Adao, C.

Caetano, R.

Donas-Boto, I.

Trindade, P.

Velosa, A.

European Psychiatry

English

PubMed

INTRODUCTION: Menstrual psychosis was first described in the 18th century. Brockington defined its characteristics: acute onset; brief duration with full recovery; confusion, stupor and mutism, delusions, hallucinations, or a manic syndrome and periodicity in temporal association with the menstrual cycle. OBJECTIVES: Description of a clinical case of menstrual psychosis and review of the literature. METHODS: Description of a clinical case. Non systematic review of the literature, searching the terms “psychosis”; “menstrual”; “catamenial” in the databases Pubmed, Medline and Cochrane. RESULTS: Female, 39-year-old patient. No psychiatric history until the postpartum period of a traumatic vaginal birth, when she developed stupor and mutism which lasted for two days. During the following 2 years, she progressively presented with sadness, asthenia, anhedonia, insomnia and incapacity for self-care. She was prescribed paroxetine and olanzapine, with partial recovery. Subsequently, she had at least 6 episodes with about 3-day duration of asthenia, food refusal, insomnia, incapacity for self-care, disorganization of thought and behavior and mystical and persecutory delusions, coincident with the beginning of menstruation. She was hospitalized in two of them and received treatment with venlafaxine 75mg and paliperidone 6mg, with psychotic symptoms remission after a week. CONCLUSIONS: This case presents the characteristics of menstrual psychosis. This is a rare condition, with only 30 reported cases worldwide. According to current classification systems, this condition fulfills diagnostic criteria for brief psychotic disorder. Nonetheless, studying in more detail this disorder could be interesting, with the goal of deepening the knowledge of the neurobiology of psychosis, particularly the effects of estrogen on this disorder. DISCLOSURE: No significant relationships

Adão, C.

Donas-Boto, I.

Velosa, A.

Trindade, P.

Caetano, R.

PubMed Central

Menstrual psychosis diagnosis: Does it still hold?

Repositório da Universidade Nova de Lisboa

The 5-year prognostic accuracy of the DSM-5 APS in adolescentwas adequate (Area Under the Curve=0.77) with high sensitivity(91.3%) and suboptimal specificity (63.2%).Conclusions:TheDSM-5APS diagnosis can be used to detect help-seeking adolescents at risk of psychosis and predict their long-termoutcomes, leading the way to new preventive approaches.Disclosure: The authors declare that they do not have a significantfinancial interest, consultancy or other relationship with products,manufacturer(s) of products or providers of services related to thisabstrac.Keywords: Psychosis; Adolescents; Attenuated PsychosisSyndrome; At risk of psychosis adolescents outcomeEPP0207Menstrual psychosis diagnosis: Does it still hold?C. Adão1*, I. Donas-Boto1, A. Velosa1, P. Trindade1 andR. Caetano1,21Centro Hospitalar de Lisboa Ocidental, Psychiatry Department,Lisboa, Portugal and 2NOVA Medical School, Psychiatry And MentalHealth, Lisboa, Portugal*Corresponding author.doi: 10.1192/j.eurpsy.2022.512Introduction: Menstrual psychosis was first described in the 18thcentury. Brockington defined its characteristics: acute onset; briefduration with full recovery; confusion, stupor and mutism, delu-sions, hallucinations, or a manic syndrome and periodicity intemporal association with the menstrual cycle.Objectives: Description of a clinical case of menstrual psychosisand review of the literature.Methods: Description of a clinical case. Non systematic review ofthe literature, searching the terms “psychosis”; “menstrual”;“catamenial” in the databases Pubmed, Medline and Cochrane.Results: Female, 39-year-old patient. No psychiatric history untilthe postpartum period of a traumatic vaginal birth, when shedeveloped stupor and mutism which lasted for two days. Duringthe following 2 years, she progressively presented with sadness,asthenia, anhedonia, insomnia and incapacity for self-care. She wasprescribed paroxetine and olanzapine, with partial recovery. Sub-sequently, she had at least 6 episodes with about 3-day duration ofasthenia, food refusal, insomnia, incapacity for self-care, disorgan-ization of thought and behavior and mystical and persecutorydelusions, coincident with the beginning of menstruation. Shewas hospitalized in two of them and received treatment withvenlafaxine 75mg and paliperidone 6mg, with psychotic symptomsremission after a week.Conclusions: This case presents the characteristics of menstrualpsychosis. This is a rare condition, with only 30 reported casesworldwide. According to current classification systems, this condi-tion fulfills diagnostic criteria for brief psychotic disorder. None-theless, studying in more detail this disorder could be interesting,with the goal of deepening the knowledge of the neurobiology ofpsychosis, particularly the effects of estrogen on this disorder.Disclosure: No significant relationships.Keywords: brief psychotic disorder; Psychosis; menstrual;catamenialEPP0208Correlation between social functioning and quality oflife in patients diagnosed with schizophreniaB. Ristic1 and B. Batinic2,3*1Institute of Mental health, Clinic For Addiction Treatment, Belgrade,Serbia; 2Faculty of Philosophy, Department Of Psychology, Belgrade,Serbia and 3University Clinical Centre of Serbia, Clinic Of Psychiatry,Belgrade, Serbia*Corresponding author.doi: 10.1192/j.eurpsy.2022.513Introduction: Social dysfunction is a significant feature of schizo-phrenia leading to deminution of quality of life (QoL).Objectives: To explore the correlation between social functioningand quality of life in patients diagnosed with schizophrenia.Methods: The study sample comprised 32 patients diagnosed withschizophrenia (24 males and 8 females) recruited from the Clinicfor mental disorders “Dr Laza Lazarevic” in Belgrade, with a meanage of 41.28 years (min 24, max 62), assessed by the Social Func-tioning Scale (SFS) and the World Health Organization Quality ofLife questionnaire (WHOQOL-BREF).Results: There were two significant quasi-canonical positive cor-relations between social functioning and QoL (1: f-test=16.4,p=.001; 2: f-test=23, p=0.0001.) The first structure is formedthrough the set of SFS subscales- Recreation, Independence-performance and Independence-competence and set of QoLsubscales-Mental health, Physical health, Environment and Generalassessment ofQoL. The second structure is formed through the set ofSFS subscales- Interpersonal functioning and Social engagement/withdrawal and the set of QoL subscales- General assessment ofQoL and Environment. Furthermore, the first canonical componentindicates a greater overlap of the opposition set by social functioning(23%) which leads to the assumption that the direction of influencegoes from social functioning to QoL. Due to the equality of redun-dancy in the second canonical component, the direction of influencecan only be inferred on the basis of the first canonical component.Conclusions: Social functioning and quality of life are related inpatients diagnosed with schizophrenia, and this relationship isbased on specific subfactors within those areas.Disclosure: No significant relationships.Keywords: schizophrénia; social functioning; Quality of LifeEPP0209Predictive value of body composition and coresymptoms in schizophrenia for cardiorespiratoryfitness: CORTEX-SP studyM. Tous-Espelosin1, N. Iriarte Yoller2*, C. Pavón2, P.M. Sanchez2,A. Sampedro3 and S. Maldonado-Martín11Faculty of Education and Sport-Physical Activity and Sport SciencesSection. University of the Basque Country (UPV/EHU), DepartmentOf Physical Education And Sport, Vitoria-Gasteiz, Spain; 2Osakidetza,Alava´s Psychiatric Hospital, Mental Health Network, Vitoria-Gasteiz,Spain and 3Faculty of Psychology and Education, University of Deusto,Department Of Methods And Experimental Psychology, Bilbao, Spain*Corresponding author.doi: 10.1192/j.eurpsy.2022.514European Psychiatry S195https://doi.org/10.1192/j.eurpsy.2022.512 Published online by Cambridge University Press

Does it still hold?

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Does it still hold?

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