European Psychiatry - Volume 33 - March 2016

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S434 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
medical research techniques. 53 parents (66.3%) were convinced
that a doctor for a diagnosis of mental disorder had to examine the
child several times.
Conclusions Interaction of parents, teachers and psychiatrist is
need for improving the effectiveness of children rehabilitation.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV266
Influence of fatigue on adolescents
sleep habits in Nigeria
D. Igbokwe ∗, B.A. Ola , A. Odebunmi , A.M. Gesinde ,
A.A. Alao , J. Agbu , R.J.E. Ndom
1 Covenant University, Psychology, Ota, Nigeria
2 Lagos State University College of Medicine, Department of
Behavioural Medicine, Faculty of Clinical Sciences, Lagos, Nigeria
3 Nigerian Defence Academy, Department of Psychology, Kaduna,
Nigeria
4 National Open University of Nigeria, School of Health Sciences,
Lagos, Nigeria
5 University of Ilorin, Behavioural Sciences, Ilorin, Nigeria
∗ Corresponding author.
Introduction Adolescents in Nigeria tend to report feelings of
mental, physical and general fatigue without having correspond-
ingly exerted themselves to trigger this. This tiredness has been
observed to also affect their sleep habits.
Aim We set out to investigate how the report of tiredness by
in-school adolescents tends to affect their sleep habits both on
weekdays and weekends.
Methods The Tripartite Fatigue Scale (TFS) and a modified ver-
sion of the School Sleep Habits Survey (SSHS) were administered
on 606 (272 males and 334 females) secondary school adoles-
cents in Lagos and Ogun states of Nigeria aged between 12–19 years
( 2 = 15.24; SD = 1.42) in their classrooms.
Results A multivariate analysis of variance (MANOVA) was used
to analyse the effect of fatigue on the sleep habits of adolescents.
The result shows that fatigue significantly affects the sleep habits
of adolescents during weekends and weekdays, F (3, 602) = 20.068,
P ≤ 0.01; Pillai’s Trace = 0.91, partial 2 = 0.91. The adolescents also
reported general inadequate sleep ( 2 = 6.29 SD = 2.32), less than
the required amount of adequate sleep their age. Additional Anal-
ysis of Variance (ANOVA) result showed that fatigue significantly
affected the students self-reported grade F (3, 605) = 5.32, P = 0.01.
Conclusions The present study has empirically highlighted that
the consistent complaint of tiredness by secondary school ado-
lescents in Nigeria emanates from fatigue marked mostly by
insufficient sleep.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV267
From ADHD to psychosis. . . executive
functions and time
C.D.M. Isabel
Jaen, Spain
Introduction Cognitive impairment is present from the early
stages of psychotic disorders. Alterations are found mainly in areas
of attention, memory work and executive functions. During ado-
lescence, ADHD patients often suffer from secondary disorders to
lack of efficient procurement processes information by the poor
development of executive functions.
Objective Evaluation of a patient whose diagnosis of ADD evolve
to acute psychotic episode.
Method Reviewby clinical and psychometric tests developments
in executive functions disorders.
Results Twelve years old patient who comes to the hospital since
2012, was initially diagnosed with literacy difficulties and low aca-
demic performance, after MFF-20 speaks of Learning Disabilities.
It presents lack of motivation, apathy, difficulty in scheduling and
organization and adherence to schedules, so they diagnosed ADD.
It is given treatment with methylphenidate and atomoxetine, pre-
senting erratic path.
After a year without treatment and the presence of a major stress-
ful life event, at 17, has a first episode, consisting in mutiste
attitude, phenomena of self-referenciality, experiences of control,
enforcement and dissemination of ideas and auditory hallucination
imperative type.
Conclusions The presence of emocional dysregulation and alter-
ations in the executive functions atribuyen to ADD, in this case,
were premorbid symtomatology of a first psychotic episode. The
presence of positive symptoms allows to clarify the diagnosis.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV268
The body image and psychopathology
in children
M. Ivanov∗, N. Platonova , G. Kozlovskaya
Mental Health Research Center of the Russian Academy of Medical
Sciences, Department of Child Psychiatry, Moscow, Russia
∗ Corresponding author.
Introduction The body image development begins at an early
age. Children with psychopathology may have body image distur-
bances. It is important to determine nosological specificity of body
image disturbances in children.
Objectives To reveal body image disturbances in: 20 people (12
boys, 8 girls) having schizophrenia; 18 people (8 boys, 10 girls)
with detected fact of sexual abuse (catamnesis study over a 5-year
period); control group – 5 boys, 5 girls with normal psycho-
physical development.
Aims To reveal body image disturbance in children in case of
psychopathology.
Methods All the children were examined clinically and par-
aclinically by psychiatrist and clinical psychologist (projective
techniques; standardized personality questionnaires and semantic
method [analysis of statements]).
Results and conclusions In children having schizophrenia specific
disturbances of proprioceptive self-awareness in the form of sen-
estopathy (feelings of compression, deformation, size loss or size
gain of the body) and the idea of physical defect, are considered as
the early symptoms of the body dysmorphic disorder. In this group
of children disturbances of body scheme, difficulties in right/left
orientation were detected. In the group of children with detected
fact of sexual abuse the following disturbances took place: the body
dysmorphic disorder (self-disgust, considering body to be tainted
by the abuser, feeling dirty, compulsive body washing, sensitivity
to touch) and senestopathy below one’s waist, in the area of geni-
tals, feeling dirtiness of the skin and clothes. In the pictures drawn
by the children, they represented themselves older, grotesquely
painted their faces, pictured strange haircuts, preferring bright and
extravagant clothes.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.