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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S443

The study design

Clinical and psychopathological, somatoneuro-

logical, and psychological (CDRS-R depression scales, “I and my

illness”, “House-Tree-Person”, “I am in this world”, “Me and my

family” projective drawing tests as well as “My sorrows” and “My

dreams” topical mini-compositions).

Results

Graphic signs reflecting anxiety, depression, fatigue,

algia, aggression, low self-evaluation, isolation, hypochondria and

phobias have been registered in the projective drawn tests of all our

patients. In cases of suicidal behavior and aggression, art- therapy

sessions enabled the experts to convert the problem and make it a

stimulus for the exit from the psychological crisis. In dysmorpho-

phobic fixation on the bodily problems therapeutic intervention

was aimed at restoring the adoption of a child of his “ego”. Regard-

less of the specific psychological problems with depression of each

patient art- therapy sessions made it possible to restore the emo-

tional homeostasis and compliance, which contributed to more

effective therapeutic interventions.

Conclusion

The differentiation of somatic, emotional and behav-

ioral patterns of depression by art-diagnosis provides concentra-

tion on psychopathologic symptoms and psychosocial stressors,

which is effective in the rehabilitation of children with depressive

anxiety disorders.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1281

EV297

Antipsychotic in children and

adolescents: Metabolic effects

M.D.L.C. Ramirez Dominguez

, I. Prieto Sánchez ,

L. Hernandez Gonzalez , S. Fernandez Leon , M. Reina Dominguez

Complejo Hospitalario de Huelva, Psiquiatria, Huelva, Spain

Corresponding author.

Introduction

The use of antipsychotics in children is controver-

sial, one of the considerations to take into account is the possible

effect on the values of fasting glucose, prolactin or weight gain are

very important.

Objectives

To study the effect of these drugs on metabolic rate in

children.

Methods

We measured the weight, waist circumference, fasting

glucose and basal prolactin in 6 children at Children’s Hospital in

the province of Huelva, diagnosed with bipolar disorder and early

schizophrenia, atypical antipsychotics before starting treatment

and 6 months later.

Results

In the provisional results it is found that a there is not

a significant weight gain (less than 3%), no impairment of glucose

and only in one case basal prolactin was elevated.

Conclusions

The use of atypical antipsychotics in children should

be reserved when strictly necessary. Once established, keep tight

control of metabolic parameters, although the data of our study

coincide with the literature, do not produce significant alterations.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1282

EV298

The importance of multiple-family

group therapy in treatment of

psychosomatic pathology

C. Sanahuja

1 ,

, A. Suarez

2

1

Hospital Universitario de Fuenlabrada, Mental Health, Fuenlabrada,

Spain

2

Instituto Psiquiatrico Jose Germain, Mental Health, Leganes, Spain

Corresponding author.

Introduction

The “parental multiple-family school” was devel-

oped in Buenos Aires (Argentina) by E. Rotenberg, based on the

theory and practice of J. García Badaracco’s multiple-family psy-

choanalysis (which further expands on the classical psychoanalysis’

frame), applying it to the kids and their relatives. We will focus on

the therapeutic group treating psychosomatic pathology, with the

collaboration of the Dermatology department of the Hospital de

Ni˜nos Dr. Ricardo Gutiérrez.

Objective

To highlight the importance of creating spaces to mod-

ify the psychic mechanisms and resources of the psychosomatic

patient at an infant age.

Methods

We describe the “multiple-family parents school”, an

open, weekly group, coordinated by two psychologists and assisted

by a dermatologist, in which the theories of J. García Badaracco’s

multiple-family group analysis are applied. We also discuss the

importance of applying this system in our clinical practice.

Results

We observed, according to the Dermatology department,

very positive and significative changes in every post-group, which

could lead to the disappearance of dermatological diseases in dif-

ferent patients without a pharmacological treatment which was

previously given as first option. Single-session groups had many

advantages, including the removal of waiting lists, a better develop-

ment of the emotional connection between kids and their families,

and a reduction of the therapeutic and professional costs.

Conclusion

We think that starting interventions in multiple-

family group therapy in Madrid in order to treat psychosomatic

diseases in kids and teenagers should be encouraged after the very

positive clinical experience in other cities.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1283

EV299

Emotional and behavioral functioning

among 10–14-year-old children who

were very low birth weight at birth

M. Serrano Villar

1 ,

, P . B

arga

1 , A.

Coronado

2 , M.

Alcami

1 ,

A. Ortiz

1 , S. A

res

3 , F. O

menaca

3 , M.

F. Bravo Ortiz

4

1

La Paz University Hospital. IdiPAZ Health Research Institute,

Paidopsiquiatría, Madrid, Spain

2

Universidad Complutense de Madrid, Facultad de Educación,

Madrid, Spain

3

La Paz University Hospital, IdiPAZ Health Research Institute,

Neonatología, Madrid, Spain

4

La Paz University Hospital. IdiPAZ Health Research Institute,

Psiquiatría, Madrid, Spain

Corresponding author.

Objective

This study examined the emotional and behavioral

functioning among 10–14 year-old children who were born with

very low birth weight (VLBW, <1500).

Method

Prospective and cross-sectional study of 90 VLBW

(<1500 g) survivors born at the Hospital Universitario la Paz in

Madrid, Spain, from 2000 to 2005 who were assessed by inter-

viewers using the Strengths and Difficulties Questionnaire (SDQ).

Parents also reported on their children’s functioning. Children who

showed an abnormal SDQ score on the total difficulties subscale or

who had psychiatric history were also assessed using the K-SADS-

PL.

Results

The proportion of children with abnormal-self-rated-

SDQ scores was as follows: almost 25% of children showed an

abnormal score on hyperactivity, nearly 15% on emotional prob-

lems, 15% on conduct problems and 10% on peer problems. Overall,

15% of children showed an abnormal score on the total difficul-

ties subscale. Most children (99%) showed a normal score on the

prosocial subscale. These proportions were higher when the ques-

tionnaire was rated by parents. Thirty-eight percent of children