European Psychiatry - Volume 41 - April 2017

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S828 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S772–S846
Methodology This cross-sectional study involved a sample of 30
patients and 11 doctors. An adapted and culturally validated ver-
sion of the Communication Assessment Tool was used for data
collection. Data were analysed in IBM SPSS Statistics® , version 24.
Results Male patients constituted 86.7% of the sample and mean
age was 46.7 ± 13.3. The overall mean percentage of items rated
as excellent by patients was 57.4%. On the other hand, exter-
nal observer percentage of excellent scores was much lower
when compared with patients’ scores. Single, divorced or wid-
ower/widow patients, patients with higher educational level and
patients with shorter number of years in medical treatment
gave significantly higher scores to psychiatrists’ communication.
Patients’ sex, age, occupation residence and family type did not
yield statistically significant effects on patients’ ratings.
Conclusions Communication is at the heart of psychiatrists’ daily
practice. Many communication styles might be needed, depending
on the nature of clinical encounters and patient expectations. Spe-
cific training is required to optimise psychiatrists’ communication
skills on everyday practice.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1291
Sexual-dimorphism of the planum
temporale in schizophrenia: An MRI
study
A. Pigoni ∗, G. Delvecchio , C. Perlini , M. Barillari ,
M. Ruggeri , C. Altamura , M. Bellani , P. Brambilla
1 Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico,
Department of Neurosciences and Mental Health, Milano, Italy
2 IRCCS “E. Medea” Scientific Institute, Department of Neurosciences,
San Vito al Tagliamento, Italy
3 University of Verona, Department of Neurosciences, Biomedicine
and Movement Sciences, Section of Clinical Psychology, Verona, Italy
4 Azienda Ospedaliera Universitaria Integrata Verona, Section of
Radiology, Verona, Italy
∗ Corresponding author.
Introduction Anatomical alterations in the Superior Temporal
Gyrus (STG) have been reported in schizophrenia. The STG is one of
the most asymmetric and lateralized structure of the brain, and
the process of lateralization seems to vary according to gender.
Although it has been suggested that patients with schizophrenia do
not show normal brain lateralization, only few studies investigated
it in the STG considering the effects of sex.
Objectives The objective of this study is to evaluate sexual dimor-
phism in STG volumes in a sample of patients with schizophrenia
compared to age-and sex-matched healthy controls.
Methods Seventy-two right-hander males (40 schizophrenia
patients and 32 controls) and 45 right-hander females (18
schizophrenia patients and 27 controls) underwent clinical eval-
uation and a 1.5 T MRI scan. Gray and white matter volumes of
regions of interests within the STG were detected, including the
Heschl’s Gyrus (HG) and the planum temporale (PT).
Results Female patients with schizophrenia presented a reduc-
tion in left PT gray matter volumes (F = 4.58, P = 0.03) and a lack
of the normal PT asymmetry index ( t = 0.27; P = 0.79) compared
to female controls ( t = 5.47; P< 0.001). No differences were found
between males for volumes or laterality. Also, in patients with
schizophrenia STG gray and white volumes negatively correlated
with positive symptoms (r = −0.33, P = 0.02 and r = −0.29, P = 0.03
respectively), whereas left PT graymatter volumes were negatively
associated to duration of illness (r= −0.27, P = 0.04).
Conclusions Sexual dimorphism plays a key role on PT in
schizophrenia, underlying the importance of gender as amodulator
of brain morphology and lateralization of schizophrenia.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1292
A case of delusional disorder
O. Porta Olivares ∗ Juncal Ruiz
B. Fernández Abascal Puente Gómez Revuelta
M. Pérez Herrera Garcia Egea arcia Ayala
N.I. Nu˜nez Morales , R. Landera Rodríguez ,
G. Pardo de Santayana Jenaro , L. Sánchez Blanco
1 Hospital Universitario Marqués de Valdecilla, Usm López Albo,
Santander, Spain
2 Hospital Universitario Marqués de Valdecilla, General Psychiatry,
Santander, Spain
3 Hospital Universitario de Álava, Inpatient Unit, Vitoria-Gasteiz,
Spain
4 Hospital Universitario Virgen del Rocío, General Psychiatry, Sevilla,
Spain
5 Hospital Universitario de Álava, General Psychiatry, Vitoria-Gasteiz,
Spain
∗ Corresponding author.
Introduction Functioning of patients with delusional disorder
may be impaired, particularly if the delusional thinking is chronic
rather than episodic. They refuse to characterize their beliefs as
false and view opposing views with surprise, if not hostility and
disdain, dismissing or ignoring them, and continuing their struggle
to find resolution or restitution for the wrongs they have endured
or the illnesses from which they suffer. They typically reject and
often resent the suggestion that they are mentally compromised.
They are a difficult group to engage clinically, often refusing tomeet
with a clinician about their delusions and/or to takemedication. The
first-line treatment of delusional disorder is antipsychotic medi-
cation rather than other clinical interventions. Patients with the
disorder often reject psychiatric treatment, it is particularly impor-
tant that medication be prescribed in the context of a therapeutic
relationship that includes support, education, encouragement of
healthier pursuits, and discouragement of damaging, delusion-
inspired actions.
Methods We describe a case of a 55-year-oldwomanwith a delu-
sional disorder that was diagnosed 4 years before. The supervision
of the right take of the treatment was not possible and the intensity
of behavioral disturbances increased. Then we started the treat-
ment with long-acting injectable aripiprazole.
Results Within the 4months following the start of treatment, her
mental state improved by attenuation of psychotic symptoms.
Conclusions Long-acting aripiprazole could be an effective tool
for treatment of psychotic symptoms in patients with no insight
and difficulties to check the proper treatment take.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1293
A case of pharmacologic
extrapyramidal syndrome
O. Porta Olivares ∗, M. Juncal Ruiz ,
B. Fernández Abascal Puente , M. Gómez Revuelta ,
G. Pardo de Santayana Jenaro , L. Sánchez Blanco ,
R. Landera Rodriguez , A.B. Pérez Santos ,
F. Arnaiz de las Revillas Almajano
1 Hospital Universitario Marqués de Valdecilla, General Psychiatry,
Santander, Spain
2 Hospital Universitario de Álava, General Psychiatry, Vitoria-Gasteiz,
Spain