Table of Contents Table of Contents
Previous Page  792 / 812 Next Page
Information
Show Menu
Previous Page 792 / 812 Next Page
Page Background

S788

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

29.3% men. Readmissions: 1.7%. Their origin was: psychiatric hos-

pitalization (53.5%), outpatient department (31%), emergency room

(13.8%) and Centre for Psychosocial Rehabilitation (1.7%). 41 out of

58 patients have been discharged. Reasons for discharge: improve-

ment (78%), referral to other units (7.4%), voluntary discharge (4.8%)

and others (9.8%). The destination on discharge was: outpatient

department (90.4%), Centre for Psychosocial Rehabilitation (4.8%),

and Inpatient Rehabilitation Unit (4.8%). The most frequent diag-

noses on discharge were: bipolar affective disorder, adaptation,

emotionally unstable personality disorder, dysthymia, persistent

delusional disorders, specific personality disorders and severe

depressive episode with psychotic symptoms.

Conclusions

The Psychiatric Day Hospital is an intensive treat-

ment unit with a partial hospitalization system, which is

distinguished by the variety of patients it is able to admit, as well

as the clinical and management benefits the dynamic of these units

can provide.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2363

EV1379

Psychoses of epilepsy – “Acute attacks

of insanity”. What literature says and

how we act

N. Echeverría Hernández

, M.D.M. Lázaro Redondo ,

F. de la Torre Brasas , A. Duque Domínguez , A. Mas Villase˜nor ,

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

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

Corresponding author.

Introduction

Patients with epilepsy seem particularly liable to

certain major psychiatric disorders. Prevalence of schizophrenia

within an epileptic population varies between 3% and 7% (1% in

general population). The aetiology is possibly multifactorial (drugs

and neurosurgery).

Objectives

To study comorbidity betweenpsychoses and epilepsy

and management in the literature and in our patients.

Aims

To analyze factors that might influence the onset of psy-

choses within an epileptic population and how this potential

association could influence our practice.

Methods

PubMed search was conducted with interest in psy-

choses of epilepsy, pharmacology, and comorbidity. Up to 10

variables related with factors influencing psychotic episodes that

required hospital admission in three patients with epilepsy were

studied.

Results

Unlike published data, our patients did not have postic-

tal psychoses. All cases had early onset temporal lobe epilepsy

with no seizure activity since diagnosis (more than 20 years).

No family history of either epilepsy or psychoses. Management

included lamotrigine, oxcarbazepine, carbamazepine, zonisamide,

and levetiracetam in conventional doses. The psychosis, which

comprised affective, schizophrenic, and confusional elements,

lasted longer and was more troublesome than psychosis in non-

epileptic patients. Response to neuroleptics was poorer than in

non-epileptic patients with psychoses. Consultation with Neu-

rology Unit resulted in end of treatment with zonisamide and

levetiracetam.

Conclusions

Less than perfect evidence suggests the association

between psychosis and epilepsy. In our patients, no postictal cases

were recorded. Management showed poorer effect of neuroleptics

when compared with non-epileptics, and zonisamide and leve-

tiracetam were changed for other drugs with presumably lower

association with psychoses.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2364

EV1380

The examination of psychiatry clinics

in terms of therapeutic milieu in

Turkey

G. Ergün

1 ,

, I. Is¸ ik

2

, G. Dikec¸

3

1

Mehmet Akif Ersoy University, Department of Emergency Aid and

Disaster Management, Burdur, Turkey

2

Yeditepe University, Nursing, Istanbul, Turkey

3

˙Izmir University, Nursing, Izmir, Turkey

Corresponding author.

Psychiatry clinics have a high importance for treatment of psy-

chological problems. In some cases, individuals can stay in the

inpatient treatment units after having being diagnosed a mental

illness. Only Ergün

[1] g

ives information about the physical sta-

tus of psychiatry clinics, educational status and the number of the

healthcare personnel in Turkey in her master thesis. For that rea-

son, obtaining data for therapeutic milieu of the psychiatry clinics

in Turkey will contribute to the development of contemporary psy-

chiatry approach. This research is cross-sectional and definitive.

Survey form of 42 questions has been prepared in the research.

The data has been collected between the dates of 15th July–25th

June by the researcher. The sampling involves all hospitals having

psychiatry clinics in Turkey (

n

= 195). As a result of the research, it

is found that psychiatry clinics in Turkey are not sufficient in terms

of some of the therapeutic milieu features and sufficient for some.

The nurses actively participate in the clinic activities. The interview

room, dining hall and recreational rooms in the clinics are not suf-

ficient. The group therapy, sweet day activities and sport activities

are not conducted sufficiently. The researchers suggest developing

the psychiatry clinics in terms of therapeutic milieu.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

Reference

[1] Ergün G. The perspective of the nurses working in the psychia-

try service towards the individuals diagnosed of schizophrenia.

Institute of Medical Sciences of Akdeniz University; 2005 [Mas-

ter Thesis, Thesis Advisor: Assistant professor doctor Kamile

Kukulu, Antalya].

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2365

EV1381

A rare case: Conversion by proxy

F. Estilaee

1 ,

, S. Estilaee

2

, F. Raad

3

1

Neshabur Faculty of Medical Science, Psychiatry, Neshabur, Iran

2

Mashhad University of medical science, Radiology, Mashhad, Iran

3

Islamic Azad University-Mashhad Branch, Shahinfar Medical

Faculty, Mashhad, Iran

Corresponding author.

Knowing conversion disorder is the key to understand the com-

plex human’s unconsciousness at the beginning of psychoanalysis.

In conversion disorder, a mental trauma is repressed to an individ-

ual’s unconsciousness, and then displays itself as some neurological

symptoms. Here, we introduce the case of a young girl who expe-

rienced a minor car accident without any organ injury. She did

not have any problem for a week after the accident. However, she

started to have stuttering when shemet with her mother. The note-

worthy point is that her mother had the experience of a sexual

abuse in a car, which caused her to start stuttering afterwards. We

will discuss here whether this is a type of conversion by proxy.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2366