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S422

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

in pediatric FMF patients and their parenting stress. The children

depression inventory, the screen for child anxiety-related emo-

tional disorders, parent stress index were applied on 50 cases and

50 controls patients with FMF were more depressed and anxious

than controls also, their parents were more stressed than parents’

control.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1211

EV227

Assessment of language deficit in

Arabic speaking children with

attention deficit hyperactivity

disorder

O. Amin Ismail

, H. Dessouky

Kasr Al Ainy, Psychiatry, Cairo, Egypt

Corresponding author.

The development of language and communication may play an

important role in the emergence of behavioral problems in young

children. A cross-sectional relationship between language and

ADHD were examined in 30 ADHD children and 30 healthy

matched controls. We applied the modified preschool language

scale, Stanford Binnet test and Conner’s parent rating scale. ADHD

children showed more language and behavioral difficulties and

spent less time in communication than controls. Also, they showed

more impairment in academic, social, and behavioral abilities.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1212

EV228

Practices of Tunisian professionals in

the diagnosis of autism

S. Amina

, C. Leila , A. Hela , K. Khawla , H. Imen , W. Adel ,

M. Yousr , G. Farhat

Hedi Chaker hospital, CHU Hédi Chakar Sfax, Sfax, Tunisia

Corresponding author.

Introduction

The diagnosis of autism spectrum disorders is com-

plex. Recommendations for good medical practice in the diagnosis

exist. The objective of this study is to evaluate the practices of

Tunisian professionals in the diagnosis of autism.

Methodology

We conducted a cross-sectional, descriptive study

of 40 professionals involved in the diagnosis of autism, in all of

Tunisia. Participants were recruited by e-mail, and received ques-

tionnaires. The anonymity was respected. This questionnaire was

used to collect information about the practices of professionals in

the diagnosis of autism.

Results

Participants were child psychiatrists in 69.2% of cases,

pediatric neurologists in 12.9% of cases, psychiatrists in 10.3% of

cases, psychologists in 5.1% of cases, and speech therapists in 5,

1% of cases. For the diagnosis of autism, professionals use diag-

nostic scales in 87.2% of cases with use of CARS in 53.8% of cases

and the ADI-R in 7.7% of cases. Prescribing para-clinical investi-

gations was noted in 94.9% of participants. It was systematic in

61.5% of cases. It was auditory evoked potential in 87.2% of cases,

electroencephalogram in 66.7% of cases, a complete physical exam-

ination in 51.3% of cases, a genetic examination in 30% of cases, a

brain MRI in 15.4% of cases, a specialized neurological examination

in 12.8% of cases, and an ophthalmological examination in 2.6% of

cases.

Conclusion

The results of this study point out that the use of

scales, testing and prescription of not para-clinical investigations

is not done systematically. This can be improved by familiarizing

professionals with the recommendations of the literature.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1213

EV229

Parents’ of adolescent children with

attention deficit hyperactivity

disorder (ADHD) perception about

their children exposure to violence

E. Scherer

1 ,

, J. Stefanini

2

, Z. Scherer

2

1

Ribeirão Preto Medical School Hospital of the University of São

Paulo, Neurosciences and Behavioral Sciences, Ribeirão Preto, Brazil

2

University of São Paulo at Ribeirão Preto College of Nursing,

Psychiatric Nursing and Human Sciences Department, Ribeirão Preto

- São Paulo, Brazil

Corresponding author.

Introduction

People with ADHD can expose themselves to vio-

lence in different environments. ADHD typical behaviors can

provoke inadequate behaviors of parents in their children‘s edu-

cation, as physical and emotional maltreatment.

Objectives

We carried out a qualitative study using the oral the-

matic history to identify the perception of parents of children with

ADHD about their exposition to familial or extrafamilial violence.

Aims

Understanding the ADHD adolescents’ exposure to vio-

lence.

Method

Nine parents of adolescents with ADHD taken care of

in a Brazilian public university hospital participated. The thematic

interview was carried through in their homes.

Results

The narratives’ analysis allowed identifying the occur-

rence of “Conflicts in the familiar conviviality” and “Conflicts in

the context of the school and the community” in all cases. The

violence identified was of physical and psychological nature. The

communication between areas, sectors, professionals and family

was harmed, problem that is reflected in the social relations estab-

lished with the adolescents.

Conclusion

The difficulty of the individuals with ADHD in adjust-

ing to effective social behavior standards takes them to be labeled,

suffering social intolerance and discrimination, producing conse-

quences in their interpersonal relationships in the family, school

and community. The addition of violent actions as educative meth-

ods and other inadequate family behaviors allied to social and

school difficulties can bring harmful consequences with repercus-

sions on adolescents’ development and adaptation in their different

contexts of conviviality.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1214

EV230

Adjunctive aripiprazole for treatment

of antipsychotic induced

hyperprolactinemia in adolescents: A

series of illustrative case reports

B. Ay

, S. T

uran , A. Ozbek , O. Gencer Kidak

Dokuz Eylul University Faculty of Medicine, Child and Adolescent

Psychiatry, Izmir, Turkey

Corresponding author.

Objective

Atypical antipsychotic agents are frequently used in

pharmacological treatment of Schizophrenia and Bipolar disorders.

Although hyperprolactinemia is a common side effect of many

antipsychotic drugs, it has received little attention in comparison to

extrapyramidal side effects, especially in younger population. Arip-

iprazole is reported to be associated with the lowest rates around

5% or less. Moreover this agent is reported to lower PRL levels

induced by first and second generation antipyschotic use in adults.