European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709 S647
were administrated to evaluate cognitive and depressive symp-
toms. Adherence to Med-Diet was evaluated using the Med-Diet
14-Item questionnaire (MDQ). Pearson correlation was used to test
association between variables. The Preacher and Hayes’ strategy
was used to test the mediational model.
Results One hundred and forty-three subjects were included
in the study. Significant inverse correlations of MDQ with GDS
(r = -0.317; P < 0.001) and CIRSG-SI (r = -0.247; P= 0.003) were
found, with and without adjustment for potential confounders. A
direct correlation between CIRSG-SI and GDS was also observed
(r = 0.304; P = 0.001), with this association beingmoderated byMDQ
(b = 0.386; P = 0.047).
Conclusion These findings (i) add to the accumulating evidence
that Med-Diet is crucially involved in the regulation of physi-
cal and mental health of elderly people, and (ii) suggest that a
Mediterranean-style diet may contribute to protect elderly sub-
jects with higher levels of polypathology/multi-morbidity from the
development of depressive symptoms.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0744
Diagnostic accuracy of the
overlapping infinity loops, wire cube,
clock drawing tests and their
combined score for cognitive
impairment in mild cognitive
impairment and dementia
T. Charernboon
Faculty of Medicine, Thammasat university, Department of
Psychiatry, Pathumthani, Thailand
Objectives To investigate the diagnostic accuracy of the over-
lapping infinity loops, wire cube, clock drawing tests (CDT) and
the combined score in the detection of mild cognitive impairment
(MCI) and dementia.
Methods The participants were 60 normal controls (NC), 35
patients with MCI, and 47 patients with dementia. For the over-
lapping infinity loops and wire cube tests, the participants were
told to copy the figures from the examples. For the CDT, the partic-
ipants were asked to draw a clock face with numbers on it with the
hands at ten past five.
Results The results illustrate that infinity loops, cube, or CDT
alone, or combined score, were not able to discriminate between
NC and MCI groups. In dementia detection, the CDT had the highest
diagnostic accuracy (sensitivity 76.6% and specificity 87.4%) fol-
lowed by infinity loops (sensitivity 83.7% and specificity 78.9%)
and cube (sensitivity 93.6% and specificity 46.3%). Additionally,
when the three tests were combined, better diagnostic accu-
racy was demonstrated with a sensitivity of 87.2% and specificity
86.3%.
Conclusion This study demonstrates that the three drawing tests
are sensitive detectors of dementia but not MCI. The combination of
these three drawing tests is a brief tool of good diagnostic accuracy
for dementia screening.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0745
Anxiety for body symmetry and sexual
performance in old and young
patients, case series presentation
I. Christodoulou ∗, A. Kapsimalis , G. Dounias , N. Peitsidis ,
C. Lahana , D. Gonezou
G. Papanikolaou General Hospital, Thessaloniki, Greece, B’surgical
Department, Thessaloniki, Greece
∗ Corresponding author.
Introduction It is not rare, old patients asking for better aesthetic
results on multi-operated bodies causing anxiety and incon-
venience. Objectives of our study is to present the emotional
confrontation of patients towards surgery.
Methods We present 4 cases of interest.
Results A 75-year-old woman with abdominal asymmetry due
to lose abdominal walls and prior operations underwent a failed
operation because of her own persistence and finally was con-
vinced to stop asking new surgery when she was told that her
abdomen would never become symmetrical. A 79- year-old man,
keen on parachuting, was interested to improve his sexual perfor-
mance and tighten his lose skin with a re-operation on his well
done hernia operation. A married man of 50-years-old with a tem-
porary colostomy due to ruptured sigmoid colon suffering from
acute diverticulitis, two months later was not at all interested in
any kind of aesthetic improvement or his sexual life, and his only
care was his nutrition and the avoidance of infections. A divorced
man of 49-years-old, with a permanent colostomy, due to famil-
ial adenomatous polyposis and cancer occurrence on the site of
his old operation (prior total colectomy in 1995), not even one
time referred to sexual functioning or aesthetic problems, while
his constant problem was to take care of his colostomy by himself.
Conclusions Old age does not mean loss of interest for body icon
and sexuality. On the other handmiddle-agedmen seem to bemore
practical and less emotional than old patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0746
“The old lady and the dead bird”–
A case of very-late-onset
schizophrenia-like psychosis
V. Covelo∗, M. Marinho , A.S. Machado , J. Rebelo , R. Moreira
São João Hospital Centre, Clinic of Psychiatry and Mental Health,
Porto, Portugal
∗ Corresponding author.
Introduction In 1943, Bleuler defined “late-onset schizophre-
nia” as a form of schizophrenia with onset after the age of
40. Half a century had passed with no consensus on the late
psychosis’ terminology, when in 1998 the international late-
onset schizophrenia group Consensus proposed a nosology for
these disorders: late-onset schizophrenia and very-late-onset
schizophrenia-like psychosis.
Objectives Presentation of a case and diagnostic discussion.
Methods Interviews with the patient during his hospitalisation.
Results We present a case of a 73-year-old single woman, with
no psychiatric history, who was driven to the emergency depart-
ment by her relatives when they noticed her bizarre behaviour: she
had drowned and strangled her pet bird. At examination she was
agitated, had persecutory delusions, thought broadcasting, cen-
esthetic and auditory hallucinations in the form of a masculine
voice, who sang and dialogued with her. Symptoms had evolved
during the past six months with no apparent functional impair-
ment. During hospitalisation she was treated with risperidone (up
to 5mg/day) with improvement in a few days. There were no
significant abnormalities on cerebral tomography and analytical
exams. Neuropsychological evaluation ruled out cognitive deficits.
At the time of discharge although the patient kept referring audi-
tory hallucinatory activity, she had an appropriate behaviour, and
no evidence of negative symptoms.
Conclusions The small group of patients who meet schizophre-
nia’s criteria for the first time at a later age present some particular