European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520 S485
emotional and behavioral resonance of delirium. The treatment
consists of indicating abstinence from alcohol and administration
of neuroleptics.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0247
A Clinical review about differential
diagnosis and comorbidities on
premenstrual dysphoric disorder
L. Sánchez Blanco . Juncal RuÃ-z
G. Pardo de Santayana Jenaro , R. Landera RodrÃ-guez ,
M. Gómez Revuelta , O. Porta Olivares , N.I. Núñez Morales
1 Hospital universitario MarquÃ(c)s de Valdecilla, psychiatry,
Santander, Spain
2 Hospital universitario de Ã'lava-sede Santiago, psychiatry,
Vitoria-Gasteiz, Spain
â'^ Corresponding author.
Introduction Symptoms of premenstrual dysphoric disorder
(PMDD) recur during the premenstrual phase of the cycle and
disappear to the beginning or after last menstruation. The main
symptoms are emotional liability, dysphoria and anxiety.
Objectives To review PMDD for helping in the differential diag-
nosis between this disease and classical anxiety disorders.
Methods It was made a clinical review about differential diag-
nosis and comorbilities on PMDD in specialized literature and
Pub-Med.
Results PMDD causes significant distress and impairment in
social or occupational functioning the first week following men-
struation. In relation with differential diagnosis on PMDD, on
the one hand, several organic diseases could produce the same
symptoms than PMDD: for example gynecological pathology as
dysmenorrhea or menopausal transition, endocrinological diseases
as hypothyroidismand hyperthyroidismand some hormonal treat-
ment including hormonal contraceptives. In addition, a variety
of medical disorders are concomitant pathologies that could be
associated with PMDD (eg, migraine; epilepsy, asthma, allergies,
systemic exertion intolerance disease, chronic fatigue syndrome;
irritable bowel syndrome). These pathologies are exacerbated just
before or during menstruation. On the other hand, several psychi-
atric disorders as bipolar disorder, major depression, dystimia, and
anxiety disorders could get worse on the premenstrual phase.
Conclusions In relationwith the diagnosis of PMDD, it seems nec-
essary to consider various differential diagnosis such as psychiatric,
gynecological and endocrine disorders because of all of them share
like symptoms. For this purpose it is very important to make both
a good clinical history and a comprehensive physical examination
to offer the most accurate diagnosis and treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0248
Adult ADHD diagnosis and binge
eating disorder
J. Sevilla Vicente ∗ asurte Villamor edano Capdevila
M. Migoya Borja avarro Jímenez errano Marugan
1 Fundación Jiménez Díaz, psychiatry, Madrid, Spain
2 hospital universitario Gregorio Mara˜nón, psychiatry, Madrid, Spain
∗ Corresponding author.
The association between attention deficit hyperactivity disorder
(ADHD) and eating disorders has not been yet clarified. The pres-
ence of ADHD was significantly correlated with more severe binge
eating, bulimic behaviors, and depressive symptomatology. The
aim of this work is to study the relationship between ADHD sub-
types in adults and the risk of food addiction (binge eating disorder).
The sample was collected on a specific program for adults with
ADHD diagnosis in Madrid (Spain). In total, the sample was 110
patients, and we collected information about socio-demographic
factors. All patients met DSM-5 criteria for ADHD in different sub-
types. We used the conner’s Adult ADHD rating scales and the
Barrat impulsiveness scale. Alsowe used the Shorter Promise Ques-
tionnaire. This is a 16 scale self-report instrument to measure an
individual’s level of addictive tendency.
The 36.4% were at high risk of developing a food addiction. For
binge eating disorder (BE), no statistically significant differences
were found by gender within patients with ADHD.
Binge eating was significantly related to the impulsivity and emo-
tional liability subscale of the CAARS (P < 0.05). The risk of develop
BE in ADHD was 4.7 (CI 95% 1.8–12.07). Binge eating was signifi-
cantly related to the total score on the Barrat scale ( P< 0.05) Risk
of 3,5 (CI 95% 1.5–7.9) and within the subtypes of impulsivity,
motor impulsiveness was the one that was significantly related to
BE (P< 0.001)
There is a clear relationship between impulsiveness symptoms and
BE in patients with ADHD. It’s important to note that there are no
gender differences within ADHA patients to develop a BE disorder.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0249
From psychiatric to critical care:
Patient profile and predictive transfer
elements
R. Trabelsi ∗, N. Bram , I. Benromdhan , W. Homri , N. Staali ,
R. Labbene
1 Razi hospital, departement psychiatry F, Mannouba, Tunisia
2 Razi hospital, psychiatric department C, La Mannouba, Tunisia
∗ Corresponding author.
Introduction Patients with mental illness have an increased risk
of morbidity and mortality from somatic complications, with a
reduction in life expectancy of 15 to 30 years. During hospital-
ization in a psychiatric setting multiple risk factors can combine
and contribute to a severe deterioration in the general condition of
patients who may require reanimation.
Aim Describe the profile of patients admitted to Razi who
required transfer to an intensive care setting during hospitaliza-
tion to more precisely determine the predictors of severe somatic
decompensation.
Methodology A descriptive retrospective study of patients trans-
ferred from the Razi hospital to the emergency medical assistance
center (CAMU) during the period between 1 January 2014 and 31
December 2015.
Results The average age of patients was 39.5 years; 64.2% of the
patients were men, 60% had a low socio-economic level, 34.7% had
a comorbid disease. Forty-one percent (41%) of the patients trans-
ferred had been diagnosedwith schizophrenia, and 27% had bipolar
disorder. Antipsychotics were the most prescribed psychotropic
drugs. High doses were used with therapeutic combinations in 85%
of the cases. A toxic cause was identified in 58% of cases, includ-
ing neuroleptic malignant syndrome in 18%. Dehydration and ionic
disorders are among the most frequent causes in 27% of cases. Con-
clusion; Identifying risk factors for deaths in psychiatric hospitals
highlights needed changes in psychiatric management strategies
taking into account the patient’s characteristics aswell as the drugs’
safety profile.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.