European Psychiatry - Volume 33 - March 2016

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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.
EW95
An innovative child psychiatry
training program using a family-based
model for at-risk military families
R. Szeftel ∗, C. Pataki
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.
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.