European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520 S473
3 Psychiatry, Infanta Sofía Hospital, Brief Hospitalation Unit, San
Sebastián de los Reyes, Madrid, Spain
∗ Corresponding author.
Since Dual Disorders expression was used for the first time, the
old dilemma between cathegorial and dimensional grew again as a
main issue because many authors wondered about its utility. The
question was how far we can speak about two different entities,
because doing so we are assuming comorbidity instead of a com-
plex syndrome, with different clinical presentations (i.e. Talking
about fever and cough instead of pneumonia). Child and adoles-
cence psychiatry uses developmental psychiatry as a very useful
tool to understand patients. Syndromes are seen as dynamic as
patients. At the same time that patients grow their clinical pre-
sentations, evolves new symptoms or signs. We have reviewed
retrospectively a group of twenty parents that were named as dual
disorders, with different substance abuse but a common path in
their childhood; all of them were diagnosed of ADHD and Conduct
Disorder. We chose them because of the differences that DSM, ICD
and main researchers have about this group, which some consider
better described as a Disocial hiperquinetic disorder (ICD) than
a AHDH with a conduct disorder associated (DSM), comorbidity
again. We agreed with ICD opinion and will discuss how in some
way we are somehow as those blind people describing different
parts of the same elephant when we talk sometimes about dual.
Truth is that opposite dual view or its syndromic treatment devel-
opmental psychiatry has all the time underlined the role of reward
circuits/executive functions as epigenetic issues, both modulated
by gene and environment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0215
Factitious disorder in a patient with
Arnold-Chiari malformation: A case
report
D. Celona , F. Sandri , E. Pascolo Fabrici , G. Peresson ,
D. Garino ∗
1 University of Trieste, Mental Health Department, Trieste, Italy
2 University of Udine, Mental Health Department, Trieste, Italy
3 University of Udine-Italy, Dependency Department, Trieste, Italy
∗ Corresponding author.
Introduction The factitious disorder is characterized by sim-
ulation or exaggeration by the subject of his/her physical or
psychological symptoms to take a sick role. This disorder may be
associatedwith a real disease, used to simulate other symptoms and
receive treatment. Our case is represented by a 49-year-old man,
affected by Arnold Chiari Malformation Type I (ACM-I), a structural
defect in the cerebellum with extension of the cerebellar tonsils
into the foramen magnum, without involving the brain stem. The
patient had three surgical operations involving the complete res-
olution of the disease. However, the subject reported a worsening
of all symptoms, with the outcome of a severe self-limitation, with
admission to a residential care and taken over by the multidisci-
plinary equipe of the district. Symptoms, which mainly consisted
in pain, motor functional impairment, headaches, slurred speech
were not evaluated due to the ACM-I. This diagnosis was confirmed
when there was the complete resolution of the symptoms in a date
pointed by the patient.
Methods To make an appropriate differential diagnosis, in addi-
tion to the neurological examination, the subject had psychiatric
interviews and completed an MMPI evaluation.
Results Neurological examinations revealed no residual outcome
of the ACM-I. At MMPI there were not significant peaks. Regarding
to the attitude towards this test and its validity, it appears an obvi-
ous attempt to lie from the patient, which tries to present himself
in a favourable unrealistically way.
Conclusion This case shows that appropriate diagnosis can help
health services in a better management of their resources in such
situations.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0216
Does comorbid depression and
alcoholic dependence influence
cognition in Bulgarian women?
V. Giannouli ∗ vanova
1 Aristotle University of Thessaloniki, School of Medicine, Drama,
Greece
2 South-West University “Neofit Rilski”, Department of Psychology,
Blagoevgrad, Bulgaria
∗ Corresponding author.
Introduction Previous research on the impact of alcohol intake on
human behavior and cognition has revealed the detrimental effects
of alcohol dependence. Especially in women, depression is often
associated with the initiation of alcohol abuse that provokes new
episodes of depression and this cycle tends to chronify.
Objective Although the co-occurrence of depression and alco-
holismiswell documented, there is still scarce data on the cognition
of depressed alcohol-depended women. The aim of the present
study is to examine the cognitive function in women who demon-
strate both depression and alcohol dependence.
Method A group of fifty-three Bulgarian women with a formal
diagnosis of alcohol dependence (Mage = 43.89, SDage = 9.48; level
of education: all with high school education) and varying levels
of depressive symptomatology were examined at the Municipal
Council on Drug Addiction Blagoevgrad. Information were col-
lected from personal history taking (anamnesis), self-reports and
the Lesch Alcoholism Typology–Questionnaire (LAT online pro-
gram). The women were grouped according to their age (27–45
and 46–71).
Results Results indicated that there is a significant influence of
depression (P = .032), a slightly above the statistical significance
level non-influence of age (P = .056), and an interaction of the
influence of depression*age ( P= .048) on self-reported cognitive
performance.
Conclusions The present research suggests that future
researchers should further clarify in a more systematic way
the factors that influence cognition in this special population with
comorbid depression and alcoholic dependence.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0217
The relationship between personality
disorders and substance abuse
disorders
S. Goretti ∗ .C. Sanchéz Sanchéz ucas Borja
G. Bautista Rivera Rodríguez Lara
1 U.G.C Salud Mental Almeria, UHSM Torrecardenas, Almeria, Spain
2 Almeria, Spain
∗ Corresponding author.
Introduction A frequently observed fact in clinical practice is the
relationship between Substance Abuse Disorders and Personal-
ity Disorders (PD). Epidemiological investigations have found that
diagnoses of PD seem to increase vulnerability to other pathologies,
including substance abuse and addiction, and it is possible to speak
of comorbidity or dual pathology.