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

S431

Introduction

Cystic fibrosis (CF) is an autosomal recessive disease

characterized by abnormal airways secretions, chronic endo-

bronchial infection, and progressive airway obstruction. In Portugal

is estimated 30–40 born children with CF per year. The prognosis of

CF has changed over the last decade, death in childhood is now rare,

and children born today are likely to have a mean life expectancy

of over 40–50 years. An understanding of the psychiatric aspects of

CF is more important than ever.

Methods

Review published and referenced scientific articles on

MedLine/PubMed.

Results

Researchers found CF can affect the patient and their

family in many ways. Physical and social restrictions, the rigor-

ous medical regimen, hospital admissions, concerns about illness,

and uncertainties of the future can create anxiety and depression

in patients and parent alike. They also may have problems with

interpersonal relationships resulting in isolation and social malad-

justment. Some studies also reported an increased risk of develop

an insecure attachment and less adapted eating behaviors. The

essential responsibilities of psychiatrist are: evaluating the psy-

chiatric effects of living with CF, comprehensive assessment and

intervention when emotional, behavioural and psychological diffi-

culties arise and providing support.

Conclusions

Awareness of types of emotional strain experienced

by these children and their families can be of use to avert poten-

tial problems whichmay seriously impair therapeutic effectiveness

and the patient’s well being. Management requires an interdisci-

plinary team to maximise longevity and quality of life. All patients

and their families must be offered the opportunity to meet with a

Child and adolescents psychiatrist.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1241

EV257

Psychosocial predictors in

adolescent’s non-suicidal self-injury:

Preliminary results

J. Ferreira

, V. L

eite , L. Veiga , J. Garrido

Hospital pediátrico, centro hospitalar e universitário de Coimbra,

child and adolescence psychiatry, Coimbra, Portugal

Corresponding author.

Introduction

Non-suicidal self-injury (NSSI) have their typical

onset during adolescence. Although a growing body of research has

been dedicated to this subject, little is known about the relation

between psychosocial factors (PF) and NSSI in adolescence.

Objectives

To identify themain PF associatedwith the occurrence

of NSSI in adolescence and potential relations between them.

Methods

The authors used a convenience sample of 50 outpa-

tient adolescents from Coimbra’s Child and Adolescent Psychiatry

Service, with identified history of NSSI. Each patient was evalu-

ated regarding the presence/absence of the PF contemplated in the

Axis V (Associated Abnormal Psychosocial Situations) of the Mul-

tiaxial Classification of Child and Adolescent Psychiatric Disorders,

(ICD-10, WHO).

Results

Sixty-seven factors were evaluated within this sample,

with 50% of the subjects showing the 3 most prevalent PF (the

5 most prevalent PF are displayed on

Table 1 ).

Statistical signifi-

cance between pairs or triads of PF (selected within the 10 most

prevalent PF) was evaluated, with results showing 14 significant

correlations between pairs and 20 significant correlations between

selected triads among the most prevalent PF.

Conclusions

PF are highly prevalent within adolescents with

NSSI. Identification of specific associations of PF may be useful

to identify high-risk patients and promote early intervention and

prevention programs.

Table 1

PF

n

%

Intrafamilial discord among adults (both

parents)

37

74

Inadequate or distorted intrafamilial

communication

37

74

Events resulting in loss of self esteem

36

72

Loss of a love relationship (removal)

34

68

Lack of warmth in parent–child

relationships (father)

32

64

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1242

EV258

Social media modulation of mood and

anxiety in adolescents with chronic

visible skin conditions

J. Gagnon

, A.M. Duchemin

Ohio State University, Psychiatry, Columbus, USA

Corresponding author.

Chronic skin diseases are often associated with psychiatric dis-

orders, and psychological factors such as stress can affect the

management of skin conditions. In adolescents, skin diseases can

have a profound impact on body image, self-esteem and social

interactions. Social media is a mode of communication increas-

ingly used, especially among adolescents. It has been shown to have

detrimental effect by the negative influence of peers through social

network interactions as well as positive effects by allowing sup-

port and access to care. The posting of pictures of individuals by

others in social media may make this mode of communication par-

ticularly distressful for teens with a visible skin condition; they

cannot control the photos being shared with the group and are

reminded of the visibility of their skin condition through these post-

ings. To determine how social mediamay impact mental health and

skin disease management in adolescents’ with chronic visible skin

conditions, we conducted a survey of patients in the ambulatory

setting. This cross-sectional study is based on an anonymous sur-

vey in teens, age 12 to 19, with various levels of chronic visible skin

conditions. It explores the influences of social media on incidence

and or severity of both psychiatric and dermatological health status

as self-reported by patients. Acne, psoriasis, and atopic dermatitis

are often associated with poor quality of life even with moderate

skin disease. Taking in account the impact of social media on these

pathologies is especially critical among adolescents due to their

wide use and relevance in this population.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1243

EV259

Parental group therapy & conduct

disorders

E. Garcia

, E. Guerrero , I. Vicente , R. Martinez

Hospital General de Ciudad Real, USMIJ, Ciudad Real, Spain

Corresponding author.

Conduct disorders are common between ADHD, some series has

shown that even almost 40% of patients develop some of the two

main diagnosis: ODD or CD.

That comorbidity between ADHD and ODD or CD has made that

treatment become complex and requires different interventions.

One field of treatment has been parental functioning.