European Psychiatry - Volume 33 - March 2016

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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.
EV234
Childhood adversities and emergency
room visits
B. Samsó ∗, L. Alba , V. Chavarria , B. Sanchez , M. Pardo
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.
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.
EV236
Disruptive behavior disorders and
somatic symptoms disorders: Which
strategies of emotion regulation
children and their parent’s use?
F. Bizzi∗ 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.