European Psychiatry - Volume 33 - March 2016

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S430 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV253
When Ockham razor’s principle is not
applicable: Differential diagnosis of a
rare case of child and adolescent
psychosis
F. Dinamarca ∗, A. Palma , M. Grifell , L. Galindo , L. Gonzalez ,
M.T. Campillo , V. Perez
Hospital Del Mar, Psychiatry service, INAD, Barcelona, Spain
∗ Corresponding author.
Introduction The diagnosis of schizophrenia in children is rare.
Less than 4% of schizophrenic patients begin before age 15 being
much less stable than in adults as an entity in time. It is esti-
mated that only 50% of diagnoses of schizophrenia in patients under
15 years are maintained over time. The most frequent differential
diagnoses are bipolar disorder, post-traumatic stress disorder and
dissociative disorder.
Objective andmethods A case of a patient of 18 years old admitted
in our service with diagnosis of paranoid schizophrenia due to the
presence of delusional symptoms at age of 14 and due his evolu-
tion with impaired overall performance is presented. Upon arrival
he presented delusions, self-referentiality and a strange phenotype
with a pitched voice. Clinical history included presence of sex-
ual abuse prior to debut of psychotic symptoms and rare medical
comorbidity (diagnosed at age 15 of hypertension and paroxysmal
sinus tachycardia). A kariotipe was done in a previous admission
with normal results.
Results During hospitalization symptomatic remission was
achieved in just two days by decreasing antipsychotic potency of
the treatment, he also presented elevated metanephrines and also
elevated plasma aldosterone and renin in blood tests.
Conclusions We discuss the differential diagnosis including
schizophrenia, post-traumatic stress disorder with dissociative
symptoms and endocrine pathology (pheochromocytoma and
hyperaldosteronism).
L. Galindo is a Rio Hortega fellowship (ISC III; CM14/00111).
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV254
Determining the influence of game
treatment on decreasing divorce
children’s stress
F. Ebrahimi ∗, K. Keyvan , M.R. Foroutan , E. Samkhanian
1 Faculty of Humanities, Islamic Azad University of Kermanshah,
Department of Psychology, Kermanshah, Iran
2 Faculty of Humanities, Islamic Azad University of Kermanshah,
Clinical Psychology, Kermanshah, Iran
3 PhD student in Azad University Kish, Health Psychology, Tehran,
Iran
4 PhD student in Azad University Karaj, Health Psychology, Tehran,
Iran
∗ Corresponding author.
Introduction One of themain challenges facing the fact that every
society has always called divorce. Phenomenon inmodern societies
is growing at a rapid rate and adverse effects of economic, social and
especially psychological, parents and children.
Aim This study pays to determining the influence of game treat-
ment on decreasing divorce children’s stress.
Methods The method of study is of testing in which statistical
society of study includes all children (girl and boy) of divorced
parents. From all statistical society, we have selected a sam-
ple about 26 persons by randomly sampling. The instrument for
gathering information in this study includes children stress test
(SCARED) in which has been studied sample after measuring its
narration and stability.
Result The result of dependent t-test and covariance analysis
showed game treatment has meaningful and positive influence on
children stress.
Conclusions The amount of its interference on decreasing divorce
children stress is about 83%. It means 83% of the whole remained
score’s variance is related to game treatment interference.
Keywords Game treatment; Children’s; Stress
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV255
Serving the underserved:
Communication activities conducted
at home with children of the autism
spectrum
F.D. Fernandes ∗, S. Moraes , D. Defense-Netvral , M. Barbosa
1 Cotia-SP, Brazil
2 University of Sao Paulo, School of Medicine, SLP-PT and OT
Department, Sao Paulo, Brazil
∗ Corresponding author.
The increase in prevalence of Autism Spectrum Disorders (ASD)
demands that new strategies for delivering speech-language ther-
apy services to them are tested and improved. Including families
and familiar situations may be a way to provide more intensive
stimulation. The aimof this study was to identify strategies to stim-
ulate communication development of childrenwithASD that can be
suggested to parents and followed-up systematically. Participants
were 67 children with diagnosis within the autism spectrum that
attended weekly speech-language therapy at a specialized service
of a large university in São Paulo (Brazil). The study was conducted
in four phases: planning of activities; four face-to-face meetings
with the parents to suggest and discuss activities that should be
conducted at home daily; during six weeks the parents continued
to conduct the proposed activities at home, with systematic weekly
follow-up by the child’s therapist finally, individual the parents
reported their impressions about the proposal and the outcomes
regarding their child’s development during individual interviews.
Activities involved the main areas of disorders in ASD. They sug-
gested that the parents used familiar situations as opportunities for
games and plays involving language, cognitive and social demands.
Parents reported difficulties in implementing the proposed routine
of playing with their child for at least a few minutes every day.
They mentioned “lack of time” and “being tired” as the main rea-
sons for it. Nevertheless they all reported that they were more able
to understand their child’s needs and demands and that their child
responded well to the suggestions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV256
Psychiatric symptoms in patients with
cystic fibrosis
M. Gonc¸ alves ∗, C. Pinho
1 Centro Hospitalar e Universitário de Coimbra, Centro de
Responsabilida de Integrada em Psiquiatria, Coimbra, Portugal
2 Centro Hospitalar e Universitário de Coimbra, Servic¸ o de
Pedopsiquiatria, Coimbra, Portugal
∗ Corresponding author.