menu
Previous Page 670 / 812 Next Page
Page Background

S666

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

EV992

Comparisons of psychological

characteristics between

schizophrenia, bipolar disorder and

depressive disorder patients

M.S. Shin

Seoul National University College of Medicine, Psychiatry, Seoul,

Korea

Introduction and objectives

This study was conducted to exam-

ine the psychological characteristics of the schizophrenia (

n

= 20),

bipolar disorder (

n

= 20) and depressive disorder (

n

= 13) patients

on MMPI-2 and Rorschach responses.

Methods

MMPI-2 and Rorschach was individually administered

to all patients, and their Rorschach responses were scored by

Exner’s comprehensive scoring system. The means of T scores of

MMPI-2 subscales and Rorschach scores were compared among the

three groups.

Results

The schizophrenic and bipolar disorder groups showed

significantly higher scores on the MMPI-2 K scale than the depres-

sive group, while the depressive group showed significantly higher

score on MMPI-2 Si scale than the schizophrenic and bipolar

groups. In Rorschach responses, the bipolar and depressive groups

obtained significantly higher scores on two variables (FM+m, m)

than the schizophrenic group. The bipolar group obtained sig-

nificantly higher scores on three variables (es, CP, a), suggesting

hyperactivity and mood dysregulation.

Conclusions

These results suggested that patients with depres-

sive disorder might subjectively suffer frommore severe emotional

and social discomfort than patients with the schizophrenia

and bipolar disorder, while patients with bipolar disorder and

schizophrenia would be more defensive than the depressive

patients.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1977

EV993

Cotard’s syndrome in the context of

psychotic depression can be

successfully treated with

electroconvulsive therapy (ECT): A

case report

R.F. Soldatos , E. Tzavellas

, D. Karaiskos , E. Oikonomou ,

T. Paparrigopoulos

Eginition Hospital of Athens, Psychiatry, Athens, Greece

Corresponding author.

Introduction

Cotard’s syndrome is the delusional belief that one

is dead or missing organs. Cotard’s syndrome has been observed in

mentally ill persons with psychotic disorders (such as schizophre-

nia and psychotic depression). Electroconvulsive therapy (ECT) was

originally used for the treatment of catatonic schizophrenia. Addi-

tionally, case reports have suggested a possible role for ECT in

two specific atypical psychotic disorders: Cotard’s syndrome and

cycloid psychosis.

Aim

The aim of our study was the evaluation of ECT in situation

such as Cotard’s syndrome.

Methods-results

We report a case of Cotard’s syndrome associ-

ated with depressive symptoms. A 57-year-old man was admitted

to our department with the diagnosis of psychotic depression.

His presenting symptoms, which had started eight months before

hospital admission, were somatic delusions of gastrointestinal

and cardiovascular malfunction and the absence of brain. Head

Magnetic Resonance Imaging had been occurred. The patient

did not respond to antipsychotic therapies, so he started with

elecroconvulsive therapy. After two months (ECT three times per

week), the patient was successfully treated.

Conclusion

This report emphasizes that electroconvulsive ther-

apy could be the first-line therapy in such patients with psychotic

disorders.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1978

EV994

A case report: Sanchís-Banús

syndrome

J. Valdés Valdazo

, C.M. Franch Pato , C. Martínez Martínez ,

A. Serrano García , J. De Santiago Sastre , A. Ugidos Fernández ,

J. Min Kim

Caule, Psychiatry, Leon, Spain

Corresponding author.

Introduction

There are few reported cases relating visual acuity

and psychosis. The Spanish psychiatrist Sanchís-Banús focused on

two patients who became blind and who, due to stress developed

paranoid and jealousy delusional ideas. He called it “Sanchís-Banús

syndrome” (SBS) that is mentioned in the psychiatry literature.

Methodology

A case report. We present a case of “paranoid delu-

sion of the blind” (SBS), quite similar in its clinical characteristics to

those of the original patients of the valencian psychiatrist Sanchís-

Banús. In our case, we met a 46-years-old woman, who worked

as a lottery seller because she had a visual problem: retinitis pig-

mentosa. She had had her first psychotic decompensation when

the blindness started. In spite of having achieved good social and

work performance with quetiapine 400mg/daily, laboral conflicts

and stress caused her delusional ideas again. She began to think

that her mother was not her real mother (Capgras syndrome) and

that she was being persecuted. She also did not eat themeal and did

not drink water because she thought that they were contaminated.

Results

We started treatment with clozapine at doses of 300mg

every day (50-50-200) combinedwith aripiprazole15mg/day toler-

ating the medication without notable effects. After this adjustment

of medication, remission and good criticism of hallucinatory and

delusional clinical course. The nosological, clinical, and prognostic

features of SBS are discussed in light of the current literature.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1979

EV995

Preliminary data from a longitudinal

3-year study of patients with

adjustment disorder

B. Vallejo-Sánchez

1 ,

, J. Martinez Arnaiz

2

, C. García Blanco

2

,

A.M. Pérez-García

3

1

Santa Bárbara Hospital, Mental Health Unit, Puertollano-Ciudad

Real, Spain

2

Santa Barbara Hospital, Mental Health Unit, Puertollano-Ciudad

Real, Spain

3

UNED, Psychology Faculty, Madrid, Spain

Corresponding author.

Introduction

Adjustment disorder (AD) is a common diagnosis,

but there are relatively few studies, in part because the current

definition is still poorly specified, inadequate and controversial.

Some clinicians and researchers have pointed out that a psychi-

atric diagnosis should present a clinical description, as well as date

based on psychological, biological and/or sociofamiliar studies, and

follow-up investigation about outcome and prognosis, to increase

the reliability and validity diagnosis and permits exclusion of other

possible disorders and normality. There ismuch empirical evidence