European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709 S657
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
References
[1] Agüera L, Cervilla J, Martín M. Psiquiatría geriátrica.2eEdicion.
Trastorno Bipolar 2006;(19):436–43.
[2] Agüera L, Sánchez M, Martín M, Olivera J, Azpiazu P, Mateos R.
Guía Esencial de Psicogeriatría. Trastornos afectivos 2015.
EV0774
Just hypochondria or something else?
I. Martinez Perez ∗, F. Garcia Sánchez ,
A.L. Gonzalez Galdamez , M.D. Piqueras Acevedo ,
A. Belmar Simo , A. Lopez Eugenio , M.E. Felices Quesada ,
C.J. Garcia Bri˜nol
1 Residencia Psicogeriatrica Virgen del Valle, Psiquiatría, Murcia,
Spain
2 Hospital Universitario Virgen de la Salud, Anestesia, Elda, Spain
3 Hospital Universitario Santa Lucia, Psiquiatria, Murcia, Spain
4 CAP Ramonete, Atención Primaria, Murcia, Spain
5 Hospital de Torrevieja, Oftalmologia, Alicante, Spain
∗ Corresponding author.
Introduction In the older adult hypochondria is one of the most
common somatoform disorders, and represents a particular chal-
lenge for approach, diagnosis and treatment, since in this age group,
non-psychiatric medical comorbidity and concomitant presence of
other psychiatric disorders very high. It is therefore very complex
differentiate hypochondria disease with a real organic cause
Methods Review of the relevant literature on the subject by
searching PUBMED, limited to studies of greater scientific hierar-
chy.
Results Analysis of symptoms present in a hypochondriac patient
with comorbidpsychiatric disorders and organic pathology, valuing
the importance it has in its clinical manifestations and the difficulty
of differential diagnosis.
Conclusions In the elderly, the high frequency of somatic disease
conditions the need for a deeper physical and mental examina-
tion to avoid subjecting patients to unnecessary scrutiny and risky
complementary tests
The evolution of hypochondriacs, dragging hypochondria from
youth is not good, persisting in his complaint and his need to see
a doctor for diagnostic examinations he therapeutic approach
depends on the type of complaint, in which the treatment of the
underlying disease as a psychotherapeutic and pharmacological
mixed approach may be the right things
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
References
[1] Ugalde O. Guía Clínica para el tratamiento de los trastornos
psicogeriatricos. ED: Instituto Nacional de Psiquatría deMéxico;
2010. p. 59–662.
[2] Agüera L, Cervilla J, Martín M. Psiquiatría geriátrica. Trastornos
Neuróticos y de la personalidad: alteraciones psicopatológicas
de apariencia somática, 26, 2e Edicion; 2006. p. 604–12.
EV0775
Behavioral and psychological
symptoms: A contribution for their
understanding based on the unmet
needs model
A.R. Ferreira , S. Martins ∗, C. Dias , M.R. Simões ,
L. Fernandes
1 PhD Program in Clinical and Health Services Research/PDICSS-
Health Information and Decision Sciences Department, Faculty of
Medicine, University of Porto, Porto, Portugal
2 CINTESIS, Center for Health Technology and Services Research,
Faculty of Medicine- University of Porto, Porto, Portugal
3 Health Information and Decision Sciences Department. Center for
Health Technology and Services Research/CINTESIS, Faculty of
Medicine, University of Porto, Porto, Portugal
4 Psychological Assessment Laboratory. CINEICC, Faculty of
Psychology and Educational Sciences, University of Coimbra,
Coimbra, Portugal
5 Department of Clinical Neuroscience and Mental Health. CINTESIS,
Faculty of Medicine, University of Porto, Porto, Portugal
∗ Corresponding author.
Introduction Behavioural and psychological symptoms (BPSD)
are frequent in dementia and their contribution to poor health
outcomes is well recognized. Four major frameworks attempt an
explanation their aetiology: biological, behavioural, environmen-
tal vulnerability and unmet needs models. The latter states that
BPSD are symptoms of needs that are not beingmet due to patients’
decreased ability to communicate/fulfil them. This model also
implies that if needs were met, BPSD would improve.
Aims To explore the relation between needs and BPSD, and
describe which unmet needs were contributing to BPSD in an
elderly sample.
Methods A cross-sectional study was conducted in three Por-
tuguese nursing homes. All residents were considered eligible.
However, those unwilling or unable to participate were excluded.
For each elderly patient, needs were assessed with camberwell
assessment of need for the elderly/cane and BPSD with European
Portuguese neuropsychiatric inventory/NPI.
Results The final sample included 166 elderly with an aver-
age of 80.9(sd = 10.2) years. Significant correlations between NPI
and unmet and global needs were found (rs = 0.181, P= 0.020;
rs = 0.254,P= 0.001, respectively). Additionally, the unmet needs of
daytime activities (P= 0.019), company (P = 0.028) and behaviour
(P = 0.001), presented significant correlations with NPI.
Conclusion In this sample, a high number of unmet needs were
found. The absence of daytime activities, company and behaviour
contributed to the identified BPSD, which is in line with other
studies also highlighting the importance of these needs in nurs-
ing homes. This not only provides a framework for understanding
BPSD, but also points to the identification of unmet needs as pivotal
in prevention and treatment of these symptoms.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0776
Elderly diabetic patients: Depression
and adherence to treatment
R. Mendes artins ∗ ernandes
1 Department of Internal Medicine, CHSJ, Porto, Portugal
2 CINTESIS, Center for Health Technology and Services Research,
Faculty of Medicine, University of Porto, Porto, Portugal
3 Department of Clinical Neurosciences and Mental Health, Faculty of
Medicine- University of Porto, Porto, Portugal
4 Clinic of Psychiatry and Mental Health, CHSJ, Porto, Portugal
∗ Corresponding author.
Introduction Demographic changes with the aging of the world-
wide population imply an increase in prevalence of chronic
diseases, such as diabetes mellitus. Many studies have suggested
that depression is higher in diabetic patients, and that this associ-
ation often contributes to under-recognition of the illness, limiting
adequate metabolic control.
Aims To study the association between depression and adher-
ence to treatment in elderly diabetic patients.
Methods A cross-sectional studywas conductedwith elderly out-
patients (≥65 years) from the Internal Medicine Department in São
João Hospital (CHSJ, Porto). Patients unable to communicate were