European Psychiatry - Volume 33 - March 2016

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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.
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.
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.
EV995
Preliminary data from a longitudinal
3-year study of patients with
adjustment disorder
B. Vallejo-Sánchez ∗, J. Martinez Arnaiz , C. García Blanco ,
A.M. Pérez-García
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