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S148

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

EW94

Sleep matters: Impact of tuberous

sclerosis and co-morbidities on

children’s sleep.

A questionnaire-based study and

review of current research

P. Sykioti

, H. Liang , F. McEwen , C. The , P. Bolton

King’s College London, Institute of Psychiatry, London, United

Kingdom

Corresponding author.

Background

Sleep problems are common in children with neu-

ropsychiatric symptoms and are a major source of morbidity both

for children and their families. TS is a multisystem genetic disorder

with prominent central nervous system involvement. Neurologi-

cal and neuropsychiatric symptoms are common in TS putting this

group of patients at high risk for sleep problems.

Aims

Describe sleep problems in children with tuberous scle-

rosis (TS), profile children most at risk, understand the interplay

between the most common co-morbidities and sleep disturbance

in TS and review the current knowledge for the impact of TS and

co-morbidities on sleep.

Method

This study uses data from the TS2000 Study, a population

based, longitudinal study of TS. One hundred and twenty-five chil-

dren diagnosed with TS between 2001 and 2005 were ascertained

and genetic testing undertaken. In 2014–2015, consenting par-

ticipants (85) were assessed using a parent report questionnaire,

including items enquiring after ASD diagnosis, epilepsy severity,

ADHD diagnosis, tumour count and sleep, which included the Com-

posite Sleep Diagnostic Interview (CSDI) questionnaire.

Review

We used PRISMA criteria to report our results.

Preliminary findings

– TS and sleep: sleep problems were

reported by 63.3% of parents. The mean total CSDI score was

4.2

±

3.6. Main problems were: sleep latency (36.7%) and total sleep

hours < 7 (46.3%). Parental satisfaction was significantly affected by

total sleep hours;

– co-morbidities and sleep: 95.7% of children with ASD had

epilepsy, compared to 58.3% without ASD (

P

= 0.003). Patients with

ASD showed significantly higher mean CSDI scores compared to

children without (

P

= 0.009). ADHD data and tumour count need

further analysis.

Conclusion

Children with TS have difficulties with reduced sleep

hours and increased sleep latency. Comorbid ASD causes more dif-

ficulties.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.212

EW95

An innovative child psychiatry

training program using a family-based

model for at-risk military families

R. Szeftel

1 , 2 ,

, C. Pataki

1 , 3

1

David Geffen School of Medicine at UCLA, Psychiatry &

Biobehavioral Science, Los Angeles, CA, USA

2

Department of Mental Health, Psychiatry, Los Angeles, CA, USA

3

Department of Mental Health, Juvenile Court Mental Health Service,

Monterey Park, CA, USA

Corresponding author.

Introduction

Few child psychiatrists are well trained in family-

based interventions for military families who experience sig-

nificant trauma, intergenerational posttraumatic stress disorder,

substance abuse, depression and high rates of suicide (Ramsawh

et al., 2014). The innovative VA/UCLA/LACDMH Child and Ado-

lescent Psychiatry Training program, sponsored jointly by the VA

Greater Los Angeles Healthcare System (VA) and the Los Ange-

les County Department of Mental Health (LAC DMH), will address

unmet needs of at-risk military families using a family-focused

model also applicable to other families exposed to trauma.

Objectives

To present the curriculum of the VA/UCLA/LACDMH

training program and details of the collaboration between the LA

VA and LAC DMH.

Aims

To highlight how innovative child psychiatry training

programs can be developed through creative institutional collabo-

rations.

Methods

The VA/UCLA/LACDMH program family-based model

and FOCUS (Lester et al., 2011) intervention were structured to

meet regulatory standards of child psychiatry training programs.

Results

A specialized family-based child training program was

created to meet the needs of at-risk military families while provid-

ing rigorous child and adolescent psychiatry training. Components

Early Intervention Family Clinic for At-Risk Children provides fam-

ily psychoeducation, and identifies children and adolescents at risk.

Focus

An evidence-based early intervention for at-risk mili-

tary families to enhance resilience and mitigate stress through

improved coping, increased problem solving, and effective com-

munication.

Conclusions

A successful collaboration between the LA VA and

LAC DMH can lead to an innovative family-based child psychiatry

training program.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.213

EW96

Prevalence of attention deficit

hyperactivity disorder in selected

rural primary school children in

Bangladesh

M.M.J. Uddin

National Institute of Neurosciences and Hospital, Psychiatry, Dhaka,

Bangladesh

Introduction

Attention deficit hyperactivity disorder (ADHD) is

highly prevalent globally as well as developing country, like

Bangladesh and there is a limited source of information regarding

the prevalence of ADHD in rural primary school going children of

Bangladesh.

Objectives

To identify the prevalence of ADHD in rural primary

school children.

Methods

This descriptive cross-sectional studywas done in three

selected primary school of Shariatpur district of Bangladesh. Chil-

dren aged between 5 and 12 years were taken purposively. After

obtaining informed written consent, ADHD was assessed by using

Bengali translated version of Conner’s Abbreviated Rating Scale

given to the parents and teachers.

Results

Out of 587 respondents, 318(54.17%) were boys and

269(45.83%) were girls of lower class and lower middle class

503(85.69%) social status. Among the respondents, 38(6.47%) were

found having ADHD. Prevalence was higher among boys 27(4.60%)

than girls 11(1.83%).

Conclusion

Results of the study indicate that early identification

and proper management will help to the children. Further broad

based study is required in this regard.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.214