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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1244

EV260

First-episode psychosis: Ongoing

mental health service utilization

during the stable period for

adolescents

R. Gearing

1 ,

, K. Brewer

2

, K. Moore

2

, M. Irfan

3

, P. Fisher

4

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1245

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1246

EV262

Anxiety and loss experiences during

pregnancy and postpartum and

anxious children

M.J. Güerre

1 ,

, O. Santesteban

2

, L. Hernandez

1

, D. Rentero

1

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