European Psychiatry - Volume 33 - March 2016

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S322 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
component analysis revealed a three factors solution, explaining
a variance/EV of 63,74%: F1/Insomnia symptoms (items 1 to 6)
(EV 36.02%; =0.81); F2/Daily impairment associated to insom-
nia symptoms (items 7 to 9) (EV 18.67%; =0.79); F3/Differential
diagnosis (items 12 to 14) (EV 8.38%; =0.81).
Conclusions The IAS adapted for Portuguese pregnant women
presented good reliability and validity.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW588
Mindfulness and insomnia at
pregnancy
M. Marques , A.T. Pereira , E. Bento , S. Xavier , J. Azevedo ∗,
M.J. Soares , V. Freitas , A. Macedo
1 Faculty of Medicine - University of Coimbra, Psychological
Medicine, Coimbra, Portugal
2 Coimbra Hospital and University Centre, Psychiatry, Coimbra,
Portugal
∗ Corresponding author.
Introduction The impact of mindfulness in improving insomnia
symptoms is documented in different samples (e.g. anxiety dis-
orders; insomnia samples) and mindfulness based programs for
pregnancy refer the association betweenmindfulness development
and the reduction of insomnia symptoms/improvement of sleep.
Objective To explore differences in the Facets Mindfulness
Questionnaire-10 (FMQ-10; Azevedo et at. 2015), between sleep
groups, in Portuguese pregnant women.
Methods Four hundred and nineteen pregnant women (mean
age: 32.51 ± 4.759; weeks of gestation: 17.32 ±4.803) answered
the Facets Mindfulness Questionnaire-10 and the Insomnia Assess-
ment Scale (IAS, Marques et al., 2015). Three sleep groups
were created considering all the IAS items: good sleepers (no
insomnia symptoms; no associated daily impairment); insomnia
symptoms groups (one/more insomnia symptoms; no associated
daily impairment; exclusion of other conditions/disorders explain-
ing the symptoms); insomniacs (one/more insomnia symptoms;
one/more daily associated impairment; exclusion of other condi-
tions/disorders explaining the symptoms).
Results There were significant differences in the total FMQ-10
score, the F1/Nonjudging of inner experience and the F2/actingwith
awareness, between sleep groups [respectively, F (2.402) = 6,933;
P = 0.001; F (2.406) = 10.243; P = 0.001; F (2.406) = 37.431;
P = 0.002]. Tukey tests indicated that the mean total FMQ-10
and F1/Nonjudging of inner experience scores of good sleepers
and insomnia symptoms group were significantly higher than of
the insomniacs. The mean value of F2/acting with awareness in
the good sleepers was significantly higher than of the insomniacs.
Conclusions It seems important to develop mindfulness to
improve sleep in pregnancy or reduce the impact of insomnia
symptoms (common at pregnancy).
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW589
Perceived causes for changes in sleep
pattern in postpartum women
S. Santos , A.T. Pereira ∗, M.J. Soares , E. Bento ,
M. Marques , A. Macedo
1 Faculty of Medicine - University of Coimbra, Psychological
Medicine, Coimbra, Portugal
2 Coimbra Hospital and University Centre, Psychyatry, Coimbra,
Portugal
∗ Corresponding author.
Aim To investigate the causes that postpartum women most
mention for changes in sleep pattern and its associations with
obstetric and sleep variables and depressive symptoms.
Methods At three months postpartum 192 women fill in a book-
let containing obstetric and sleep variables and the Postpartum
Depression Screening Scale (PDSS; Pereira et al., 2010). If they expe-
rienced changes in their sleep pattern, they were asked about the
perceived cause(s) (multiple choice). Chi-squared and Student t
tests were applied as appropriate.
Results A total of 64.6% women referred to some cause(s); the
most mentioned were feeding/baby care and older children care
(32.3%) and worries (baby and life problems related) (29.5%).
Women who mentioned feeding/baby and older children care as
a cause did not significantly differ in relation to type of delivery,
feedingmethod proportions and in PDSSmean scores. Womenwho
identified worries as a cause vs. women who did not – presented
significant differences in proportions of vaginal (20.0%) vs. assisted
delivery (52.2%) (OR 4.444), caesarean-section (22.2%) vs. assisted
delivery (52.6%) (OR 3.827), in breast-feeding (36.0%) vs. bottle-
feeding (12.9%) (OR .263) and in “having trouble sleeping even
when the baby is asleep” (28.0% vs. 2.9%) (OR 12.833) (all P<.05).
PDSS mean scores were also significantly higher in women who
mentioned worries as a cause (50.20 ±20.622 vs. 58.640 ± 15.766,
P < 0.05).
Conclusion It is important to distinguish the causes for changes in
sleep pattern in postpartum women. Worries as a perceived cause
have a higher impact and clinical significance than causes related
to baby care demands.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW590
Children and sleep disturbance: A case
for psychiatric intervention?
P. Seibert
Saint Alphonsus Regional Medical Center, Research Institute, Boise,
USA
From birth through adolescence changes occur in children’s sleep
architecture, schedule, and duration including several key inter-
actions in the concomitance of sleep/wake domains and child
development. Research investigating the suspected affiliation
between inefficient sleep and mental dysfunction in children has
been largely enigmatic. We constructed a 111-item questionnaire
relative to sleep disturbance in all ages and a 12-item question-
naire specific to pediatrics to use in conjunction with nocturnal
polysomnography (PSG), and medical chart reviews of children
under the age of 17 referred to our institution for evaluation of
SDs. We analyzed these data to create a characterization specific to
children/youth (n = 57; age 1–16 mean 9.28; 36 male, 21, female).
Examples of findings reveal a characterization distinctive from the
general demographic of adults who are referred for sleep studies.
For example, 55.6% presented with disabilities ranging from neu-
rological to neuromuscular; 73.3% reported learning disabilities;
66.7% possessed a range of behavioral control challenges; half used
prescribed medications for psychiatric issues (despite a paucity of
psychiatric evaluation). Another example, is that post-PSG, 69.6%
of this sample were diagnosed with abnormal sleep architec-
ture which was statistically related to medication use. These data
revealed a pattern of children being more likely to be referred for
a professional sleep study in the presence of significant medical
symptomatology. Although we found some similarities when com-
paring this children/youth group to adults, we also found striking
differences that were opposite when comparing the age groups.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.