European Psychiatry - Volume 41 - April 2017

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S664 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709
Alzheimer’s dementia (AD) and has a progressive course that leads
to inevitable deterioration in functioning. Still, FTD is not a unique
entity in ICD- 10 classification.
Objectives To investigate the diagnostic and treatment difficul-
ties in FTD.
Aims To show very rapid and progressive deterioration in people
with early onset FTD.
Methods We will present a series of cases showing progres-
sive cognitive deterioration and prominent personality changes in
patients with FTD hospitalised at University Psychiatric Hospital
Vrapce since 2013 to 2015. Collected data included anamnestic and
heteroanamnestic information, blood tests and neroimaging.
Results Our findings showed a significance of early onset FTD,
with subtle, untypical symptoms at the beginning, and galloping
deterioration during the course of illness.
Conclusions Presented patients with FTD showed rapid and pro-
gressive nature of diseasewith infaust prognosis. Even though early
onset patients make 20% of overall number of patients with FTD,
we consider that it is necessary to separate them from late onset
patients in future classification systems.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0796
Characteristics of elder
mistreatment’s perpetrators in
Tunisian community-dwelling elders
B. Saguem ∗, S. Bouhlel , B. Ben Hadj Ali
CHU Farhat Hached, Psychiatry, Sousse, Tunisia
∗ Corresponding author.
Introduction While research is illuminating characteristics of
elderly that are associated with mistreatment, far less research has
investigated characteristics of the perpetrator that are involved in
elder mistreatment cases.
Aim To address the characteristics of elder mistreatment’s per-
petrators in a population of community-dwelling elders.
Methods A cross-sectional study was conducted, including 80
subjects aged 65 years and older, with sufficient cognitive ability to
complete the interview. Elderly were asked about several charac-
teristics of mistreatment’s perpetrators. Indicators of Abuse Screen
(IOA) was used to evaluate abuse.
Results Findings show that 13.8% of the participants suffered
from elder mistreatment, with a mean IOA’s score of 8.35. Accord-
ing to subtypes, 10% reported psychological, 2.5% physical and 1.3%
financial abuse. Abuse was recurrent and the victim’s reactions
were passive in all cases.
Perpetrators were family members in all cases, with being a part-
ner in 63.6%, a child in 18.2%, a sibling in 9.1% and a stepdaughter in
9.1% of cases. They were men in 72.7% of cases and their mean-age
was 64.09 years. Financial difficulties and psychological problems
were reported in 54.5% and 36.4% of perpetrators, respectively.
Perpetrators were most likely living with the victims (P = 0.009).
Partners were the perpetrators of half of the psychological abuse,
and the totality of the physical and financial abuse. Abusive mari-
tal relationships were significantly associated with the perpetrator
(P = 0.04).
Conclusion Our findings suggest that the cause of elder abuse is
rarely unique, and that this phenomenon is consequent to many
pre-existing underlying problems affecting both elderly and per-
petrators.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0797
A comparative study of elder
mistreatment between
community-dwelling elders and those
residing in long-term care facilities
B. Saguem∗, B. Saoussen , B.H.A. Béchir
CHU Farhat Hached, Psychiatry, Sousse, Tunisia
∗ Corresponding author.
Introduction Elderly who live in settings other than their own
homes or those of relatives have received little attention from
researchers in Tunisia.
Aims To compare sociodemographic and clinical factors associ-
ated with elder abuse between community-dwelling elders and
those residing in nursing home.
Methods A comparative study was conducted, including 50 sub-
jects aged 65 years and older living in the community and 20
age- and sex-matched subjects living in a nursing home. Cognitive
status, depressive symptoms and autonomy were assessed using
mini-mental state examination (MMSE), geriatric depression scale
(GDS) and activities of daily living scale (ADL). Elder abuse was
evaluated with Indicators of Abuse Screen (IOA).
Results Elder abuse was more prevalent in elderly residing in
nursing home (P = 0.009) with a prevalence of 35% and 8% and
a mean IOA score of 12.75 and 7.74. Psychological, physical,
financial abuse and neglect were reported by elderly residing in
nursing home. Those living in community reported exclusively
psychological abuse. The victim’s reactions were passive in all
cases.
Elders living in nursing home were more single or divorced (0.000)
and financially independent (0.003). They had lower scores of
MMSE (0.002) and ADL (0.014), and higher scores of GDS (0.022).
A binary logistic regression confirmed that elder abuse was sig-
nificantly more prevalent in nursing home after eliminating these
confounding variables: age, gender, MMSE, GDS and ADL scores
(P = 0.018).
Conclusion Our results confirm that elderlywho live in long-term
care facilities are at particular risk for abuse and neglect.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0798
Medical Staff’s Social representation
on elderly with psychiatric disorder:
Impacts about the life project
S. Salime ∗, C. Clesse , C. Prudent , I. Dumand , M. Batt
1 Espoir 54, Meurthe et Moselle, Nancy, France
2 Psychiatric Hospital of Jury-les-Metz, Moselle, Jury, France
3 University of Lorraine, Nancy 2, Meurthe et Moselle, Nancy, France
∗ Corresponding author.
Today, the questioning about the life project of elderly with men-
tal disorders seems not to be a priority of research and politics.
Many studies shows that social representation of this specific pop-
ulation aremostly negative. They impact the place of these subjects
on their social and community integration into the society. The
purpose of our research work is to identify the nature of health
professional’s social representation involved in the accompani-
ment of these subjects. In that case, the authors aim to identify it
impact on their life project. Consequently, the authors interviewed
715 professionals (doctors, psychologists and nurses) with the free
association method of Abric. A prototypical and categorical anal-
ysis was conducted with the help of IRAMUTEQ software. Then a
factorial analysis was performed in order to identify which fac-
tors could be possibly linked with some dimensions of the social
representation we isolated (age, sex, profession and study level).
Results shows that social representation of health professionals