European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S141
Methods The sample comprised 1195 high-school pupils (mean
age 15.3 ±0.6; 68% females) participating to the SEYLE (Saving
and Empowering Young Lives in Europe) study, a randomized
controlled trial, co-funded by the EU. Depression, anxiety and
well-being were assessed using the Beck Depression Inventory II,
the Zung Self-Assessment Anxiety Scale and the WHO-5 index.
Unhealthy behaviours, such as short or long sleep, physical inac-
tivity, skipping breakfast and not eating fruit and vegetables were
also investigated.
Results Controlling for age and gender, the unhealthy behaviours,
with the exception of not eating fruit and vegetables, were all
associated with poor level of well-being (P < .05); while only short
or long sleep hours (P < .001) and skipping breakfast (P< .05)
were associated with depressive symptoms. No significant asso-
ciation were found between anxiety symptoms and unhealthy
behaviours.
Conclusions Unhealthy behaviours are often established early
in life and are likely to be maintained during adulthood imply-
ing negative consequences for both physical and psychological
well-being. Early combined health and mental health promo-
tion programme should be implemented in order to boost their
effectiveness.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW74
The stigma of mental illness in
children and adolescents: A
systematic review
A. Kaushik ∗, E. Kostaki , S. Fewings , G. Thomas ,
M. Kyriakopoulos
1 South London and Maudsley NHS Foundation Trust, Child and
Adolescent Psychiatry, London, United Kingdom
2 South London and Maudsley NHS Foundation Trust, National &
Specialist Acorn Lodge Inpatient Children’s Unit, London, United
Kingdom
3 Icahn School of Medicine at Mount Sinai, Department of Psychiatry,
New York, USA
4 King’s College London, Department of Child and Adolescent
Psychiatry, Institute of Psychiatry, Psychology and Neuroscience,
London, United Kingdom
∗ Corresponding author.
Introduction One in ten children and adolescents experience
mental health difficulties at any given time, yet only one third of
those suffering access treatment. Untreated mental illness predis-
poses to longstanding individual difficulties, and presents a great
public health burden. Large scale initiatives to reduce stigmatiza-
tion of mental illness in children and adolescents, identified as a
key deterrent to treatment, have had limited success, and research
is scarce.
Aims To gain a better understanding of the stigma experienced
by children and adolescents with mental health difficulties.
Objectives We conducted a systematic review of the literature
examining stigma and self-stigma towards children and adoles-
cents with mental health difficulties, in order to better understand
the extent and type of discrimination directed towards this partic-
ularly vulnerable group.
Methods Following PRISMA guidelines, the databases Pubmed,
PsychINFO and Cochrane were searched for original research pub-
lished between 1980 and 2014, assessing public stigma (i.e. the
reaction of the general public) and self-stigma (i.e. internalized
public stigma) towards children and adolescents with mental
health difficulties.
Results Thirty-seven studies were identified, confirming that
stigmatization towards children and young people suffering men-
tal health difficulties is a universal and disabling problem. There
was some variation by diagnosis and gender, and stigmatization
was for the most part unaffected by labelling. Self-stigmatization
led to more secrecy and avoidance of interventions.
Conclusions The findings confirm that stigmatization of mental
illness is poorly understood due to a lack of evidence and method-
ological discrepancies. Implications of the findings are discussed,
and suggestions made for future research.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW75
Factors affecting burden of main
caregivers in children with epilepsy
M.D. Kim ∗, B.H. Yoon , D.I. Jon , K. Lee , Y.J. Kwon ,
W.M. Bahk
1 Jeju National University School of Medicine, Psychiatry, Jeju,
Republic of Korea
2 Naju National Hospital, Naju, Korea, Department of Psychiatry,
Naju, Republic of Korea
3 Sacred Heart Hospital, College of Medicine, Hallym University,
Department of Psychiatry, Anyang, Republic of Korea
4 Dongguk University College of Medicine, Department of Psychiatry,
Gyeongju, Republic of Korea
5 Chunan Soonchunhyang Hospital, Department of Psychiatry,
Chunan, Republic of Korea
6 Yeouido St. Mary’s Hospital, College of Medicine, The Catholic
University of Korea, Department of Psychiatry, Seoul, Republic of
Korea
∗ Corresponding author.
Objective The purpose of the study was to evaluate burden of
main caregivers in children with epilepsy and to identify factors
associated with caregiver burden.
Method Main caregivers of pediatric patients with epilepsy were
enrolled four general hospitals in several cities of Korea. One hun-
dred and twenty-fou caregivers of patients were included in this
cross-sectional study. Sociodemograhic/clinical characteristics of
patients and sociodemographic characteristics of caregivers were
collected. The caregivers were assessed using the Korean version
Zarit burden Interview (ZBI), Center for Epidemiological Studies of
Depression Scale (CES-D) and social support/conflict scale. Multiple
linear regression methods were used to evaluate factors contribut-
ing to burden of caregivers.
Results Of the 124 participants, 98(81.7%) were the mothers. The
mean score on the ZBI and CES-D were 23.66 (± 19.15) and 13.87
(±12.95) points, respectively. Factors affecting of caregiver burden
were the number of antiepileptic drugs (AEDs), which patients are
taking, and CES-D score by multiple linear regression analysis.
Conclusions Higher number of AEDs prescribed and depression
of caregivers are main factors contributing to burden of caregivers
in children with epilepsy.
Keywords Caregiver burden; Pediatric epilepsy; Factor
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.