European Psychiatry - Volume 33 - March 2016

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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.
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.
Child and Adolescent Psychiatry
EV221
The impact of illness variables of a
sample of ADHD children on their
parents
M. Abdelhameed ∗, M. Hassan , N. Abdelfadeel ,
M. Abdelshaheed
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.
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