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

S429

The results showed a significant positive association between

callous-unemotional traits and conduct problems, a significant

positive association between irrationality and conduct problems,

no significant statistical association between callous-unemotional

traits and irrational beliefs and no significant moderating

effect of irrational cognitions on the relationship between

callous-unemotional traits and conduct problems. Nonetheless,

callous-unemotional traits and irrationality explain 49.5% of the

variance of behavior problems.

The results confirm the need of adapted individualized therapeutic

strategies for children and adolescents with conduct problems, to

address both their callous-unemotional traits and their irrational

beliefs.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1234

EV250

Conversion disorder in adolescents: A

review and case report

A. De Cos Milas

1 ,

, M. Garcia Moreno

2

, V. Gómez Macías

3

,

N.E. Chinchurreta de Lora

1

, N. Rodríguez Criado

4

,

B. Sánchez Sánchez

4

1

Hospital Universitario de Móstoles, Child Psychiatry, Madrid, Spain

2

Hospital Universitario Puerta de Hierro, Psychiatry, Majadahonda,

Madrid, Spain

3

Fundación Hospital Alcorcón, Psychiatry, Alcorcon, Madrid, Spain

4

Hospital Universitario de Móstoles, Psychiatry, Madrid, Spain

Corresponding author.

Introduction

Conversion disorder (CD) is an uncommon but

highly disabling condition. Affected children and adolescents are

often severely impaired and at risk of serious long-term physical

and psychosocial complications. Despite the enormous personal

suffering and health resource implications of CD, little research has

been done.

Objectives

To update our knowledge about CD in adolescents,

with a comprehensive review of the literature with special focus

in prevalence, psychosocial factors, diagnosis, treatment and out-

come.

Aims

To present the most relevant data of our review with a

clinical illustration that provides a practical vision of this disorder.

Methods

A systematic literature review was performed in MED-

LINE, with particular interest in papers published in the last

10 years. Clinical illustration is provided by a case selected from

an outpatient child and adolescent mental health service.

Results

Few reliable prevalence data are available; the range goes

from 0.2 in a German study to 31% in non-western clinical settings.

Diagnosis is based on a constellation of features and treatment

should involve several heath care professionals. CDhas a favourable

outcome in children and adolescents. However, mood and/or anx-

iety disorders are encountered at a considerable rate even after

recovery fromconversion symptoms. Long clinical follow-up seems

appropriate.

Conclusions

The expression of emotional distress in the form of

physical complaints is common in children. Nevertheless, the most

severe presentation of physical symptoms is not a common topic

in literature. More research should be done to improve our under-

standing of this disabling disorder.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1235

EV251

Hoarding disorder and

obsessive-compulsive disorder

F. De la Torre Brasas

1 ,

, A. Duque Domínguez

2

,

N. Echeverría Hernández

2

, M.D.M. Lázaro Redondo

2

,

C. García Montero

2

, M. Otalora Navarro

2

, L. Martín Díaz

2

,

A. Más Villase˜nor

2

1

Valladolid, Spain

2

Complejo Asistencial de Ávila, Servicio de Psiquiatría, Ávila, Spain

Corresponding author.

Introduction

Hoarding disorder is described in the DSM-5 as a

new clinical entity whose essential characteristic is the persistent

difficulty discarding or parting with possessions, regardless of their

actual value, arguing reasons of utility, aesthetics, attachment or

strong fear of losing Information.

Objectives

We present the case of an 11-year-old male patient

brought to the Health Mental office when his mother found in

the school bag debris that he had collected from the garbage, and

useless objects in a bedroom drawer. The patient recognizes the

nonsense of his behaviour but is unable to get rid of these objects

but he allows his mother to do it. He had lowered school perfor-

mance and showed irritable, shy and solitary, difficulties to sleep

and cried often without apparent reason. They also noted since six

months before, strange movements with the neck and eyes.

Methods

After ruling out, underlying organic pathology, we

started treatment with sertraline 50mg, aripiprazole 2.5mg and

cognitive behavioural therapy, with complete disappearance of

symptoms including the movement disorder.

Results

Obsessive compulsive disorder 300.3 (F42); Hoarding

disorder 300.3 (F42); Provisional Tic disorder 307.21 (F95.0).

Conclusions

Hoarding behaviour of strange objects is very

unusual in Hoarding Disorder but more common in the Obsessive-

Compulsive Disorder. In this case report, we consider the possibility

of both disorders.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1236

EV252

Early attachment trauma and the

impact on child’s development

D. D’Hooghe

Traumacentre Belgium, Brugge, Belgium

It is important to broaden our vision on attachment trauma, by

pointing out the importance of the quality of parenting as an indi-

cator to develop a secure attachment relationship.

This quality mainly depends on the caregivers’ ability to mentalize,

regulate, contain, play,

. . .

The absence of these features causes traumatic stress in the child

and impacts his psychological and neurological development and

the possibility to attach. Thus, it is important that we are aware of

the relationship between early attachment trauma (EAT) and affect

dysregulation and dissociation.

The seriousness depends on the early age of the child, an immature

coping mechanism, the child’s different experience of danger, the

stress level of adverse experiences and the caregiver as the source

of trauma.

We can consider dissociation and affect dysregulation as complex

adaptation to trauma.

In addition, when the child is not able to manage distress, it lacks

the capability to integrate the experiences.

Dissociation and inadequate self-regulation interfere with one

another and impact the development of the sense of self.

By raising awareness amongst caregivers and clinicians about EAT

and the severe consequences, new therapeutic opportunities could

be developed.