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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.191

EW74

The stigma of mental illness in

children and adolescents: A

systematic review

A. Kaushik

1 ,

, E. Kostaki

2

, S. Fewings

3

, G. Thomas

2

,

M. Kyriakopoulos

2 , 4

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.192

EW75

Factors affecting burden of main

caregivers in children with epilepsy

M.D. Kim

1 ,

, B.H. Yoon

2

, D.I. Jon

3

, K. Lee

4

, Y.J. Kwon

5

,

W.M. Bahk

6

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.193