European Psychiatry - Volume 33 - March 2016

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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.
EV312
Psychosocial profile of encopretic
children and their caregivers in
relation to parenting style
E. Zaky ∗ Rashad Elsafoury smail
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.
Classification
EV313
Atypical psychosis – historical and
current perspective
M.A. Aleixo ∗ . Moreira Sobreira liveira
L. Carvalhão Gil
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.
EV314
Anxiety and undiagnosed
pheochromocitoma
C. Cocho Santalla ∗ anahuja
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.