European Psychiatry - Volume 33 - March 2016

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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.
EV1376
Boderline versus personality
C. Cotta ∗, G. Jesus , V. Vila Nova , C. Moreira
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.
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.
EV1378
Description of the activity of a
psychiatric day hospital from its
opening up to the present day
A. Duque Domínguez ∗, R. Duque Domínguez , L. Martín Díaz ,
C. García Montero , M. Palomo Monge ,
M.D.L.N. Vaquero López , E. Pérez Arévalo
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