Table of Contents Table of Contents
Previous Page  434 / 812 Next Page
Information
Show Menu
Previous Page 434 / 812 Next Page
Page Background

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1237

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1238

EV254

Determining the influence of game

treatment on decreasing divorce

children’s stress

F. Ebrahimi

1 ,

, K. Keyvan

2

, M.R. Foroutan

3

, E. Samkhanian

4

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1239

EV255

Serving the underserved:

Communication activities conducted

at home with children of the autism

spectrum

F.D. Fernandes

1 ,

, S. Moraes

2

, D. Defense-Netvral

2

, M. Barbosa

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1240

EV256

Psychiatric symptoms in patients with

cystic fibrosis

M. Gonc¸ alves

1 ,

, C. Pinho

2

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.