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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.705

EW588

Mindfulness and insomnia at

pregnancy

M. Marques

1 , 2

, A.T. Pereira

1

, E. Bento

1

, S. Xavier

1

, J. Azevedo

1 ,

,

M.J. Soares

1

, V. Freitas

1

, A. Macedo

1 , 2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.706

EW589

Perceived causes for changes in sleep

pattern in postpartum women

S. Santos

1

, A.T. Pereira

1 ,

, M.J. Soares

1

, E. Bento

1

,

M. Marques

1 , 2

, A. Macedo

1 , 2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.707

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.708