European Psychiatry - Volume 33 - March 2016

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S144 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
reduction of aggression and anxiety, increased motivation for the
successful development of new activities and problem-solving
skills and conflict situations with peers and family members.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW82
From Child and Adolescent to Adult
Mental Health Services: The Intrepid
Journey
M. Nascimento ∗ . Santos Bastos Martins
1 Centro Hospitalar Psiquiátrico de Lisboa, Clínica 5, Lisbon, Portugal
2 Centro Hospitalar Lisboa Central, Psiquiatria da Infância e da
Adolescência, Lisbon, Portugal
3 Hospital Fernando Fonseca, Psiquiatria, Amadora, Portugal
∗ Corresponding author.
Background The move from Child and Adolescent Mental Health
Services (CAMHS) to adults’ services (AMHS) is likely to coincide
with other transitions in the adolescents’ life. Barriers affecting this
transition have been referred in most countries, but there is a lack
of studies on this matter.
Aims To evaluate the transitional process from CAMHS to AMHS
in Portugal, focusing on four criteria: continuity of care, parallel
care, a transition planning meeting and information transference.
The continuity/discontinuity of the diagnosis and therapeutic plan
made at CAMHS has also evaluated.
Methods Identification from a sample of adolescents transferred
from Clínica da Juventude (adolescents’ clinic) to 3 major AMHS,
collecting information regarding the quality of the transition
between these services.
Results Fifty-nine adolescents were discharged in 2014, average
of 16.5 years old, after being followed in our clinic for an average
of 7.44 months. Ten continued being followed in adult psychiatric
services (17.5%), with different disorders: 4 depressive, 2 personal-
ity, 1 anxiety, 1 bipolar, 1 addiction to psychoactive substances, and
1 oppositional defiant disorder. Even in those cases the transition
was far from optimal, with 4 of those presenting the need to use
adult emergency facilities.
Conclusions Several barriers between CAMHS and AMHS might
account for the ongoing problem with the transition between ser-
vices. In addition, considering that the onset of severe and recurring
mental disorders begins generally before the age of 25, this raises
the discussion around the present distinction between child and
adolescent mental health services and adult services at 18 years
old.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW83
Assessment of behavior and sleep
pattern in school age children with
generalized epilepsy
M. Negm
Suez Canal University, Neuropsychiatry, Ismailia, Egypt
Background Epilepsy affects 1% of the human population. Sleep
disorders frequently coexist in patients with epilepsy. Whether
sleep affects epilepsy or epilepsy modifies sleep has been exten-
sively evaluated, but very little literature exists on the mutual
interaction of epilepsy and sleep problems.
Objective and aims To assess the sleep pattern and behavior in
school age children with generalized epilepsy.
Methods The current study was comparative case control study
was carried on 60 school aged children 30 of them had generalized
epilepsy on carbamazepine presented to neuropsychiatry depart-
ment in suez canal university hospital and other 30 healthy children
had no chronic illness, The Children’s Sleep Habits Questionnaire
and Vanderbilt assessment scale were applied on both groups.
Results the current study showed that epileptic children have a
statistically significant difference in breathing problem like snoring
(P = 0.001), epileptic children had more common daytime sleepi-
ness problem (P= 0.002). Behavioral problems were more common
in epileptic children like ADHD (P -value = 0.001), anxiety and
depression were highly frequent in epileptic children than normal
children (P-value = 0.001) and schoolastic achievement was more
problematic in epileptic children.
Conclusions Epileptic children are more vulnerable to sleep
problems, behavioral problems and poor schoolastic achieve-
ment is more common in epileptic children. Controlled fits and
monotherapy decreased the effect of epilepsy in all aspects.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW84
Predicting clinical outcome of
stimulant medication in pediatric
attention, deficit/hyperactivity
disorder (ADHD): Single-dose changes
in event-related potentials (ERPs)
J.F. Brunner
6 Department of Physical Medicine and Rehabilitation, St Olav’s
Hospital, Trondheim, Norway
Introduction One of four children and adolescents with ADHD
treated with stimulants are considered non-responders (non-REs).
So far clinically useful predictors of medication response do not
exist.
Objectives and aims In this study, we examined if changes in event
related potentials (ERPs) induced by a single dose of stimulantmed-
ication were different in responders (REs) and non-REs.
Methods Nineteen channel electroencephalography (EEG) was
recorded twice during performance of a cued visual go/no-go task
in 82 medication-naïve ADHD patients aged 8–17 years (26 girls).
The second recording was completed within 12 weeks after test 1
on a single dose of stimulant medication, followed by a system-
atic trial on stimulant medication lasting at least 4 weeks. Based
on data from daily ratings, the patients were categorized as REs
(n = 58) or non-REs ( n = 24). The two groups were then compared
on ERPs reported to be associated with ADHD.
Results REs and non-REs differed significantly with a large effect
size in their medication induced changes in the P3 no-go compo-
nent. This was also found for ERP component contingent negative
variation (CNV). A quartile based scale combining changes in P3
no-go amplitude and reaction time variability in the task showed
26% probability of a positive response in quartile-group 1, and 95%
probability in group 4.
Conclusion A single dose of stimulant medication induced a sig-
nificant increase in P3 no-go and CNV amplitudes in REs, but not in
non-REs; probably reflecting improvements in aspects of executive
function.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.