European Psychiatry - Volume 33 - March 2016

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S138 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
2 Gangwon National University, Psychiatry, Chonchon, Republic of
Korea
∗ Corresponding author.
This study examines the relationship between psychosocial factors
and insomnia complaints in a community adolescent population.
The aims of this study are:
– to find the prevalence of poor sleep quality complaints in Korean
community students;
– to explore the relationship between poor sleep quality complaints
and the psychosocial factors;
– to explore the relationship between the severity of poor sleep and
the psychopathology in the adolescents in Korea.
It is a cross-sectional study of a stratified sample of 2307 South
Korean middle and high-school students. Subjects were given
the Adolescent Mental Health and Problem Behavior Screening
Questionnaire-II (AMPQ-II), the Symptom Checklist scale (SCL-90-
R) and a questionnaire concerning demographic characteristics.
Adolescents classified as suffering fromsleepdisturbances (22.3%of
the participants) presented higher levels of general psychopathol-
ogy. Age, gender, academic and Internet use problems, peer
relationship difficulties including school violence, rule violation
experiences were identified as correlates of the sleep disturbances
complaints. Psychosocial correlates such as suicidal ideation and
Internet use problems are important factors to consider when faced
with sleep disturbance complaints in this age group. It was found
that psychosocial and psychopathologic problems had a positive
correlation with severity of sleep disturbances. Regarding the cul-
ture of hiding the psychological distress and exhibit the somatic
complaints, the level of subjective sleep quality is one indicator
for the screening of the high-risk group. Large-scale prospec-
tive studies and neurobiological studies are needed for a better
understanding of the complex relationship between sleep, psy-
chopathology, and youth suicidal behavior.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW65
Disorganized attachment and
psychological symptoms in children
with somatic symptoms disorders
F. Bizzi ∗, S. Charpentier Mora , D. Cavanna
University of Genoa, Department of Educational Sciences, Genoa, Italy
∗ Corresponding author.
Introduction Somatic symptoms disorders (SSD) are one of the
most neglected areas in child and adolescent psychiatry (Moha-
patra et al., 2014). SSD are characterized by multiple and variable
physical symptoms without demonstrable pathophysiological pro-
cesses. Literature has investigated the role of several psychological
variables in SSD, with inconclusive data. Moreover, there is a
paucity of studies on middle-childhood and early adolescence in
this clinical condition.
Objectives We focus on the role of attachment and on psycholog-
ical aspects in children with SSD.
Aims The aims are to verify the presence of:
– an overrepresentation of attachment disorganization in these
children;
– an overrepresentation of psychological symptoms.
Methods Fifty-six consecutive Italian patients with SSD, aged
from 8 to 15, were administered Child Behavior Checklist (Achen-
bach, 1991) and Child Attachment Interview (Shmueli-Goetz et al.,
2000).
Results Findings showed:
– a significant presence of disorganized attachment with respect to
both parents;
– high levels of anxiety and depression.
Conclusion This study extended previous research in middle-
childhood and early adolescence in SSD. The findings support the
influence of the disorganization aspects and the psychological
problems surrounding the SSD. The clinical implications for future
research directions are discussed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW66
Assessment of cognitive profile
(WISC-IV), autistic symptomatology
and pragmatic disorders in high
intellectual potential compared with
autism spectrum disorder
A. Boschi ∗, P. Planche , A. Philippe , L. Vaivre-douret
1 Paris Descartes University, Sorbonne Paris Cité,
Necker–Enfants-Malades University Hospital, Inserm U1178, Child
Psychiatry Department, Paris, France
2 Bretagne Occidentale University, CREAD EA3875, Psychology
Department, Brest, France
3 Necker–Enfants-Malades University Hospital IMAGINE, Inserm
U1163, Child Genetic Department, Paris, France
4 La Pitié Salpêtrière University Hospital, Child Psychiatry, Paris,
France
5 Paris Descartes University, Sorbonne Paris Cité, Department of
Medicine, Necker–Enfants-Malades University Hospital, Child
psychiatry, Imagine affiliation, Inserm Unit 1178 and CESP Paris Sud,
UVSQ, Paris-Saclay university, and Department of Pediatrics, Child
development, Cochin-Port Royal University Hospitals of Paris Center,
Assistance publique–Hôpitaux de Paris, Paris, France
∗ Corresponding author.
Introduction An overlap between autism spectrum disorder
(ASD), in particular Asperger Syndrome (AS), and high intellectual
potential (HIP–Total IQ > 2 SD) is often discussed.
Objectives Explore differences between homogeneous and het-
erogeneous Wisc-profiles among HIP children, and between HIP
and ASD children, on cognitive and clinical assessments.
Methods Forty-nine participants (mean age 11.2 years) were
divided in 4 groups: High Functioning Autism (HFA), AS,
Homogenous HIP and Heterogeneous HIP. Data of WISC-IV and
questionnaires – Autism Quotient (AQ), Empathy Quotient (EQ),
Systemizing Quotient (SQ), Children’s Communication Checklist
(CCC) – were compared.
(Preliminary) Results On the WISC-IV, the Z scores curves follow
similar trajectories but highlight quantitative differences between
AS and heterogeneous HIP: verbal comprehension is the highest
index (+1,6 SD inAS; +3,1 SD inheterogeneousHIP) followedby per-
ceptual reasoning, working memory, and processing speed indexes
(–1,2 SD in AS; +0,5 SD in heterogeneous HIP), respectively. The
questionnaires show that scores of Homogenous HIP children are
all in the average. Heterogeneous HIP children score 2,1 SD above
average on the AQ (+1,6 SD on “Social Skills” and +1,3 SD on “Local
Detail” subscales), whereas ASD children score 4 SD above average
on the AQ. In addition, heterogeneous HIP children show pragmatic
difficulties (–2,4 SD on the CCC, with a peak on “Area of Interest”
subscale), also present in ASD children (–4 SD).
Conclusions AS and heterogeneous HIP children show similar
cognitive profiles on theWISC-IV. Furthermore, heterogeneous HIP
children exhibit high scores on the AQ and have pragmatic difficul-
ties.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.