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

S717

Corresponding author.

Introduction

Early diagnosis of schizophrenia is often delayed in

first-episode psychosis and this could be viewed as an obstacle for

a proper therapeutic approach and optimal clinical management.

Objective

Our main objective was to identify baseline socio-

demographic variables in first-episode psychosis which are

associated with an increased likelihood of diagnosing schizophre-

nia in the second episode of psychosis. As a secondary objective we

aimed to assess the diagnostic stability between first and second

episode psychosis.

Material and methods

Data belonging to 100 patients that were

twice admitted in Timisoara Psychiatric Clinic, between 2010 and

2015, for two distinct and consequent episodes of psychosis, were

analyzed. The first admittance had to coincide with first episode

psychosis.

Results

Logistic binary regression showed that a younger mean

age (OR = 0.90; 95% CI = 0.85–0.95), a more unfavorable profes-

sional status (OR = 3.75; 95% CI = 1.10–12.74) and a lesser quality

of social support (OR = 3.47; 95% CI = 1.11–10.82) at the onset of

the first episode of psychosis were associated with an increased

likelihood for a subsequent diagnosis of schizophrenia.

Conclusions

Identifying an initial socio-demographical profile

with a high predictive value for a subsequent outcome towards

schizophrenia should encourage using this diagnosis starting with

the first episode of psychosis.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2136

EV1152

Self-care and insight in chronic

psychosis

S. Gallego Villalta

, M. Martinez Roig , A. Ortiz Martin ,

A. Matias Sanfrutos , L. Duran Sandoval , C. Bestue Felipe ,

J. Paolini Sanmiguel , I. Martinez Lausin , E. Mayayo Castillejo ,

P. Bernal Romaguera

Hospital Royo Villanova, Psychiatry, Zaragoza, Spain

Corresponding author.

Introduction

Severe mental health disorders lead to low func-

tionality.

Aim

Searching factors that help us to improve functionality in

psychosis.

Objective

Establishwhether there is a connection between differ-

ent components of functionality and the level of insight in chronic

schizophrenic patients.

Methods

Forty patients diagnosis of psychosis, attending two day

centres where transversally assessed with the scale for unaware-

ness of mental disorders (SUMD) and the personal and social

performance scale (PSP). Scores of every of the PSP subscales were

compared with the global SUMD score.

Results

Global score SUMD was higher in patients scoring more

than 50 in PSP. There were no significative differences on the

SUM scores between the group of patients with low score (good

functionality) and higher score (> 4, higher impairment) with the

exception of the self-care subscale: PSP self-care < 4 (

n

= 21): SUMD

10.43 (3.23) and PSP self-care > 4 (

n

= 19): SUMD 6.11 (3.07).

Conclusions

Patients with higher impairment in self-care (higher

score in PSP A) were more aware of their illness.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2137

EV1153

Treatment with antipsychotics and

sexual dysfunction in a sample of

schizophrenic inpatients

M.D.C. García Mahía

1 ,

, Á. Fernández Quintana

1

,

M. Vidal Millares

1

, R. Castro Calvo

2

1

CHU A CORU ˜NA, Psychiatry, A Coru˜na, Spain

2

CHUS Santiago de Compostela, Admission, Santiago de Compostela,

Spain

Corresponding author.

Introduction

Previous studies show association between sexual

dysfunction and antipsychotic treatment.

Objectives

To study the prevalence and clinical correlates of

sexual dysfunction in schizophrenic inpatients treated with

antipsychotics. To analyze the influence of sexual complaints in

treatment adherence.

Methods

Retrospective descriptive study of psychiatric inpa-

tients diagnosed of schizophrenia following DSM-IV-TR) criteria

and treated in an acute care unit of Psychiatry in an university hos-

pital in a 12-month period. Patients treated with combination of

antipsychotics (typical and atypical) were excluded from the anal-

ysis (

n

= 60). Sexual side effects were evaluated with Udvalg for

Kliniske Undersogelser (UKU) Side Effect Rating Scale and evalu-

ated in two treatment groups: conventional antipsychotics, and

atypical antipsychotics. Patients were asked about subjective expe-

rience with other treatments.

Results

The mean age of subjects was 32.4 (SD = 8.7). From the

whole sample 38 (63.3%) were men and 22 (36.7%) women. Sexual

dysfunction related to treatment was present in 78% of patients.

Men were more affected than women and 69% of them related that

sexual dysfunction had influenced the decision of treatment with-

drawal previous to income. Amenorrhea was more common on

risperidone and amisulpride. Analysis of different antipsychotics

and its relationship with sexual dysfunction are presented.

Conclusions

Sexual dysfunction is a frequent side effect asso-

ciated with antipsychotics in schizophrenic patients. The sexual

side effects may reduce the quality of life and may increase non-

compliance that is usually associated to readmissions and worse

prognosis of severe mental illness.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2138

EV1154

The theme of DAECH in delirium of

the first psychotic episode

F. Ghali

1 ,

, L. Mnif

2

, F. Medini

2

, A. Tounsi

2

, W. Melki

2

1

Ariana, Tunisia

2

Razi Hospital, Psychiatry, Mannouba, Tunisia

Corresponding author.

Introduction

The mediatization of the Islamic State of Iraq and

Sham (DAECH), the distribution of its videos of beheading in the

social networks and also after the various attacks, which struck in

Tunisia and around theworld, we noticed an increase of the number

of patients whose theme of delirium revolves around the subject of

DAECH.

Objectives and methods

The objective of our work consists in

studying sociodemographic, clinical and therapeutic particulari-

ties among patients presenting an acute delirium about the Islamic

state, the caliphate and the Jihad, who were hospitalized in our

department of psychiatry “D” since March 2015 after the attempt

of BARDO MUSEUM.

Results

Our sample included 15 patients with an average age of

25.4 years, hospitalized for the first time in a psychiatric institution.

They were predominantly male (11 patients). We noted the use of

psychoactive substances within 7 patients. The topic of DAECH has