European Psychiatry - Volume 41 - April 2017

494 / 916

S490 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520
themselves based on where the neoplasm is localized. Therefore,
psychiatrists should be more aware of the uncommon manifes-
tation of the disorder as reported in this case. Consultation for
differential diagnosis might also be necessary in such cases.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0264
Experimental intervention program in
psychosomatic pathology
A. Coutinho ∗ ilva , I. Carvalho , R. Ribeiro Silva , L. Ribeiro
Centro hospitalar de Vila Nova de Gaia e Espinho/E.P.E, psychiatry
and mental health department, V.N. De Gaia, Portugal
∗ Corresponding author.
Introduction The work of Bion, developing the psychoanalytic
theories of Freud and Klein on the origins of anxiety in childhood,
includes the hypothesis of a protomental system as a matrix in the
human organism in which physical and mental are at first undiffer-
entiated. He defends that the continuing experience by the infant
of parental containment of its anxieties, through a process of pro-
jection and introjection, develops its capacity for thinking about
frustration rather than evading it. This conception was extended to
psychosomatic illness, by the hypothesis that, without this expe-
rience, frustration may lead to basic assumption mentality and
psychosomatic illness rather than emotions and thought.
Objectives This work aims to describe an experimental technique
of group psychotherapy, inspired in Bion’s principles combined
with relaxation techniques, in the context of psychosomatic dis-
eases.
Aims The authors pretend to identify improvement in clinical
symptomatology, quality of life, identification and expression of
emotions, in the group submitted to this method, compared to
controls.
Methods It was performed a weekly group psychotherapeutic
session and a weekly relaxation session (using Jacobson’s method),
along two months. The patients were randomly selected and sub-
mitted to psychological evaluation with scales and questionnaires,
in the beginning and at the end of the study.
Results At the time of submission of this work, the results of the
intervention were in analysis.
Conclusions This paper describes an experimentalmethod of psy-
chotherapeutic intervention in the field of psychosomatic disease,
using a transdisciplinary perspective.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0265
Attention, vigilance and visuospatial
function in hospitalized elderly
medical patients–relationship to
delirium syndromal status and motor
subtype profile
C. Daly
Department of psychiatry, St. Lukes hospital, Kilkenny, Ireland
∗ Corresponding author.
Objective The early and efficacious detection of neurocognitive
disorders poses a key diagnostic challenge. We examined how nine
bedside cognitive tests performacross the spectrumof deliriumand
motor subtypes.
Methods The performance on a battery of nine bedside cognitive
tests were compared in elderly medical inpatients with DSM-IV
delirium, subsyndromal delirium, and no neurocognitive disorder
and in different motor subtypes of patients with delirium.
Results One hundred and ninety-eight patients (mean age
79.14± 8.26) were assessed with no delirium (n = 43), subsyndro-
mal delirium ( n = 45), and full syndromal delirium (n = 110). The
ability to meaningfully engage with the tests varied from 59% for
vigilance B test to 85% for Spatial Span forward test andwas found to
be least in the full syndromal deliriumgroup. The no deliriumgroup
was distinguished from the delirium groups for all the tests and
from the full syndromal delirium group for the vigilance B test and
global visuospatial function test. The subsyndromal delirium group
differed from the full syndromal delirium group in respect of global
visuospatial function test, spatial span backwards and vigilance A
tests. Patients with full syndromal delirium were best identified
using the interlocking pentagons test and clock drawing test. The
ability to engagewith testingwas higher for those in the no subtype
group.
Conclusions Simple bedside tests of attention, vigilance, and vis-
uospatial ability are useful to help to distinguish neurocognitive
disorders namely subsyndromal deliriumfromother presentations.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0266
Relationship between borderline
personality disorder and migraine
L. De Jonge ∗, S. Petrykiv , J. Fennema , M. Arts
1 Leonardo Scientific Research Institute, Geriatric Psychiatry, Bergen
op Zoom, The Netherlands
2 University of Groningen- University Medical Center Groningen,
Department of Clinical Pharmacy and Pharmacology, Groningen, The
Netherlands
3 GGZ Friesland, Geriatric Psychiatry, Leeuwarden, The Netherlands
4 University of Groningen- University Medical Center Groningen,
Department of Old Age Psychiatry, Groningen, The Netherlands
∗ Corresponding author.
Introduction Borderline personality disorder (BPD) is character-
ized by pervasive instability in moods, impulsivity, intense and
unstable or disturbed interpersonal relationships and self-image,
and often self-destructive behaviour. BPD seems to be more com-
mon in patients suffering frommigraine. However, typical migraine
characteristics in this population remain partly unknown.
Objectives & aims To present the specific clinical characteris-
tics of migraine patients with BPD and to assess their response to
migraine treatment.
Methods We examined 10 patients withmigraine and previously
diagnosed with BPD (group 1), 10 patients with migraine and no
history of BPD (group 2), and 10 patients with migraine and no his-
tory of BPD matched to group 1 for age, gender, and frequency of
headache. Migraine was treated in group 1 and 3 and pharmaco-
logical treatment outcome was assessed after 6 months.
Results The group of migraine patients with coexisting PBD was
associated with female gender, increased prevalence of medica-
tion overuse headache, higher rates of self-reported depression,
increased migraine-related disability, and a decreased response to
pharmacological migraine treatment.
Conclusion Patients withmigraine and previously diagnosed BPD
can be regarded as a distinct population. They are more suffering
from depressive symptoms, more disabled by their migraine, are
more resistant to pharmacological treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.