European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S433
socio-demographic interview. SPSS v-21 was the statistical instru-
ment.
We found out that mothers of our patients had reported anxiety
symptoms, loss experiences or stress during pregnancy or postpar-
tum period more than we expected.
Stress, anxiety or depression during pregnancy is related with anx-
iety disorders in children. Helping mothers to cope with stressors
during pregnancy and postpartum period will contribute to a bet-
ter mental health in their children. The findings of this study match
with previous researches.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV263
Pain to soothe pain. . . What a
paradox!
R. Hernandez Anton ∗, I. Sevillano Benito , S. Cepedello Perez ,
E. Rybak Koite , M.J. Garcia Cantalapiedra , L. Gallardo Borge ,
E. Dominguez Alvarez , E. Mayor Toranzo , A. Alvarez Astorga ,
C. Llanes Alvarez , A. Rodriguez Campos ,
F. Uribe Ladronde Cegama
1 HCUV, PSQ, Valladolid, Spain
2 HCUV, PSQ, PSQ, Spain
3 Complejo Asistencial de Zamora, PSQ, Zamora, Spain
∗ Corresponding author.
Objectives Review the multidisciplinary approach of ADHD and
its relationship with self-injurious behavior. Expose the use of pro-
jective techniques in the diagnosis and treatment of psychiatric
disorders.
Introduction Aggressive, opposition, defiant and disobedience
behavior are becomingmore frequent in the child population. There
have been an increase number of adolescents, who self-harm, since
1960.
Material and methods A 17-year-old girl, with the following psy-
chiatric history: consultations since 2009; one income in the Day
Child Hospital; and two incomes in the Inpatient Childhood and
Youth Unit. This year, the patient has gone to the emergency room
twice by self-harm episodes the days before concerts at the con-
servatory. Her schoolteachers refer concentration problems. She
behaves with contempt for the rules at home. The family relation-
ships are mismatched.
Results The multidisciplinary intervention was based on per-
sonal, family and group therapies, cognitive behavioral therapy and
pharmacotherapy (Methylphenidate).We are currentlyworking on
the control of self-injurious behavior with: strategies to regulate
emotions, which are based on troubleshooting (“brain storming”),
social skills training (role-playing), recognition and anger manage-
ment.
Conclusions ADHD is a major health problem in children. The
combination of pharmacotherapy, psychotherapy, social interven-
tions with educational guidance, self-training activities achieves
better results when performed independently. The prevalence of
self-harm behavior is greater in young people with psychiatric dis-
orders. Self-harm behaviors are often strategies to regulate the
emotional pain. The graphic techniques express emotions, feelings
and fantasies. They can help resolve conflicts, develop interper-
sonal skills and reduce stress. The pictures allow only formulate
hypothesis, we must contrast them with other tests.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV264
Fears in anxious children
L. Hernandez Arroyo∗, O. Santesteban Echarri ,
M.J. Güerre Lobera , J.C. Espin Jaime , M.Á. Jimenez-Arriero
Hospital 12 de Octubre, Child and Adolescent Psychiatry, Madrid,
Spain
∗ Corresponding author.
Introduction Fear is a distressing emotion aroused by a risk or a
damage, real or imaginary. Fears have a warning function against
dangers. Nevertheless, fear can also become in one of the most
limiting elements of a person’s life.
Objectives To characterize the profile of fears presented in a sam-
ple of 19 children, aged between 8 and 13 years old, who had
previously been diagnosed with one of the following: Generalized
Anxiety Disorder, Separation Anxiety Disorder or Social Phobia.
Material and methods The sample was taken from patients who
participated in a cognitive-behavioral group therapy. The Spanish
version of the Fear Survey Schedule for Children-Revised (FSSC-R)
questionnaire was employed. The FSSC-R asks children to indi-
cate on a 3-point scale (‘none’, ‘some’, ‘a lot’) how much they fear
80 specific stimuli or situations. Five basic categories of fears can
be stablished: failure and criticism (17 items); the unknown (17
items); minor injury and small animals (13 items); danger and
death (16 items); medical fears (5 items).
Results The sample includes 19 children: 12 boys (63.2%) and 7
girls (36.8%). The median age is 10.74 years. The sample shows 15
excessive fears on average (those scored as ‘a lot’). Girls showhigher
rates of excessive fears than boys: 19 versus 13. The most common
fears were ‘being hit by a car or truck’, ‘bombing attacks. Being
invaded’, ‘a burglar breaking into our house’ and ‘falling from high
places’.
Conclusions Most common excessive fears belong to danger and
death category. Females report more fears than males.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV265
The problem of rehabilitation of
children and adolescents with mental
disorders in Russia
I. Iakovleva
Bekhterev Psychoneurological Institute, Medical Faculty of St.
Petersburg University, Saint-Petersburg, Russia
Introduction Assistance to children and adolescents with mental
health disorders is very acute problem in Russia today.
Objectives A team approach is the most effective method (Koren,
2011; Popov, Iakovleva, Semenova, 2012).
Aim To examine the problem of rehabilitation of children with
mental disorders.
Methods Eighty parents of mental disease’s children and 86 were
examined by special questionnaires were developed in the depart-
ment of Adolescent Psychiatry of St. Petersburg Bekhterev Research
Institute.
Results A total of 41.9% (36) of the teachers believed that children
and adolescents with mental disorders may attend mass child gar-
den and the school, 32.6% (28) did not agree with that. 37.2% (32) of
the teachers believed that intercoursewith a sick child is unlikely to
be useful and pleasant for children. Therefore, following an acute
problem is the fear of parents to contact a psychiatrist: 28 par-
ents (35%) took their children to psychiatrist by their own initiative,
some other professionals (pediatrician, general practician, neurol-
ogist or psychologist) encouraged applying to a psychiatrist in 44
cases (55%), 8 parents (10%) asked for advice after strong recom-
mendations from teachers. One of the main signs of psychiatrist’s
competence for 64 parents (80%) was the appointment of additional