European Psychiatry - Volume 33 - March 2016

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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.
EV1149
Headache and schizophrenia – A
cross-sectional cohort study on
prevalence, characteristics and
management
J. Connaughton ∗ 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.
EV1150
15 years and counting – How are
schizophrenic patients with long
hospitalization time?
M.A. Duarte ∗, B. Lourenc¸ o , A. Ponte , A. Caixeiro
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.
EV1151
Socio-demographic features of
first-episode psychosis associated
with an increased likelihood of
subsequent schizophrenia in a
psychiatric inpatient sample
V.R. Enatescu ∗ . Munteanu omosan Toader
I. Papava , V.A. Pinzaru , A.M. Draghici , I. Enatescu
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