European Psychiatry - Volume 33 - March 2016

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S136 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
3 Clinical Hospital of Psychiatry “Al. Obregia”, 9 Ward, Bucharest,
Romania
4 Clinical Hospital of Psychiatry “Elisabeta Doamna”, Psychiatry,
Galati, Romania
5 Emergency County Hospital Cluj-Napoca- Romania, Second
Psychiatric Clinic, Cluj-Napoca, Romania
∗ Corresponding author.
Introduction Bipolar patients show broad cognitive deficits and
low global functioning.
Objective Assessment of global functioning in bipolars with
severe course of illness and cognitive deficits.
Aim Improving life quality of bipolar patients with cognitive
deficits.
Methods One hundred and thirty-seven bipolar (depressive:
Hamilton Depression Rating Scale score ≥ 17, manic/hypomanic:
Young Mania Rating Scale score ≥ 12, mixed: HAMD score > 8 and
YMRS score > 6, euthymic: 6-month of remission, HAMD score ≤ 8,
YMRS score ≤ 6) patients (DSMIVTR). Cognitive battery included
standardized test of IQ, attention, executive functioning, memory
(working and verbal). GAF (Global Assessment Functioning Scale)
scale assessed global functionality. Demographic data, psychiatric
history, past/current treatment, length of illness, age of onset were
collected. We evaluate global functioning in bipolar patients.
Results Cognitive deficits with low functioning are more fre-
quent in bipolars with more severe course of illness (longer illness
length, younger onset age, history of frequent manic episodes,
higher number of hospitalization). Manic patients showed themost
pronounced cognitive deficits. Despite high energy, impaired cog-
nitive function does not support performance and final result is
an important decrease of functionality. While for most manic and
mixed patients, GAF scores were included between 41 and 50
(any serious deterioration in socio-occupational, school function-
ing), for majority of depressive patients, GAF scores were included
between 51 and 60 (moderate difficulty in socio-occupational,
school functioning) and for most euthymic patients, the GAF scores
were comprised between 61 and 70 (some difficulty in socio-
occupational, school functioning). Manic and mixed patients have
similar employment percentages (< 50%), and lowest employment
percentage is obtained by depressive ones (40%).
Conclusions Severe course of bipolar disorder is associated with
cognitive deficits and lower socio-occupational functionality.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Child and adolescent psychiatry
EW59
Correlation of vitamin D to attention
deficit hyperactivty disorder
M. Abouzed ∗, A. Moshref , A. Elsherbiny , M. Elsheikh
Al-Azhar Faculty of Medicine, Psychiatry, Cairo, Egypt
∗ Corresponding author.
ADHD is one of the most common neurodevlopmental psychiatric
disorders. Many factors have been identified as the cause of ADHD.
ADHD is thought to be the result of interactions between biopsy-
chosocial factors leading to neurobiliogcal change. The aim of this
study is to investigate the association between serum level of vita-
min D and symptoms of attention deficit hyperactivity disorder
(ADHD).
Design This is a case-control study which was conducted in
children below 12 years of age from June 2013 to May 2014 at
outpatient child psychiatry clinic at ElhussinHospital Al-Azhar Uni-
versity, Cairo, Egypt.
Methods and subjects The study was based on 62 cases and
30 controls. The data collection instrument included socio-
demographic & Children Attention and Adjustment Survey (House
form){CAAS}. And interview by (Diagnostic Interview Kiddie-
Sads-Present and Lifetime Version (K-SADS-PL) to exclude other
psychiatric morbidity. clinical data, serum 25(OH) Vitamin D.
Descriptive statistical analysis were performed, Pearson Chi2 test
( 2) and Student (t) test.
Result 1-Vitamin D level was much lower in ADHD children com-
pared to healthy children, and was a significant difference in the
mean values of vitamin D between ADHD(23 ± 13) and control
group means (44 ± 12) and P value was > 0.001 and was signifi-
cant difference between subgroup of ADHD, means of inattentive
subtypewas(20 ±13) hyper active subtype (30.1 ±5)and combined
subtype(24.04 ±4). P value 0.011*.
Conclusion Children with ADHD had significantly lower levels of
VITAMIN D than healthy, and inattention subtype than other types
of ADHD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW60
Prevalence rate of psychiatric
disorders among Saudi Female
adolescents: School-based study from
Riyadh City
Y. Alatiq ∗, O. Al-Modayfer
King Abdulaziz Medical City, Medicine, Riyadh, Kingdom of Saudi
Arabia
∗ Corresponding author.
Introduction Studies have shown that mental health problems at
an early age can lead to greater impairment in adult life. Epidemio-
logical evidence on the prevalence and incidence of mental health
disorders is fundamental for planningmental health services. How-
ever, these data are lacking in Saudi Arabia.
Objectives The objective of the study is to examine the prevalence
of mental health problems in Saudi female adolescents attending
high school in Riyadh City.
Aims The primary aim is to examine the prevalence rate of
psychiatric disorders. Second is to examine some psychosocial vari-
ables as predictors of psychiatric disorders.
Methods This two-stage epidemiological study used the
Strengths and Difficulties Questionnaire (SDQ) to screen all
eligible participants for the presence of a possible psychiatric
disorder. The screening was followed by the use of a structured
psychiatric interview (MINI-Kid), which was administered to a
sub-sample to confirm the presence or absence of psychiatric
disorders.
Results A total of 4745 participants were screened in the first
stage, and 692 participants underwent follow-up interviews. Ago-
raphobia was the most common disorder with a prevalence rate of
(30.6%), followed by major depressive episode (29.9%), then sepa-
ration anxiety disorder (27.1%). The only variables with a predictive
power of having a psychiatric disorder were “having a private
teacher” (OR = 1.86, 95% CI (1.13–3/07), P = 0.013).
Conclusion The rate of psychiatric disorders among Saudi female
adolescents is within the wide range reported internationally but
is associated with specific social predictive factors.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.