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S716

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

Introduction

The induced delusional disorder or

folie à deux

, is a

rare condition characterized by psychotic symptoms at least in two

individuals in close association.

Objectives

We report a case of shared psychotic disorder between

mother and daughter. We briefly review both classical and current

literature.

Methods

We summarized the results from articles identified via

MEDLINE/PubMed using “induced delusional/shared psychotic dis-

order” as keywords. We report a case of a woman who develops

psychotic symptoms characterized by delusions of persecution. Her

daughter started, during the first high school grade with referring

sexual threats and having delusions of persecution lived by her

mother like a fact. They have very symbiotic relationship. Seven

years later, the mother has required hospitalization for chronic

delusions.

Results

The term

folie à deux

was first coined by Lasègue and

Falret, they assume the transmission of delusions was possible

when an individual dominated the other and existed relative iso-

lation. Recent studies found no significant differences in age and

sex, although described higher comorbidity with other psychiatric

diseases. Relative to treatment, separation by itself is insufficient;

an effective neuroleptic treatment is required.

Conclusions

Our case meets criteria for shared psychotic dis-

order. The daughter, with a ruling attitude who dominates the

relationship, was the inducer. The mother showed no resistance

in accepting delusions and remains them active after separation.

This leads us to consider the possible predisposition to psychotic

illness by both patients.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2133

EV1149

Headache and schizophrenia – A

cross-sectional cohort study on

prevalence, characteristics and

management

J. Connaughton

, B. W

and

The University of Notre Dame Australia, Physiotherapy, Fremantle,

Australia

Corresponding author.

Introduction

Headache is the most common pain reported by

people with schizophrenia. Little research has been conducted into

the characteristics and management of headaches in this popula-

tion.

Objectives

Determine the prevalence, type and management of

headache in people with schizophrenia.

Aims

Identify if best practice treatment of headache occurs and

if changes are required to assure people receive appropriate man-

agement.

Methods

One hundred consecutive people with schizophre-

nia and schizoaffective disorder completed an extensive, reliable

and valid headache questionnaire. Based on the questionnaire

responses two clinicians independently classified each person’s

headache as eithermigraine headache (MH), tension type headache

(TTH), cervicogenic headache (CGH) or other headache type (OH).

Any discrepancies were resolved by consensus agreement.

Results

Twelve-month prevalence of headache (57%) was higher

than the general population (46%) with no evidence of relation-

ship between psychiatric clinical characteristics and presence of

headache. Prevalence of CGH (5%) and MH (18%) were comparable

to the general population. TTH (16%) had a lower prevalence. Nine-

teen percent of participant’s headache was classified as OH type.

No participant with MH was prescribed migraine specific medica-

tion. Only 1 of the 5 people whose headache was classified as CGH

received manual therapy and none had been prescribed exercises.

No peoplewith TTH receivedmanual therapy, exercise prescription

or postural review.

Conclusions

It is recommended that education is required for

patients and mental health workers about headache classification

and the appropriate care pathways for different headache types.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2134

EV1150

15 years and counting – How are

schizophrenic patients with long

hospitalization time?

M.A. Duarte

1 ,

, B. Lourenc¸ o

2

, A. Ponte

1

, A. Caixeiro

3

1

Centro Hospitalar Psiquiátrico de Lisboa, CP 6, Lisbon, Portugal

2

Centro Hospitalar Psiquiátrico de Lisboa, CP 5, Lisbon, Portugal

3

Centro Hospitalar Psiquiátrico de Lisboa, Reabilitation, Lisbon,

Portugal

Corresponding author.

Introduction

Centro Hospitalar Psiquiátrico de Lisboa (C.H.P.L.),

in Lisbon, Portugal, is the biggest psychiatric hospital in Portu-

gal and one of the oldest still working. Along with acute inpatient

clinics it has long duration inpatient units with 226 patients.

Objectives/aims

Characterize and improve the therapeutic

approaches in patients committed to the long duration inpa-

tient unit with long hospitalization times and the diagnose of

schizophrenia.

Methods

During the month of September 2015 all patients, com-

mitted before 2000who fulfilled the diagnosis criteria ICD 10, F20.X

(Schizophrenia) were characterized regarding age, gender, time of

hospitalization and were evaluated using the Positive and Negative

Symptom Scale (PANSS).

Results

From the original sample (

n

= 226), 31 patients were

included in the study. The mean age was 64.4 years (min 50–max

91) and the majority were male (67.7%;

n

= 21). The mean years

of hospitalization were 28.7 years (min 15–max 60). The average

total PANSS score was 99.8 (positive symptoms: 25.4; negative

symptoms: 29.9; general symptoms: 44.4).

Conclusions

Although in last decades many psychiatric hospi-

tals were closed and community approaches to treatment of the

mentally ill were the direction preconized by several international

organizations, some patients still “live” in the hospital. Mostly, as

we found in our study, have a severe, refractory disease, sometimes

with behaviour changes that unable them to be discharged. With

the continuous evolution of psychopharmacological drug treat-

ment, this paradigm may change. Meanwhile other therapeutic

approaches should be used to improve the disease symptoms.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2135

EV1151

Socio-demographic features of

first-episode psychosis associated

with an increased likelihood of

subsequent schizophrenia in a

psychiatric inpatient sample

V.R. Enatescu

1 ,

, R .B

. Munteanu

2 , R. R

omosan

1 , A.

Toader

2 ,

I. Papava

1

, V.A. Pinzaru

1

, A.M. Draghici

2

, I. Enatescu

3

1

“Victor Babes” University of Medicine and Pharmacy Timisoara,

Department of Psychiatry, Timisoara, Romania

2

Timisoara County Emergency Clinical Hospital, “Eduard Pamfil”

Psychiatric Clinic, Timisoara, Romania

3

“Victor Babes” University of Medicine and Pharmacy Timisoara,

Department of Neonatology and Puericulture, Timisoara, Romania