European Psychiatry - Volume 33 - March 2016

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S140 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
2 FPCE, CINEICC, Coimbra, Portugal
∗ Corresponding author.
Introduction Trauma experiences during childhood and adoles-
cence (Gibb, 2002; Ansel et al., 2011; Musliner et Singer, 2014;
Hopwood et al., 2015), the experience of shame (Rubeis et al., 2008;
Cunha et al., 2012; Rosso et al., 2014; Stuewig et al., 2015) and gen-
der (English et al., 2004; Rosso et al., 2014) had been considered as
predictors of depressive symptoms.
Objectives To observe intra-indidual variability of trauma, exter-
nal shame, gender (as predictors) and depressive symptoms (as
dependent variable).
Aims To test the predictive value of trauma, external shame and
gender on depressive symptoms at 6 months, in adolescents.
Method A sample of 325 adolescents (ages ranging from 12–18)
completed the Child Depression Inventory, the Childhood Trauma
Questionnaire and Other as Shamer, adolescents version. The
results were analysed by the hierarchical multiple regression
method (SPSS Inc., 22).
Results The model – shame (b = 0.63; P < 0.001); affective abuse
(b= 0.15, P = 0.001), gender (b = 0.12; P = 0.001), sexual abuse
(b= 0.12, P = 0.002), and emotional neglect (b = 0.10; P= 0.013) –
explained 63% of depressive symptoms variance.
Conclusions The data indicate that the higher the level of shame
and trauma, the higher the level of depressive symptoms at 6
months. The present study can add important information that
sheds light to the role of mechanisms underlying the vulnerability
to depressive symptoms and that might have impact in the existing
therapeutic interventions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW71
Comorbid psychiatric symptoms in
children with ADHD and/or AUTISM
SPECTRUM DISORder (ASD)
M. Davidsson ∗, C. Särneö , C. Gillberg , E. Billstedt
1 Institution of Neuroscience and physiology, Gillberg
Neuropsychiatry Centre, Gothenburg, Sweden
2 Neuroscience and Physiology, Gillberg Neuropsychiatry Centre,
Gothenburg, Sweden
∗ Corresponding author.
Introduction Co-existing problems are a rule rather than
exception in child psychiatry, although rarely studied. Clinical
experiences suggest that anxiety and depression are common
co-existing problems in children with neurodevelopmental disor-
ders, affecting communication, social adjustment and cognition.
Research also implies that the correlation between self-reports and
other sources of information is relatively low. In clinical practice,
it is frequently presumed that only one source of information is
correct, usually from the parents.
Objectives The objectives of the study are to view the self-
reported mental health in a group of children with ADHD and/or
ASD and its connection to global functioning. A second objective is
to study the compliance between reports of mental health from the
parents and from the child.
Aims The aim of the study is to examine the connection between
mental health and function in a group of childrenwithADHDand/or
ASD.
Methods The study includes 65 children (mean age = 16) with
ADHD (n = 24), ASD (n = 24) or ADHD/ASD (n = 17). Instruments
used are the self-report Beck Youth Inventories Scale and the
parent report Five to Fifteen questionnaire. The measure for
adaptive functioning was the Global Assessment of Functioning
scale.
Results The study is currently in its final stage andwewill present
the results during the conference. We will report prevalence of
symptoms of anxiety and depression and its correlation to global
functioning, as well as the compliance between parent and self-
reports.
Conclusions The study emphasizes the importance of assessing
psychiatric conditions in children with neurodevelopmental disor-
ders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW72
Social and family risk factors of
self-injury in Polish population of
psychiatrically hospitalized
adolescents
I. Makowska , P. Kropiwinicki , A. Gmitrowicz ∗
Medical University of Lodz, Adolescent Psychiatry, Lodz, Poland
∗ Corresponding author.
Introduction During last 10 years, the number of non-suicidal
self-injury patients (NSSI patients) in Department of Adolescent
Psychiatry of Medical University in Łód´z has doubled (from 20 to
over 40%). According to DSM-5 criteria, NSSI are deliberate and
superficial skin injuries. Such behaviours should be distinguished
from suicidal behaviour disorder (SBD). However, the two display
the high rate of co-occurrence.
Material and method The study covered 1300 patients
(12–19 years of age) hospitalized during last 6 years. The analysis
included various variables, e.g. demographic, familial, problems
related to school and to peer relations, and variables describing
NSSI.
Results and summary The analyzed group consisted of 60,4% girls
and 39,6% boys. Out of 43% of patients who performed NSSIs,
45% also confirmed BDS. The patients with diagnosed mental
retardation and with schizophrenic psychoses performed sig-
nificantly fewer NSSIs. The instrumental motive was the most
frequently declared reason of self-injury (76%). The reactive (65%),
and the illness-related motives (only 15%) were less frequent. In
comparison to patients without self-injuries, the NSSI patients
significantly more frequently (P < 0.05) experienced physical vio-
lence, unreciprocated love, played truant and repeated grades.
Conflicts, delinquency, divorce, and lack of a sense of sup-
port were significantly more frequent in the family systems of
NSSI patients. They more often experienced loss of their par-
ent before age 15 and had close relatives suffering from mental
disorders.
Conclusions NSSI is a multi-dimensional issue that requires
further research. Indicating potential risk factors allows for imple-
menting efficient prophylactic, diagnostic and therapeutic actions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW73
Unhealthy behaviours and mental
health among Italian adolescents
M. Iosue ∗ Sarchiapone , M. D’Aulerio
University of Molise, Department of Medicine and Health Sciences,
Campobasso, Italy
∗ Corresponding author.
Introduction A great number of studies describe reciprocal asso-
ciations between unhealthy behaviours, such as poor sleep and
nutrition and lack of physical activity, and mental health problems.
Aims To investigate the relationship between unhealthy
behaviours and depression, anxiety and well-being among Italian
adolescents.