European Psychiatry - Volume 41 - April 2017

652 / 916

S648 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709
clinical characteristics to be taken into account. This case highlights
some of them, drawing attention to this uncommon diagnosis.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0747
Frontotemporal dementia:
A diagnostic challenge
C.A. Crisan ∗ ara erju-Dumbrava
1 University of Medicine and Pharmacy “Iuliu Hatieganu”
Cluj-Napoca, Department of Neurosciences, Cluj-Napoca, Romania
2 Psychiatry Clinic I, Psychiatry, Cluj-Napoca, Romania
∗ Corresponding author.
Introduction Frontotemporal dementia (FTD), the second com-
monest cause of degenerative dementia after Alzheimer’s disease
in patients aged 65 years or less is characterized clinically by pro-
gressive changes in social, behavioural, and language function.
Objectives To do a complete psychiatric and neurological exam-
ination of a case with pick dementia.
Aims This case report wants to highlight the combination of psy-
chiatric and neurological symptoms in FTD in order to improve the
early diagnosis and therapeutical management.
Methods We report the case of a 62-years-old male who
was admitted in psychiatric clinic, I Cluj-Napoca after he was
transferred from neurology clinic I for distractibility, impersis-
tence, apathy, loss of interest, emotional blunting, hyperorality,
dietary changes, stereotyped behaviour, decline in personal
hygiene. The delay in diagnosis was approximately 3 years,
probably because his MMSE total score was 30 points and
because he presented behavioural and verbal disinhibition,
irritability, inappropriate emotional reacting and a CTwithminimal
changes.
Results Psychometric evaluations revealed: Frontal Assessment
Batery (13/18), Frontotemporal Dementia Rating Scale (50% impair-
ment, moderate severity level), ADL (activities of daily living) (Katz
score = 4/7, moderate dependence, low self-care) and IADL (instru-
mental activities of daily living) (2/8 = high dependency level, low
self-maintenance). MRI: fronto-temporal atrophy. The anamnesis,
heteroanamnesis, para-clinical investigations led us to a diagnosis
of FTD (Pick dementia).
Conclusions We should acknowledge that behavioural changes
progress whatever the presentation, that cognitive decline occurs
later and that FTD is a disease with a longer delay in onset of cog-
nitive symptoms and diagnosis.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0748
Self-compassion, well-being and
health in elderly: Are there related?
M. Cunha∗, L. Parente , A. Galhardo , M. Couto
Miguel Torga Institute, Clinical Psychology, Coimbra, Portugal
∗ Corresponding author.
Introduction The increase in aging population is a major advance
in society, but also a great challenge, imposing the need for actions
that promote successful aging, with higher subjective well-being
and better health.
Objectives (1) analyse the possible influence of socio-
demographic variables in self-compassion, satisfaction with
life, affection, physical and mental health (study variables); (2)
understand how is that the study variables are associated with
each other in old age; and (3) explore which variables best predict
satisfaction with life and health in the elderly.
Method The study sample consists of 155 individuals, aged
between 65 and 94 years old, institutionalised and non-institu-
tionalised.
Results (1) significant correlations were found between some
demographic and the study variables. (2) Significant associations
were also found between self-compassion, subjective well-being
and health. (3) linear regression analysis revealed that physical
health is best predicted by greater life satisfaction and lower age;
mental health is best predicted by increased satisfaction with
life, self-compassion and decreased negative affect; and, finally,
life satisfaction is predicted by a higher physical health and self-
compassion.
Conclusions These results suggest the importance of developing
psychological skills such as warmth, tolerance and the acceptance
of suffering bearing in mind that the elderly may experience diffi-
culties resulting from the developmental characteristics of old age.
Our findings suggest the possible beneficial effect of compassion,
focused therapies designed for this specific population, particularly
contributing to the promotion of life satisfaction and mental health
of the Portuguese elderly.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0749
The psycho-geriatric patient in the
Emergency Room (ER) of the Maggiore
della Carità Hospital in Novara
E. Di Tullio ∗, C. Vecchi , A. Venesia , L. Girardi , C. Molino ,
P. Camera , M. Chiarelli serra , C. Gramaglia , A. Feggi ,
P. Zeppegno
1 Università del piemonte orientale, translational medicine, Novara,
Italy
2 Azienda ospedaliero-universitaria maggiore della carità di novara,
SC psichiatria, Novara, Italy
∗ Corresponding author.
Introduction Due to population aging, the health systemwill face
increasing challenges in the next years. Concerning mental disor-
ders, they are major public health issues in late life, with mood and
anxiety disorders being some of the most common mental disor-
der among the elderly. For this reason, increasing attention has to
be paid to the evaluation of the elderly in psychiatry emergency
settings.
Objectives To evaluate the socio-demographic and clinical fea-
tures of over 65 patients referred to psychiatric consultations in
the ER of “Maggiore della Carità” Hospital in Novara, in a 7 years
period.
Aims The analysis of the characteristics of the study sample could
be potentially useful in resource planning in order to better serve
this important segment of the general population.
Methods Determinants of ER visits for over 65 patients referred
to psychiatric evaluation were studied retrospectively from 2008
to 2015.
Results Elderly patients made up 14,7% (n = 458) of all psy-
chiatric evaluation in the ER (n = 3124). About two thirds
(65,9%) were females and one third were males (34,1%). The
mean age of patients recruited was 75.11 years. The major-
ity of subjects (68.6%) presented without a diagnosis of Axis
I according to DSM-IV. The other most frequent diagno-
sis was “cognitive disorders” (11.4%) and “mood disorders”
(10.9%).
Conclusions The large proportion of patients without a diagnosis
of Axis I, could be related to the misunderstanding of the psychoso-
cial aspects of aging. Preliminary results highlight the importance of
research on this topic, considering population aging and the impact
of mental disorders in late-life.