European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169 S121
with ADHD. Some of the risk factors appear to have direct effects.
If this study will withstand further scrutiny, concerted effort is
needed in emerging economies such as Oman to address the issue
of burden among the caregivers of children with ADHD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0046
Caregiver depression screening in a
child and adolescent clinic seeking
consultation for their children with
attention-deficit/hyperactivity in
Oman
N. Al Balushi ∗, A.A. Samir
1 Sultatn Qaboos University, child and adolescent Psychiatry, Barka,
Oman
2 Sultan Qaboos University, psychology, Muscat, Oman
∗ Corresponding author.
Introduction Studies have shown that caregivers of children with
(ADHD) are at a higher risk of mood disorders such as depression.
The presence of mood disorders among the caregivers of children
with ADHD has negative repercussion in terms of prognostic indi-
cator, utilization of the health care service and the resultant quality
of life.
Objectives To solicit the performance of indices of depression
among caregivers of children with ADHD and to explore the rela-
tionship between severity of mood score, subtypes of ADHD and
socio-demographic factors.
Methods A cross-sectional study conducted in a tertiary hos-
pital in Oman dispensing child and adolescent mental health
services. Arabic-version of PHQ-9 was used screen for the pres-
ence of depression among the caregivers of children diagnosedwith
ADHD based on DSM 5. The severity and subtypes of ADHD were
quantified using Vanderbilt ADHD Parent/Teacher Rating Scale.
Socio-demographic background and clinical data were gathered
from medical records or attending caregivers.
Results The study included 100 caregivers of childrenwithADHD.
Most of the primary caregivers were mothers (92%). Using the cut-
off score of 12 on the PHQ-9, rates of depression for the mother
was 14%. Some socio-demographic factorswere strongly associated
with severity of depressive symptom.
Conclusion This study suggests that depressive symptoms as
elicited by PHQ-9 are common among caregivers of children with
ADHD. The rate of depressive symptoms is higher compared to the
general population in Oman. This study lays groundwork for con-
templating mechanisms to mitigate depressive symptoms among
caregivers of children with ADHD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0047
Prevalence of attention deficit
hyperactivity disorder among primary
school children in Riyadh, Saudi
Arabia; 2015–2016
T. Albatti , Z. ALHedyan∗
King saud University and King Khalid University Hospital, Chikd and
adolescents psychiatry department, Riyadh, Saudi Arabia
∗ Corresponding author.
Introduction ADHD is one of the most common neurodevel-
opmental disorder among children. It is described as a chronic
impairing disorder that negatively affects the academic attainment
and social skills of the child. Furthermore, ADHD symptoms con-
tinue into adulthood in 30–60% of affected children. Consequently,
they will most likely be missed from employment many times.
Aims Determine the prevalence of attention deficit hyperactivity
disorder among children in Saudi Arabia.
Objectives Determine the prevalence of attention deficit hyper-
activity disorder among both governmental and private primary
Saudi school children aged 6–9-year-old. And to measure the
gender difference of ADHD prevalence. Also, to determine any asso-
ciation between the socio-demographic characteristic of parents of
children with ADHD.
Methods An observational cross-sectional study of 1000 primary
school children belonging to 1st, 2nd and 3rd grade. The selected
students were screened by the ADHD rating scale using multistage
sampling technique. The first stagewas selection of 20 schools from
all Riyadh regions by simple randomization. The second stage was
choosing children whom serial numbers were multiplies of five
in each class. The ADHD rating scale was filled by both parents
and teachers along with a socio-demographic questionnaire for the
parents.
Results The estimated prevalence of ADHDwas 3.4%. ADHDman-
ifestations affect boys more than girls. In addition, ADHD was more
frequent among children of illiterate mothers. Finally, ADHD was
significantly more prevalent among first grade children.
Conclusion This epidemiological study filled the data gap of
ADHD prevalence in Riyadh. The study’s findings go in line with
many nearby and global studies.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0048
Benzodiazepines intake at
youth–experience from adolescent
consultation at centro hospitalar
Lisboa Norte
C. Almeida∗ aulino , M. Croca , N. Santos
Centro Hospitalar Lisboa Norte, Hospital Santa Maria, Servic¸ o de
Psiquiatria e Saúde Mental, Lisboa, Portugal
∗ Corresponding author.
Introduction The increasing intake of psychotropic medication
by children and adolescents is a reality that worries many mental
health professionals. Recently, european school survey project on
alcohol and other drugs showed that tranquillizers and sedatives
were mainly consumed by Portuguese youth, without medical pre-
scription, bringing this topic to medical and health stakeholders’
attention.
Objectives Characterize benzodiazepine prescription in the
youth population followed in a psychiatric consultation at centro
hospitalar Lisboa Norte psychiatric department.
Aims Discuss Portuguese trends in mental health among youths.
Methods Analysis of 127 adolescents, seen for the first time from
January to December of 2015, using Microsoft office excel.
Results Our sample is comprised by adolescents from 12 to 20
years old, 81 female and 46 male. Only 16% of the adolescents were
medicated with benzodiazepines, although low neuroleptic doses
were often required, and 30% carried out psychotherapy. Sixty-five
per cent of the diagnosis corresponds to anxiety, depressive and
impulse control disorders.
Conclusion Although trends in Portuguese youth mental health
seem to be encouraging, as highlighted by local reports, European
Union Joint Action on Mental Health and Well-Being recommends
community and school active roles in primary and secondary pre-
vention. Our experience shows that benzodiazepines’ use is rarely
necessary and symptoms as anxiety, impulsivity and insomnia
decreased with other strategies. Coping strategies must be dis-
cussed with the adolescents, in formal psychotherapy or in a
supportive and containing therapeutic relationship, as well as dis-