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S424

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

– higher level of emotional arousal. Such youths would present

specific impairments in the initial stages of attention; reflected by

lower N1 event-related potential amplitude during Posner affective

tasks.

Ongoing studies are being conducted to explore other RDoC

domains such as abnormalities in circadian rhythms; in metacog-

nition and perspective-taking tasks; and in the non-facial

communication process (such as prosody or postural expressions).

A computational model of interactive behaviors is a promising field

to study difficulties of DMDD youths in regulating moods during

social interaction.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1218

EV234

Childhood adversities and emergency

room visits

B. Samsó

1 ,

, L. Alba

1

, V. Chavarria

1

, B. Sanchez

2

, M. Pardo

2

1

Hospital Del Mar, INAD, Barcelona, Spain

2

Hospital Sant Joan de Deu, psiquiatria infanto juvenil, Barcelona,

Spain

Corresponding author.

Introduction

Institutionalized children and adolescents who

reside in foster centres are a subgroup of population that usemental

health resources. This group of population has an increased risk of

physical andpsychopathology healthproblems. That translates into

a greater number of emergency visits. This is the same perception

presented by different professionals.

Objectives

The aim of the study is to analyse visits to emergency

child and adolescent psychiatry service from a pediatric hospital.

Also ask for a point of view of the professionals about it.

Methods

We select all the patients attended the emergency psy-

chiatry child and adolescent care that were institutionalized. The

sample was collected for 4months in a pediatric hospital.

Results n

= 66 (51.5% male; mean age 14.09

±

1.95 years old),

31.8% was the first time at the emergency room, 31.8% had con-

sulted between 2–4 times and 36.4% over 4 times. The main

reason for consultation was aggressiveness (66.7%). The three main

discharge diagnoses were conduct disorder (50%), adjustment dis-

order (25.7%) and TDAH (7.5%) The 45.5% had a history of drug use

and the 24.2% of self-harm. Asking professionals 80% responded

perception of increased emergency consultations and the 90% think

inadequate value between 50–70% of queries.

Conclusions

The boys institutionalized performa high use of pae-

diatric and psychiatric emergencies. There are a significant number

of re-consultations. Professionals have the perception that their

emergency visits are increasing. Since patients are at high risk of

suffering mental disorders and high use of emergency would be

interesting to develop specific protocols for emergency care for

these groups.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1219

EV235

Continuity of attachment in children

with disruptive behavior disorders

and in their parents: A pilot study

F. Bizzi

, R. Castellano , D. Cavanna

University of Genoa, Department of Educational Sciences, Genoa, Italy

Corresponding author.

Introduction

The quality of adult–infant attachment plays an

essential role in influencing the children’s well-being (Groh et al.,

2012). Disruptive Behavior Disorders (DBD) has been found as

particularly influenced by the presence of unavailability in the

parental caregiving. It is widely attested that parents’ attachment

states of mind predict the attachment patterns of their children.

Nonetheless, the investigation of the attachment organization dur-

ing the middle childhood shows inconsistent data. Moreover, a

paucity of studies focused on the role of father’s attachment in this

period still remains.

Objectives

This pilot study investigates the attachment patterns

of children with DBD and those of their parents.

Aims

The aims are to verify the presence of: (1) an over-

representation of Disorganized attachment in these children; (2)

an over-representation of Irresolution with respect to abuse or loss

in one or both their parents.

Methods

The sample consists of 33 subjects:

n

= 11 children

with DBD and

n

= 22 parents. The children completed the Child

Attachment Interview (Shmueli-Goetz et al., 2000) and the parents

completed the Adult Attachment Interview (George et al., 1985).

Results

Findings showed: (1) a significant presence of Disorga-

nized attachment with respect to both parents in the children; (2)

an over-representation of Insecure states of mind in their parents;

(3) a more significant presence of Disorganization in the fathers

than in the mothers.

Conclusion

This focus on the topic of intergenerational trans-

mission of attachment in a specific clinical sample enriches the

research, underlining the more pronounced role of fathers’ attach-

ment configuration.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1220

EV236

Disruptive behavior disorders and

somatic symptoms disorders: Which

strategies of emotion regulation

children and their parent’s use?

F. Bizzi

, R. C

astellano , D. Cavanna

University of Genoa, Department of Educational Sciences, Genoa, Italy

Corresponding author.

Introduction

Emotion regulation (ER) is defined as the processes

through which emotional awareness and experience are mon-

itored, evaluated, maintained, and modified (Thompson, 1994).

Difficulties with these processes have been proposed to increase

risk for psychopathology. Disruptive behavior disorders (DBD) and

somatic symptoms disorders (SSD) are characterized by an inabil-

ity to express and modulate emotional states. Research aims to

understand how ER influences mental health.

Objectives

We focus on two strategy of ER: Cognitive Reappraisal,

involves changing the way one thinks about a situation in order

to change its emotional impact; Expressive Suppression involves

suppressing or hiding external expressions of emotion from others

(John and Gross, 2004)

Aims

We assess ER in order to examine the relation with SSD and

DBD in childhood and with their parents.

Methods

The sample consists of 188 subjects divided in four

groups:

n

= 41 childrenwith DBD (M= 10.78 years, SD = 2.11);

n

= 50

parents (36 mothers and 14 fathers) of children with DBD;

n

= 44

children with SSD (M= 11.98 years, SD = 2.04);

n

= 53 parents (40

mothers and 11 fathers) of children with SSD. Were administered

the ERQ (Balzarotti et al., 2010) for parents and ERQ-CA (Gullone

and Taffe, 2012) for children.

Results

DBD children reported higher levels of Suppression than

SSD subjects; high levels of Suppression were reported in mother

SSD and in father DBD.

Conclusion

This study extended previous research in childhood,

including both mothers and fathers. The findings contribute to a

greater understanding of the development of ER, which has impor-

tant implications for psychological wellbeing.