European Psychiatry - Volume 33 - March 2016

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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.
EV257
Psychosocial predictors in
adolescent’s non-suicidal self-injury:
Preliminary results
J. Ferreira ∗ 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 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.
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.
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.