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S420

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

features between patients with different subtypes of BD using mul-

tivariate analyses.

Results

Our results showed a significantly higher average number

of children for BD IV patients when compared with BD I patients.

Although not reaching statistical significance, BD I patients had less

offspring than BD II and BD III patients. BD I patients had lower

marriage rates compared to the other groups.

Conclusions

Our results suggest that the subtype of bipolar dis-

order influences fecundity and behaviours, as is expressed by the

lower number of marriages seen in BD I patients. We found that

fecundity is significantly impaired among BD I patients, whichmay

imply that female with more severe disorders are less likely to

become parents. Fecundity is higher among BD IV patients, which

makes a way to speculate about the adaptive role of hyperthimic

temperamental traits.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1204

EV220

Role of traditional healers in the

pathway to care of patients with

bipolar disorder in Egypt

N. Zaki

Institute of Psychiatry, Neuropsychiatry Department, Cairo, Egypt

Background

A large number of mentally ill patients prefer to visit

non-medical practitioners such as traditional healers because of

the confidence in the system, affordability and accessibility of the

service. This may lead to delay in seeking psychiatric services and

has prognostic impact.

Aim

To assess the rate of bipolar affective disorder (BAD) patients

seeking traditional healers, the sociodemographic and clinical cor-

relates of those patients.

Methods

We assessed 350 patients with BAD after confirmation

of diagnosis with Structured Clinical Interview for DSM-IV Axis I

Disorder (SCID-I) research version and assessment of functioning

with Global Assessment of Functioning scale. They were assessed

for percent, rate and timing of seeking traditional healers.

Results

In all, 40.8% sought traditional healers, with 34.9% more

than four times. Of those, 62.2% were before seeking psychiatric

services and 37.8% after. Lower educational level, less impairment

of functioning and presence of hallucinations were significant cor-

relates.

Conclusion

This study shows that most of the patients suffering

frommental illness prefer to approach faithhealers first, whichmay

delay entry to psychiatric care and thereby negatively impact the

prognosis of BAD. This highlights the importance of mental health

education and developing a positive collaborative relationshipwith

traditional healers.

Keywords

Traditional healers; Bipolar patients; Pathway to care

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1205

Child and Adolescent Psychiatry

EV221

The impact of illness variables of a

sample of ADHD children on their

parents

M. Abdelhameed

1 ,

, M. Hassan

1

, N. Abdelfadeel

1

,

M. Abdelshaheed

2

1

Minia university, Psychiatry and Neurology, Minia, Egypt

2

Minia Psychiatry Hospital, Psychiatry, Minia, Egypt

Corresponding author.

Introduction

The symptoms and behavior of children with ADHD

impose demands and difficulties on part of their caring parents,

which may cause the latter group to suffer psychological stress.

Objectives

The study of the suffering and symptomatic expres-

sion of psychological stress in parents of children with ADHD.

Aims

To study type and severity of symptoms in children with

ADHD and the effect of that on the stress response of their parents.

Methods

Thirty-seven children with ADHD diagnosed clinically

and with Conner’s Test were studied using Child Behavior Chick

List (CBCL). Available parents for each child were interviewed and

studied with Symptom Chick List 90 Revised (SCL90R). Two control

groups were used for both ADHD children and their parents.

Results

The mean age of the children with ADHD was 7.1

±

1.6,

they were 22 males and 15 females. Parents of these children

scored highly on total and subscales of SCL90R, they were sig-

nificantly higher than their control group on total and some of

these subscales including somatization, interpersonal, depression,

paranoid ideation and hostility domains. Depression and paranoid

ideation of ADHD children parents were positively and significantly

correlated with most of the sub-items of Conner’s test of their chil-

dren. In addition, somatization, depression and hostility of parents

were positively and significantly correlated with most of the sub-

items of CBCL of their ADHD children.

Conclusions

The symptoms, behavior and severity of illness of

children with ADHD have a great impact on their parents’ psycho-

logical state of suffering and stress.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1206

EV222

Behavioural sleep interventions that

can be used for children with

attention deficit hyperactivity

disorder: A Delphi study

H. Alammar

, A. Weighall , I. Kellar , H. Nash

University of Leeds, School of Psychology, Leeds, United Kingdom

Corresponding author.

Children who are diagnosed with Attention Deficit Hyperactivity

Disorder ADHD are at high risk of many difficulties that could affect

them and their families. Sleep related problems are one of the most

significant difficulties observed in around 25 to 50% of childrenwith

ADHD. The aim of this study is to identify research priorities for

behavioural interventions that can be used to manage such sleep

problems in children with ADHD from the perspective of profes-

sionals and primary caregivers. A Delphi method will be used to

identify research priorities in two rounds. In the first round, profes-

sionals who work with children with ADHD and primary caregivers

of ADHD children in Saudi Arabia will be asked to rank the most

important behavioural interventions for children who experience

sleep problems. The panel members will be asked to suggest other

behavioural interventions that are not included in round one in

order to include these in round two. They will also be asked how