European Psychiatry - Volume 41 - April 2017

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S458 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464
(F20.8 – 16 patients of MHRC mean age 10,2; F21 – 18 patients of
MHRC mean age 10.0).
Methods Battery of pathopsychological tests for assessing cogni-
tive functions (memory, attention, thinking), test figures of Leeper
for visual perception. Z-scales were used for estimation of cognitive
deficit or defect.
Results Patients demonstrate variety of cognitive functioning.
Normal cognitive functioning: ASD1* – 22%, F20.8 – 18%, F21* – 50%
(* – P ≤ 0.05); partial cognitive defect: ASD1 – 27%, F20.8 – 18%,
F21 – 22%; total cognitive defect: ASD1** – 50%, F20.8 – 64%,
F21** – 27% (** – P ≤ 0.01). ASD1 and F20were theworth in thinking.
Children ASD1 and ASD2 demonstrate similar success in recogniz-
ing Leeper’s figures.
Conclusions There are some common features of cognitive devel-
opment in children with severe forms of ASD and early onset
schizophrenia, first of all in thinking.
No significant differences obtained between severe – mild forms of
autistic disorders in visual perception (ASD1 and ASD2).
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
e-Poster viewing: Classification of mental
disorders
EV0170
Complicated grief: Is there a place in
psychiatry?
S.L. Azevedo Pinto ∗, J. Soares , A. Silva , R. Curral
Hospital de S. João, Clínica de Psiquiatria e Saúde Mental, Porto,
Portugal
∗ Corresponding author.
Introduction Grief is as normal reactive to a significant personal
loss. It is characterized by affective, cognitive, behavioural and
physiological symptoms. The grieving process is usually divided
in five different stages, but in most cases presents a benign course,
with decreased suffering and better adaptation to the new context.
However, when high levels of emotional suffering or disability per-
sist over a long time period, it becomes a case of complicated grief
(CG), which should be adequately addressed.
Objectives To review the characteristics of CG, the evidence that
supports it as an individual pathological entity, and its place in
current classification systems.
Methods We performed a bibliographic search in Pubmed and
PsychInfo, of articles written in English, Portuguese and Spanish,
containing the key words: grief, bereavement, psychiatry, classifi-
cation.
Results The main issue regarding grief is the degree to which it is
reasonable to interfere with a usually benign process. Since DSM-
III bereavement has been referred to as an adaptive reaction to an
important loss, which should not be diagnosed as major depressive
disorder or adjustment disorder. However, DSM-5 has stated per-
sistent complex bereavement disorder as an independent entity. In
fact, CG fulfils the general criteria of every psychiatric syndrome,
namely regarding specific diagnosis criteria, differential diagnosis
from depressive disorders and post-traumatic stress disorder, and
improvement with adequate treatment.
Conclusion It is important to correctly approach CG, since it
presents with characteristic diagnosis features and much improve-
ment may be achieved once adequate treatment is provided.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0171
Bipolar spectrum – A helpful concept?
P. Cabral Barata∗, J.C. Melo , T. Maia
Hospital Prof. Doutor Fernando Fonseca, Servic¸ o de Psiquiatria,
Amadora, Portugal
∗ Corresponding author.
Introduction Many patients seen in clinical practice have a mood
disorder not well described by the existing diagnostic categories.
Formally, they would be called “not otherwise specified” but this
creates a huge single category for many patients that belies the
richness and complexity of their symptoms.
Objectives Review the existing information regarding the bipolar
spectrum concept and reflect about its importance and utility.
Methods Nonsystematic review of the literature – scientific pub-
lications from Pubmed and Psychiatry Textbooks.
Results The “bipolar spectrum disorder”, designating those
patients who fall in the middle of the mood spectrum between
the classic unipolar and type I bipolar extremes, would repre-
sent recurrent severe depression, but with a family history of
bipolar disorder or antidepressant-induced mania or a number
of other features of bipolarity in addiction to depressive symp-
toms, course, or treatment response. The presence of hyperthymic
or cyclothymic mood temperaments has also been suggested as
part of this bipolar spectrum concept. Several arguments can
be found supporting the existence of this spectrum. A validated
bipolar spectrum concept will allow a decrease in the diagnos-
tic underestimation of bipolar disease and a more differentiated
investigation and treatment model. Bipolar spectrum concepts will
help identify those patients to whom antidepressants are not the
best therapeutic approach, in relation to mood stabilizers and/or
neuroleptics.
Discussion The bipolar spectrum concept has considerable sup-
porting evidence and utility, theoretical as well as practical. Its
development and diagnostic acceptance shall allow new discrimi-
nated investigation and better patient outcomes.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0172
The profile of female crack users
undergoing treatment on
psychosocial care center for alcohol
and others drugs in Brazil
C.M. Carvalho ∗, T.V. Cardoso Vernaglia , N. Senju Suzuki ,
D. de Assis Correa Sória
Universidade Federal do Estado do Rio de Janeiro, Alfredo Pinto
School of Nursing, Rio de Janeiro, Brazil
∗ Corresponding author.
Background The prevalence of crack cocaine on Brazil reveal an
increase since 2009 and represents a public health problem.
Aims To describe and study the socio-demographic profile of
female crack users undergoing treatment in psychosocial care cen-
ter for alcohol and others drugs (CAPS AD).
Methods This is a qualitative, ethnographic study of 9 female
crack users that was conduct from February until September 2015
at CAPS AD in Brazil. This is study is part of a research entitled “The
daily life of female crack users: public service access”.
Results These women are young, have children that most of them
are separated and have at least primary school. All of them have a
long time using crack and different attempts of abstinence. They
access different public health programs.
Conclusion The results show the vulnerable profile of female
crack users. These findings indicate the need specific public inter-
vention in other to improve social and health conditions.