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

S787

3

Terapeuta ocupacional, UTCA Hospital Universitario Santa Cristina,

Madrid, Spain

Corresponding author.

The intensive care unit of eating disorders (UTCA) at Santa Cristina

University Hospital (Madrid), covers on one hand hospital care Day

with an allocation of 50 seats (25 in the morning shift and after-

noon shift 25); outpatient and where the valuation of new patients,

motivational work towards their inclusion in hospital Consultation

Day and relapse prevention (and in coordination with the drift-

ing device). The day hospital care is done as included full program

and partial programs. The team consists of morning shift for 1 psy-

chiatrist, one clinical psychologist and an occupational therapist

shared with the evening shift. The day hospital treatment group

is mainly with individual attention psychiatry, psychology, occu-

pational therapy, nursing, nutrition interconsultor endocrinologist

and weekly basis. We present a descriptive study of distribution in

different diagnostic groups of eating disorders, psychiatric family

history, patients treated in the Unit.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2360

EV1376

Boderline versus personality

C. Cotta

1 ,

, G. Jesus

2

, V. Vila Nova

1

, C. Moreira

2

1

Centro Hospitalar Barreiro, Montijo

2

Centro Hospitalar Psiquiátrico de Lisboa

Corresponding author.

Introduction

Latest classifications led to an inflamed debate urg-

ing for change or validation in the way personality disorders are

classified. The placement in psychiatric classifications of several

personality disorders, particularly Borderline Personality Disorder

(BPD), is also a matter of discussion.

Objectives and aims

The present work aims to question BPDs

place in classification alongside with other personality disorders,

rather than focusing on the algorithms used to classify it. The

authors review updated literature on core features of the disorder

collected from online scientific databases.

Results

Studies reveal that the stability of the diagnosis of BPD

over the longer term is less than what standard general definitions

of personality disorders would appear to require. It is a chronic

and debilitating syndrome with severe functional and psychosocial

impairment that remain relevant when comparing to other person-

ality disorders. Additionally, these measures show further declines

over time in spite of improvement in psychopathology, in contrast

to what happens with other personality disorders. Several miscon-

ceptions may have led to the placement of BPD on former axis II,

namely being a direct consequence of trauma andmerely explained

by environmental factors. However, recent research on heritability

shows the contrary and several neurobiological markers suggest it

has got a nature of its own.

Conclusion

BPD is probably the most studied and validated per-

sonality disorder and has substantially greater empirical basis,

clinical significance and public health implications, being both

enduring and distinct fromother personality disorders. We suggest

the placement of BPD as major psychiatric disorder in classifica-

tions.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2361

EV1377

Comorbidity of adult ADHD and

obsessive-compulsive disorder

A. Duque Domínguez

, N. Echeverría Hernández ,

M.D.M. Lázaro Redondo , F. de la Torre Brasas ,

M. Otalora Navarro , L. Martín Díaz , C. García Montero ,

A. Mas Villase˜nor

Complejo Asistencial de Ávila, Servicio de Psiquiatría, Ávila, Spain

Corresponding author.

Introduction

In prospective and controlled studies followed up

until adult age of patients diagnosed with ADHD in their childhood,

themost frequent comorbiddisordersweremajor depressive disor-

der, personality disorder (borderline and antisocial), substance use

disorder and, less frequently, panic disorder and obsessive compul-

sive disorder.

Objectives

We report the case of a male patient aged 60, diag-

nosed with obsessive-compulsive disorder from his adolescence.

His psychopathological progress has become aggravated over the

years. Nowadays, he presents an important restlessness, which has

led him to social isolation and family claudication.

Methodology

Our patient is admitted to the Psychiatric Day Hos-

pital with an appropriated treatment for his OCD (sertraline and

aripiprazole). After several days under observation, we used the

scales ASRS-V1.1 y WURS finding results that suggested adult

ADHD. Extended release methylphenidate was prescribed, with a

fast improving of our patient’s symptoms of restlessness, insecu-

rity and impulsion phobia. He was discharged from the Centre for

Psychosocial Rehabilitation showing a good evolution.

Results

– Anankastic personality disorder (F60.5);

– Dependent personality disorder (F60.7);

– Hyperkinetic disorders (F90).

Conclusions

Seventy-five percent of adults diagnosedwith ADHD

have comorbid disorders that should be used as severity rates, since

theymay cover up the ADHD symptoms or complicate the response

to treatment. Adults with ADHD present high score on the scales

“social maladjustment” and an often concomitant and polymorphic

psychiatric pathology, object of varied diagnoses.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2362

EV1378

Description of the activity of a

psychiatric day hospital from its

opening up to the present day

A. Duque Domínguez

1 ,

, R. Duque Domínguez

2

, L. Martín Díaz

1

,

C. García Montero

1

, M. Palomo Monge

3

,

M.D.L.N. Vaquero López

1

, E. Pérez Arévalo

1

1

Complejo Asistencial de Ávila, Servicio de Psiquiatría, Ávila, Spain

2

Hospital Universitario de Fuenlabrada, Servicio de Psiquiatría,

Madrid, Spain

3

Complejo Hospitalario de Talavera de la Reina, Servicio de

Psiquiatría, Talavera de la Reina Toledo, Spain

Corresponding author.

Introduction

Description of the most relevant data found in a

Psychiatric Day Hospital opened ten months ago in the hospital

complex of Ávila.

Objectives

The goal is to evaluate clinical and management data

in patients of the Psychiatric Day Hospital.

Methods

Retrospective cross-sectional descriptive study. A data

collection form where each patient is classified into: sex, age,

average stay, first admission or readmission, origin, reason for

discharge, destination on discharge and diagnoses (classification

ICD-10) was used.

Results

From the opening of the Psychiatric Day Hospital ten

months ago, 58 patients have been admitted: 70.7% women and