European Psychiatry - Volume 41 - April 2017

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S426 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464
EV0067
Social cognition and bipolar disorder:
A preliminary study
F.D.R. Ponte ∗, T.D.A. Cardoso , M. Kunz , A.R. Rosa
1 UFRGS, Psychiatry, Porto Alegre, Brazil
2 UFRGS, Pharmacology, Porto Alegre, Brazil
∗ Corresponding author.
Aim To assess the clinical outcomes associated with social cog-
nition impairment in euthymic patients with bipolar disorder.
Method It was a cross-sectional study with convenience sample.
The diagnose of bipolar disorder was performed by psychiatrist,
using DSM-IV criteria, at bipolar disorder program – Hospital de
Clinicas de Porto Alegre (Brazil), where the sample was recruited.
The social cognition was assessed by psychologists using the Read-
ing the Mind in the Eyes Test.
Results We included 46 euthymic BD patients: BD I (n = 39),
women (n = 32), age (49.11 ± 13.17), and years of education
(10.56 ± 3.80). Patients with social cognition impairment were not
different of patients without social cognition impairment regarding
socio demographic factors (gender, age, educational level, mari-
tal status, and employment status). Patients with social cognitive
impairment showed higher rates of BD I patients (P = 0.036)
and higher proportion of hospitalization in the first episode
(P = 0.033), as compared to patients without social cognition
impairment.
Conclusion This is a preliminary study demonstrating that BD
patients with social cognition impairment showworse clinical out-
comes. Severe BD onset seems to be an important predictor of
social cognition impairment. However, more studies are needed
investigating social cognition impairment in subjects with bipolar
disorder.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0068
Cognitive impairment and its relation
to predominant polarity, number of
episodes and illness duration in
patients with euthymic bipolar
affective disorder (BAD)
S.S. Ratnatunga ∗, I.C. Kulathilake , K. Kokila Medhavini ,
M. Dayabandara , I. Rajapakse , R. Hanwella , V. de Silva
1 NHSL, Psychiatry, Dehiwala, Sri Lanka
2 University of Colombo, Psychiatry, Colombo, Sri Lanka
∗ Corresponding author.
Introduction Previous optimistic assumptions about the prog-
nosis of BAD based on the control of mood symptoms is now
challenged as majority of patients continue to have cognitive
deficits during the euthymic phase.
Objectives To describe cognitive impairment in euthymic BAD
and study the association with clinical characteristics.
Aims Identify the prevalence and severity of cognitive impair-
ment (CI); to correlate CI with the first episode, illness duration,
number of episodes and predominant polarity.
Methods Patients attending the psychiatry clinic of the National
Hospital of Sri Lanka diagnosed with BAD in the remission phase
were recruited. An interviewer-administered questionnaire and
Montreal Cognitive Assessment test was used to ascertain clini-
cal characteristics and cognitive functions respectively. Scores of
18–26 described as mild, 10–17 moderate and < 10 as severe cog-
nitive impairment.
Results Total sample size was 58. Mean age = 48.84 (SD12.5).
Fifty-five percent were females. Mean duration of illness was 179.7
months (SD128.5). A mean of 6 episodes were experienced during
the course of illness (min = 1, max = 18); 58.6% had depression,
37.9% had manic and 3.4% had mixed as their first episode. The
predominant polarity was depressive in 65.5%. No cognitive
impairment – 8.6%, mild – 63.8%, moderate – 27.6% and none with
severe. There was a significant association between the presence
of cognitive impairment and the predominant polarity being
depressive (r= 10.886, df = 4, P = 0.028). No significant association
was found between illness duration, number of episodes or the
type of first episode.
Conclusions Patients with a predominant depressive polarity are
more likely to experience cognitive impairment. Cognitive impair-
ment had no association with illness duration, type of episode or
number of episodes.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0069
Aviation mental disorders – An
in-flight case of mania
A. Ribeirinho Marques ∗, M. Veludo Chai , P. Cintra ,
V. Gonc¸ alves , D. Esteves de Sousa , M. Albuquerque ,
M. Nuno Costa
1 Hospital Distrital de Santarém, Departamento de Psiquiatria e
Saúde Mental, Santarém, Portugal
2 Private Clinical Practice, Psychiatry, Lisboa, Portugal
3 Hospital de Cascais – Dr. José de Almeida, Departamento de Saúde
Mental, Cascais, Portugal
∗ Corresponding author.
Introduction Due to recent aviation accidents, like GermanWings
flight 9525, aviation related mental health disorders have recently
receivedmuch attention. Several psychological disorders have been
associatedwith aviation ever since its beginning, both inpassengers
and aviation professionals. A clinical case is revised of a 33 years old
air hostess, without previous psychiatric history, whowas admitted
twice in a manic state, and a third time abroad in Nice, France, after
prolonged sleep privation due to consecutive transatlantic flights.
Objectives Scientific revision of psychological disorders in
passengers (flight related psychological stress, flight phobia,
post-traumatic stress disorders after plane crashes. . .), aviation
professionals (mood changes, sexual function disorders, jet lag,
sleep disorders), ground staff, and populations living within close
distance to airports (burnout, circadian rhythms disorders due to
high noise levels. . .).
Methods Research in Pubmed, Medscape, scientific literature and
other publications, with the following research terms: aviation
related mental health disorders, flight related psychological disor-
ders, flight phobia, aerophobia, aviophobia, flight related anxiety,
flight related mood disorders, flight induced mania, psycholog-
ical stress and air travel; articles in English, Portuguese and
Spanish.
Results Fifty-eight articles, one book and four publications were
considered relevant; the case of the patient is thoroughly described
with data retrieved from the clinical file.
Conclusions Several important issues concerning both mental
and physical health are highlighted by this clinical case, yet, sur-
prisingly, scientific knowledge has progressed at a rather slow pace
and mental health professionals have not given much attention to
this issue.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0070
Bipolar versus schizoaffective
disorder: Clinical profiles
A.M. Romosan ∗, L. Dehelean , R.S. Romosan , I. Papava , I. Drut