European Psychiatry - Volume 33 - March 2016

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S432 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
It has been common that reward or punishment as two effective
strategies modulate familiar interactions when they are referred to
AHD sons.
However, in a long time, they failed to improve functioning, and
frustration appears.
Attachment somehow is been hidden behind diagnosis and treat-
ment, and family stop its evolution repeating wrong strategies.
Group therapy is a well-known tool that may help with this dys-
function in two ways: psychoeducation and debriefing.
The aim of this work is to resume our experience working with
parents in a group therapy model.
We have found that affective symptoms are common between par-
ents, ant that they difficult parenting strategies.
Taking that into account we promoted emotional expression using
debriefing groups as model, before introducing psychoeducational
issues.
Our hypothesis is that change is not possible if there is not a cor-
rective attachment experience that let parents recover their role.
We use it as a complementary tool to family and individual therapy.
We will explain this model and its results based in therapists’ and
patients’ experiences using open interviews.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV260
First-episode psychosis: Ongoing
mental health service utilization
during the stable period for
adolescents
R. Gearing ∗, K. Brewer , K. Moore , M. Irfan , P. Fisher
1 University of Houston, GCSW, Houston, USA
2 Columbia University, Columbia, New York, USA
3 The Hospital For Sick Children, Psychiatry, Toronto, Canada
4 New York State Psychiatric Institute, Division of Child and
Adolescent Psychiatry, New York, USA
∗ Corresponding author.
Introduction The importance of timely identification and treat-
ment of psychosis are increasingly the focus of early interventions,
with research targeting the initial high-risk period in the months
following first-episode hospitalization. However, ongoing treat-
ment and service utilization after the symptoms have been
stabilized over the initial years following first-episode has received
less research attention.
Objectives (1) To model the variables predicting continued ser-
vice utilization with psychiatrists for adolescents following their
first-episode psychosis, and (2) examine associated temporal pat-
terns in continued service utilization.
Methods This study utilized a cohort design to assess adolescents
(age 14.4 ± 2.5 years) discharged following their index hospitaliza-
tion for first-episode psychosis. Bivariate analyses were conducted
on predictor variables associated with psychiatric service utiliza-
tion. All significant predictor variables were included in a logistic
regression model.
Results Variables that were significantly associated with ser-
vice utilization included: diagnosis with a schizophrenia spectrum
disorder rather than major mood disorder with psychotic fea-
tures (OR = 24.0; P= 0.02), a first degree relative with depression
(OR = 0.12; P= 0.05), and months since last psychiatric inpatient
discharge (OR = 0.92; P = 0.02). Further examination of time since
last hospitalization found that all adolescents continued service
utilization up to 18months post-discharge.
Conclusions Findings suggest the importance of early diagno-
sis, that a first degree relative with depression may negatively
influence the adolescent’s ongoing service utilization, and that
18months post-discharge may a critical time to review current
treatment strategies and collaborate with youth and families to
ensure that services continue to meet their needs.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV261
The other 25%: Autistic girls and
women
M. Gill
Madera, USA
Autism spectrum disorder (ASD) is a pervasive developmental dis-
order characterized by impairments in social and communicative
abilities, along with the presence of ritualistic and/or repetitive
behaviors. One of the under-researched areas in the ASD literature
is the large gender difference in the diagnosis rates. On average, the
male to female ratio stands at 4.3:1, increasing to 9:1 in the absence
of comorbid intellectual impairment. It has been evidenced that
compared to boys, ASD is diagnosed later in cognitively able girls,
despite there being no difference in the number of visits to a health-
care professional during the diagnostic process and the age atwhich
parents first express concern. The suboptimal identification of the
disorder in cognitively able girls causes a large magnitude of gen-
der discrepancy. These statistics may not be accurate since females
may camouflage their difficulties and may be undetected due to
their ability to disguise their symptoms better thanmales. The other
hypothesis of under diagnosing ASD in girls is howwe quantify and
diagnose it. It is based on a male-centric presentation, which does
not accurately reflect the disorder in girls. Altogether, these differ-
ences may make it more challenging for medical professionals and
clinicians to identify potential early signs of the disorder in girls.
Hence, there is a need to develop programs to mentor girls and
women on the autism spectrum in schools, colleges and industry.
And there should be an insistence on inclusion of females on the
autism spectrum in pharmacological research and other research
projects.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV262
Anxiety and loss experiences during
pregnancy and postpartum and
anxious children
M.J. Güerre ∗, O. Santesteban , L. Hernandez , D. Rentero
1 Hospital 12 De Octubre, Psiquiatría y salud mental, Madrid, Spain
2 “Fundación Alicia Koplowitz”, Unidad Infanto-Juvenil, Hospital
Universitario 12 de Octubre, Madrid, Spain
∗ Corresponding author.
Anxiety disorders in children are very prevalent in youth. They are
associated with poor psychosocial functioning and predict later
psychopathology in individuals. Environmental and genetic fac-
tors and their interaction are involved in the genesis of anxiety
disorders.
Stress, depression or anxiety during pregnancy are considered risk
factors for development of psychopathology in children. We aimed
to know its relationship whit anxiety disorders in young people.
Patients recruited for this study were the participants of our CBT
group based in the coping cat model of treatment. All of themwere
children between 8 and 13 years old and meet criteria for Gen-
eralized Anxiety Disorder, Separation Anxiety Disorder or Social
Phobia. Children and their parents assessed different anxiety and
socio-demographic questionnaires. For this studywe only analyzed
the risk factors of pregnancy, delivery and breastfeeding of the