European Psychiatry - Volume 33 - March 2016

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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.
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.
EV298
The importance of multiple-family
group therapy in treatment of
psychosomatic pathology
C. Sanahuja ∗, A. Suarez
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.
EV299
Emotional and behavioral functioning
among 10–14-year-old children who
were very low birth weight at birth
M. Serrano Villar ∗ arga Coronado Alcami
A. Ortiz res menaca F. Bravo Ortiz
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