European Psychiatry - Volume 41 - April 2017

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S746 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S710–S771
∗ Corresponding author.
Introduction Smoking causes many life-threatening diseases and
is a major risk factor for several main causes of death. Damage by
smoking is also caused to those called “passive smokers”. Passive
smoking has been implicated in many adverse effects on health.
Very few studies deal with empathy in smokers while smoking in
the presence of non-smokers.
Purpose Estimation of empathy and psychological characteristics
of Greek smokers.
Methodology For research purposes we used questionnaires
Toronto empathy questionnaire (TEQ), symptom check list 90-R,
experience of shame scale (EES) and other as Shamer scale – OAS.
Results A statistically significant difference has been observed in
the TEQ to gender (2.436, 0.02), with women showing the high-
est value (3.4 ± 0.4), as well as in the mean in behavioral shame
2. Another statistically significant difference has been observed in
behavioral shame between educational level (3.419, 0.026) and the
price of characterological shame among those who reported smok-
ing in the workplace and those who did not.
Conclusions The sample consisted of 27 subjects with average
age 24 years and standard deviation of 4 years. Smokers accounted
for 48.1%, of whom 69.2% stated that smoke in their living space.
Respectively, the percentage of smokers in the workplace was
equivalent. The largest percentage of smokers, (13 people, 69.2%)
think that non-smokers are very annoyed when surrounded by
people smoking close to them. The proportion of those who said
they are very much bothered when in places where smoking is
prohibited but somebody smokes, is large (47.1%).
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1052
Cotard syndrome: Pathology review
A. Samico ∗ erestrelo , Â. Venâncio
Vila Nova de Gaia Hospitalar Center, Psychiatry and Mental Health
Service, Vila Nova de Gaia, Portugal
∗ Corresponding author.
Introduction Cotard syndrome (CS) is a rare neuropsychiatric
condition characterized by nihilistic delusions, which may range
from negation of existence of parts of the body to delusion of being
dead or negation of self-existence, and it requires an urgent and
appropriate therapy.
Objectives Our objective is to highlight the importance of CS,
reinforcing that medical professionals should be aware of this
pathology to prompt clinical description, diagnostic and treatment.
Aims The aim of this presentation is to alert psychiatrists to this
remaining syndrome.
Methods Review of phenomenological and theoretical issues
regarding SC.
Results CS can be found in numerous psychiatric or neurologic
pathologies but it is most seen in patients with severe depres-
sion. It is typically divided in three subtypes: psychotic depression,
Cotard type I, with nihilistic delusions without mood symptoms,
and Cotard type II, with mood symptoms and auditory halluci-
nations. There are numerous etiological hypothesis mechanisms,
including unusual perceptual experiences, which can similarly
be involved in Capgras delusion, disconnection from emotional
or limbic processes, an impaired belief evaluation or a tendency
to excessive self-attribution. Frontotemporoparietal circuitry also
seems to have an important role in its pathology. Treatment
usually involves electroconvulsive therapy, antidepressants and
anti-psychotics and the prognosis depends on the underlying dis-
orders.
Conclusions CS is a rare pathology with self-defeating risk and its
clinical recognition and proper treatment are essential to improve
the prognosis of these patients. Diagnostic criteria or clinical instru-
ments for assessment of this syndrome should be encouraged, since
its lack is a limitation for systematic studies and consequent man-
agement advances.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1053
Hoarding disorders: Two different
clinical presentations
A. Samico ∗ ota , Â. Venâncio , L. Ribeiro
Vila Nova de Gaia Hospitalar Center, Psychiatry and Mental Health
Service, Vila Nova de Gaia, Portugal
∗ Corresponding author.
Introduction Hoarding disorders (HD) have increasingly become
a public health hazard. It usually emerges during two broad life
periods: in early age-of-onset is usually associated with obsessive-
compulsive disorder (OCD); in the elderly, it can be due to
psychiatric and organic disorders, unrelated to OCD.
Objectives Our objective is to increase medical awareness and to
highlight that both young and elderly people may suffer from this
condition.
Aims The aim of this presentation is to address HD and its differ-
ent presentations.
Methods Presentation of two clinical cases of HD and pathology
revision.
Results A 30-year-old woman was hoarding litter, food and sev-
eral items in a systematic way, become aggressive when her family
tried to clean the house and was admitted several times in a psy-
chiatric facility for cleanliness of her house. She had a history of
depressive symptoms and severe OCD, with obsessive thoughts
and several verification behaviors. A 78-year-old woman, with his-
tory of cerebral vascular disease, was self-neglected, living in a
filthy home, with hoarding of litter and many worthless objects
in a disorganized way, become aggressive after her relatives try to
enter her house and refused to get help of any kind. Later on, she
was admitted in a psychiatric facility and diagnosed with vascular
dementia.
Conclusions Timely diagnosis and proper management of these
two variations of HD will allow more advanced studies in this
matter and more effective pharmacological and psychotherapeutic
treatments. These clinical cases reinforce the importance of prac-
tical guidelines for appropriate approach of these patients with
complex and multidimensional needs.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1054
Fathers’ personality dispositions and
conduct-disordered children’s
perception of their fathers
C. Singh
Marwari Relief Society Hospital, Psychiatry and Psychology, Kolkata,
India
Introduction Individual’s personality profile is one of the major
determinants of one’s behavior. Thus, poor personality disposition
of fathers and the child’s perception of father have been reported
to be powerful predictors of subsequent delinquency and criminal
offences. The externalizers resemble the dimensions of conduct dis-
order as prescribed in diagnostic statistical manual IV. The essential
feature is their repetitive behavioral patternwherein the basic right
of others or major age appropriate societal norms are violated.
Objective This study finds out the relationship between the
fathers’ personality-disposition, havingmale childrenwith conduct