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S448

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

Objectives

This systematic reviewgives an overviewof protective

factors for mental health of children of depressed parents.

Methods

Databases PsycINFO, Embase, Medline, PSYNDEX,

PubMed, ISI Web of Science, and CINAHL were searched for rel-

evant studies in German or English published until August 2014.

Targets were epidemiological studies concerning protective fac-

tors for children up to the age of 21 years who have at least one

depressed parent. Selection process and assessment of method-

ological quality of the studies were conducted by two reviewers

using a checklist.

Results

Out of 3526 screened studies, finally thirteen studies

were included. Efficient stress management strategies – in par-

ticular primary and secondary control coping – were identified

as protective factors for mental health of affected children. Chil-

dren’s social competences as well as parental positive parenting

skills also seem to have a protective impact. Restrictions to specific

search terms, databases, and languages could have caused missing

relevant studies with other characteristics. Limitations could also

result from possible publication bias as well as methodological and

qualitative differences regarding included studies.

Conclusions

In the context of prevention projects, children of

depressed parents should be supported in adequately and effi-

ciently coping with stress. Moreover, practitioners should aim at

the promotion of social competences and the involvement of par-

ents within prevention.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1296

EV312

Psychosocial profile of encopretic

children and their caregivers in

relation to parenting style

E. Zaky

1 ,

, M .

Rashad

1 , H.

Elsafoury

2 , E. I

smail

1

1

Ain Shams University, Pediatrics, Cairo, Egypt

2

Ain Shams University, Pediatric Surgery, Cairo, Egypt

Corresponding author.

Background

The role of psychological factors in the development

and maintenance of encopresis is controversial.

Objectives

Assessment of the psychosocial profile of encopretic

children and their caregivers in relation to parenting style com-

pared to controls.

Methodology

The current cross sectional study comprised 90

Egyptian children classified into three groups: group I (encopresis

without constipation and overflow incontinence), group II (enco-

presis with constipation and overflow incontinence), and group III

(clinically healthy controls); each group included 30 children. Thor-

ough clinical evaluation and psychometric assessment were carried

out for all enrolled children while caregivers were evaluated for

their parenting styles, anxiety, depression, and introversion scores.

Results

Hardness, undue blaming, and indecisive parenting styles

were significantly more prevalent among caregivers of group I.

Encopretic children of group I & II had poorer self-esteem and

higher prevalence of clinically manifest depression compared to

healthy controls. Furthermore, there was a higher prevalence of

clinically manifest paternal anxiety, depression, and introversion

and maternal depression among caregivers of group II and higher

prevalence of clinically manifest paternal anxiety and depression

among fathers of group I.

Conclusion

The approach of toilet training, not the time of its ini-

tiation, seems to be the factor that really matters in predisposing

to and perpetuating encopresis. Further exploration is needed to

determine if the documented association of psychological disor-

ders of enrolled encopretic children and their caregivers was causal

or being just the impact of the child’s encopresis.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1297

Classification

EV313

Atypical psychosis – historical and

current perspective

M.A. Aleixo

1 ,

, C .A

. Moreira

2 , G.

Sobreira

1 , J. O

liveira

3 ,

L. Carvalhão Gil

2

1

Centro Hospitalar Psiquiátrico de Lisboa, Ward 1 - First Psychotic

Episode Unit, Lisboa, Portugal

2

Centro Hospitalar Psiquiátrico de Lisboa, Ward 6 - Schizophrenia

and Schizoaffective Disorders Unit, Lisboa, Portugal

3

Centro Hospitalar Psiquiátrico de Lisboa, Ward 2 - Neuropsychiatry

and Dementia Unit, Lisboa, Portugal

Corresponding author.

Introduction

Clinical concepts regarding atypical psychosis such

as the French bouffeé délirante, the German cycloid psychosis,

and the Scandinavian reactive and schizophreniformpsychoses are

nowunder the category of F23 ‘Acute and transient psychotic disor-

ders’ (ATPD) of the tenth revision of the International Classification

of Mental and Behavioural Disorders (ICD-10).

Aims

The authors’ aim is to highlight the clinical and scientific

relevance of atypical psychosis from the historical concepts to the

current perspective.

Methods

A Pubmed database search using as keywords “atypical

psychosis”, “acute and transient psychotic disorders”, and “brief

psychotic disorder” and retrieved papers were selected according

to their relevance.

Results

Different psychiatric schools, often of a regional or

national character, have provided concepts for transient psychotic

states. The acute and transient psychotic disorders of ICD-10 and

the brief psychotic disorder of Diagnostic and Statistical Manual of

Mental Disorders (DSM-5) reflect the diversity of the history of such

concepts. The available evidence suggests that case identification

and follow-up is difficult in ATPD due to the heterogeneous and

infrequent nature of this clinical phenomenon. Furthermore ATPD

has a low diagnostic stability and there are few studies focused on

brief psychotic disorders.

Conclusions

The present definition of acute and transient psy-

chotic disorders and brief psychotic disorder, while taking into

account the history of the concepts involved, leave many questions

open to further studies.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1298

EV314

Anxiety and undiagnosed

pheochromocitoma

C. Cocho Santalla

1 ,

, C . S

anahuja

2

1

Hospital Universitario Infanta Cristina, Unidad de Psiquiatría,

Madrid, Spain

2

Hospital Universitario Fuenlabrada, Psiquiatría, Madrid, Spain

Corresponding author.

Introduction

Pheochromocytomas are rare catecholamine-

secreting tumours from the adrenal medulla. The clinical

presentations may mimic other disorders due to nonspecific

symptoms produced by catecholamines in blood.