European Psychiatry - Volume 41 - April 2017

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S124 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169
ough the collaborative use of test results. Patients were evaluated
before (T0), in the middle (T1) and after (T2) the assessment using
CGI, GAF, HAM-A, HAM-D and MRS scales.
Results Eighty-eight adolescents, 56.8% females, diagnosed with
anxiety (47.7%) and mood disorders (52.3%) completed the pro-
tocol. HAM-A, HAM-D, MRS, CGI and GAF significantly improved
at T1 and T2 with respect to T0 (T0: HAM-A 17.31 ± 8.22; HAM-
D 16.97 ±8.37; MRS5.78 ±6.17; GAF 59.3 ±11.06; CGI 3.63 ± 1.35;
T2: HAM-A 11.41 ± 6.82; HAM-D 11.1± 6.91; MRS3.82 ±3.87; GAF
67.5 ± 10.76; CGI 3.03 ±1.26; P< 0.001; Wilcoxon signed-rank test
for repeated measures).
Conclusions Cooperative assessment is able to early improve
symptoms in adolescents with mood and anxiety disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0055
Organizational skills training for
children with ADHD
A. Bikic ∗, D. Sukhodolsky , S. Dalsgaard
1 Child and Adolescents Health Services, Region of Southern Denmark,
Aabenraa, Denmark
2 Child Study Center, Yale School of Medicine, New Haven, United
States
3 National Centre for Register-based Research, Department of
Economics and Business- Aarhus University, Aarhus, Denmark
∗ Corresponding author.
Introduction In addition to problems with inattention and hyper-
activity, children with ADHD show poor organizational skills
required for managing time and materials in academic projects.
Poor organizational skills are associated with academic under-
achievement as well as psychosocial, occupational and economic
difficulties. Behavioral approaches for ADHD are effective in reduc-
ing hyperactivity symptoms and behavioral problems, but the
effects on academic functioning have been modest. An increas-
ing emphasis on treatment of organizational skills has emerged
in recent years, as difficulties with time management and orga-
nization of materials tend to persist and increase with age despite
medication and behavioral treatments.
Objectives The primary objective is to investigate whether orga-
nizational skills training has a positive effect on organizational
skills. The secondary and exploratory objectives are to investigate
the effect on ADHD symptoms, adaptive functioning, academic per-
formance and cognitive functions with a 24 weeks follow up.
Aims Our goal is to provide cost-effective group-based treatment
for children with ADHD and their parents. This will be the first
randomized and controlled trial of organizational skills inDenmark.
Methods Participants are included in two sites in Southern Den-
mark and will be randomized to Organizational skills training or
treatment as usual. Organizational skills training will be provided
in a group format for children and parents over 10 weeks.
Perspectives Given the strong association between organizational
skills and functional outcome, it is very important to address
organizational skills in children and adolescents with ADHD as
organizational skills deficits hinder the academic performance of
even gifted students with ADHD and increase with age.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0056
Children with somatic symptoms
disorders and disruptive behavior
disorder: Which is the role of anger to
caregivers?
F. Bizzi
University of Genoa, Department of Educational Sciences, Genoa, Italy
Introduction The quality of adult-infant interactions represents a
critical context in which child adaptation problems could evolve,
and child psychopathology could develop. Literature has investi-
gated the role of attachment to caregivers, nevertheless, there is
a paucity of studies on middle-childhood and early adolescence in
patients with somatic symptoms disorders and disruptive behavior
disorders.
Objective This study investigates the attachment to caregivers in
childrenwith somatic symptoms disorders and disruptive behavior
disorders, focusing on the role of Anger to mothers and fathers.
Aims The aims are to verify the presence of: – high frequency of
insecure attachment;
– an overrepresentation of attachment disorganization;
– high levels of Anger to caregivers.
Method Fifty-six patients with somatic symptoms disorders, and
42 patients with disruptive behavior disorders, aged from 8 to 15,
are administered the child attachment interview.
Results Findings show: – Insecure attachment in more than half
of the patients;
– a significant presence of disorganized attachment with respect to
both parents;
–higher levels of anger to father in childrenwith somatic symptoms
disorders.
Conclusion Considering the attachment to have a regulatory
function, the knowledge of the different attachment strategies in
middle-childhood and early adolescence may enhance our under-
standing and improve the management and the treatment of
patients with somatic symptoms disorders and disruptive behavior
disorders.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW0057
Disruptive behavior disorders in
childhood and adolescence:
Attachment models and
post-traumatic symptomatology
F. Bizzi
University of Genoa, Department of Educational Sciences, Genoa, Italy
Introduction In line with a consistent literature, young patients
with disruptive behavior disorders in childhood and adolescence
have experienced some traumatic events, such as abuse, rejection
and violence assisted. Recent studies are focusing the attention on
the role of attachment and post-traumatic symptomatology for a
better evaluation of this clinical condition.
Objective This study investigates attachment models and post-
traumatic symptomatology in young patients with disruptive
behavior disorders.
Aim(s) The following objectives are set by the present study: – to
evaluate attachment models in a group of children diagnosed with
disruptive behavior disorders;
– to evaluate their post-traumatic symptomatology;
– to test the extent of the association between post-traumatic
symptomatology and attachment organization in young patients
with disruptive behavior disorders.
Method Forty-two Italian patients aged from 8 to 15 previously
diagnosed with disruptive behavior disorders are compared to 42
healthy control subjects. We administer the child attachment inter-
view and trauma symptom checklist for children-adolescent.
Results Insecure attachment are found in more than half of the
patients diagnosed with disruptive behavior disorders and disor-
ganization are highly over-represented. Furthermore, low levels of
post-traumatic symptoms are found in young patients with disrup-
tive behavior disorders.