European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S137
EW61
Psychological violence: A study with
adolescents in a Brazilian Public
Educational Institution
Z. Scherer ∗, L. Cavalin , E. Scherer
1 University of São Paulo at Ribeirão Preto College of Nursing,
Psychiatric Nursing and Human Sciences, Ribeirão Preto, São Paulo,
Brazil
2 Ribeirão Preto Medical School Hospital of the University of São
Paulo, Neurosciences and Behavioral Sciences, Ribeirão Preto, São
Paulo, Brazil
∗ Corresponding author.
Introduction The healthy development of adolescents is favored
by interactions involving reciprocity and balance of power, how-
ever, neglectful or abusive relationships can be found in educational
practices in family or school psychological violence being the most
recurrent and often associated with other types of abuse.
Objectives The goal of this study was to investigate the exposure
of adolescents to psychological violence, as well as identify its asso-
ciation with other types of abuse, the perpetrator and the context
of occurrence.
Aims Knowing the circumstances of adolescents’ exposure to vio-
lence in school environment.
Method Therefore, we performed a cross-sectional study with
218 adolescents (aged 14–18 years) of a Brazilian public educa-
tional institution. These students completed a questionnaire and
Psychological Violence Scale (EVP), whose data were analyzed
using descriptive statistics.
Results The study showed that 96.3% of students suffered psycho-
logical violence, followed by physical violence (34.9%), sexual (7.3%)
and neglect (2.8%). Over 90% of adolescents who suffered physi-
cal, sexual and psychological violence suffered neglect in mild and
moderate form, which shows the co-occurrence of victimization.
We observed that 94.5% of students were exposed to such violence
in its mild and moderate and 1.8% severe form, and only 3.7% of
adolescents never responded to the 18 items asked of psychological
research.
Conclusion These data show that psychological violence, even if
experienced with mild to moderate behavior is present in the rela-
tionship with significant people in the lives of most adolescents in
this study.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW62
Prevalence and determinants of
common fears in children and their
socio-demographic characteristic
A. Bener
Istanbul University, Biostatistics & Publıc Health, Istanbul, Turkey
Objective Most children experience some degree of fear during
their development. Excessive fears can create serious obstacles to
children. The aim of this study was to identify the most common
fears in a sample of children and adolescents and examine the socio-
demographic correlates of fears.
Subjects and methods This cross-sectional study was conducted
during the period July 2010 to February 2012 at Public and Private
Schools of theMinistry of Education andHigher Education, in Qatar.
Out of 2188 students approached, 1703 students agreed to partici-
pate in this study, with a response rate of 77.8%. The questionnaire
includes socio-demographic information, academic performance,
behaviour at home and various fears.
Results More than half of the children experienced fears (56.7%).
Most of them were in the intermediate level, 12–15 years old
(46.1%). Overall, reported fears were significantly more frequent
in girls (62.6%) than boys (37.4%) (P < 0.001). A significant differ-
ence was observed between girls and boys who experienced fears
in their age group (P < 0.001), education of mother (P = 0.04), house-
hold income (P = 0.008) and academic performance (P< 0.001). The
most frequent reported fears were fear of someone dying in the
family (85.2%), parents getting divorced (84.5%), breaking religious
law (82%), being kidnapped (78.2%), family members ill (78%) and
dying (76.7%).
Conclusions The study findings revealed that fears were highly
prevalent in Arab children and adolescents in Qatar. Girls reported
more fears than boys. There was a significant difference observed
between girls and boys in their age group and academic perfor-
mance for the reported fears.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW63
Anticipating the unknown: A mixed
method study assessing French
psychiatrists opinions towards
prognosis in adolescent and young
adult psychiatry
L. Benoit
Hôpital Cochin, maison des Adolescents, Paris, France
The early treatment of psychiatric disorders has become a central
goal of mental health policies worldwide. Yet little is known about
the attitudes of psychiatrists regarding prognosis in their daily
work. When treating young patients with acute psychotic symp-
toms, howdo psychiatristsmanage diagnostic uncertainty?Do they
anticipate the risk of schizophrenia or avoid making prognostica-
tions? To what extent do they communicate their expectations to
patients and their families?
Methods This is a mixed method study. Firstly, a series of in
depth interviews addressed French youth psychiatrists’ opinions
towards prognosis. Participants worked in a variety of settings,
public institutions, private practice, and student help. Secondly,
an online survey investigated French psychiatrists’ opinion toward
prognosis. The survey consisted of the presentation of a clinical
vignette in which a psychiatrist communicates on prognosis to a
young patient with acute psychotic symptoms. The vignette was
randomly shown in four versions with different predictions and
outcomes. Respondents were then asked questions regarding prog-
nosis communication.
Results Qualitative analysis stresses psychiatrists’ uncertainty in
their daily work with teenagers presenting unclear symptoms that
might be the sign of a beginning psychotic process or might as well
reflect adolescent unease. Psychiatrists are reluctant to commit
into prognosticating or using standardized tools. The contradiction
between the expectations that psychiatrists be able to predict what
will happen to a young patient and their impossibility to do so,
raises an ambivalence that is only managed through a deep emo-
tional involvement. The survey received more than 400 answers,
and statistical analysis is in progress.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW64
Psychosocial correlates of subjective
sleep disturbances in an adolescent
community population in South Korea
S.Y. Bhang ∗, J.W. Hwang , M. Jeon
1 Eulji Hospital, Psychiatry, Seoul, Republic of Korea