European Psychiatry - Volume 33 - March 2016

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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.
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.
EV1380
The examination of psychiatry clinics
in terms of therapeutic milieu in
Turkey
G. Ergün ∗, I. Is¸ ik , G. Dikec¸
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 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].
EV1381
A rare case: Conversion by proxy
F. Estilaee ∗, S. Estilaee , F. Raad
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.