European Psychiatry - Volume 33 - March 2016

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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.
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.
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.
EV229
Parents’ of adolescent children with
attention deficit hyperactivity
disorder (ADHD) perception about
their children exposure to violence
E. Scherer ∗, J. Stefanini , Z. Scherer
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.
EV230
Adjunctive aripiprazole for treatment
of antipsychotic induced
hyperprolactinemia in adolescents: A
series of illustrative case reports
B. Ay ∗ 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.