European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169 S125
Conclusion This study suggests that attachment organization
may be a fundamental element to be assessed in the evaluation
of disruptive behavior disorders in children and adolescents. Nev-
ertheless, traumatic experiences do not seem expressed through
psychic symptoms. The clinical implications are discussed.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW0058
Impulsivity in adolescent with
depressive disorders
K. Khemakhem , J. Boudabous , L. Cherif , H. Ayadi ∗, A. Walha ,
Y. Moalla , I. Hadjkacem , F. Ghribi
Hedi chaker Hospital, child psychiatry, Sfax, Tunisia
∗ Corresponding author.
Introduction However, impulsivity is more likely to be present in
externalizing disorders, little focus seems to have been made on
the research of impulsivity in depression.
Objective On this study, we sought to investigate impulsivity
among adolescent with Depressive disorder compared to a control
sample.
Subjects and methods Employing a matched case-control study,
participants included 100 adolescents divided into two groups: 30
adolescents (12 to 17 years) with depressive disorder and a con-
trol sample of 70 adolescents. Participants were recruited during
a period of 2 years (2015, 2016). Depressive disorder patient were
drawn from the consultation unit or inpatient unit of the depart-
ment of child psychiatry in Sfax, Tunisia. Controls were recruited
from two secondary schools and they haven’t depressive symp-
toms according to the child depression inventory (CDI). Impulsivity
was evaluated in the two groups by the Barratt Impulsiveness Scale
(BIS-11), an instrument designed to measure trait impulsivity.
Results Adolescents with depressive disorder displayed sig-
nificantly higher total BIS-11 impulsivity scores than controls
(71.6 ± 16 vs 61.6 ±9; P = 0.003). They scored significantly higher
than the controls on motor (P = 0.0001) and attentional impulsivity
(P = 0.006). There was no difference in non-planning Impulsivity
between the two groups. Motor impulsivitywas high in adolescents
with history of suicide attempt.
Conclusion Our findings suggest that trait impulsivity is
increased among adolescents with depressive disorder. Impulsi-
vity seems to be a risk factor for suicide attempts, so it that should
be systematically evaluated in depressive disorder.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0059
Aerobic exercise training in children
and adolescents with inflammatory
bowel disease: Influence on
psychological functioning, sleep and
physical performance
L. Maehlmann Gerber . Furlano égeret Kalak
D. Sadeghi Bahmani olsboer-Trachsler rand ∗
1 Psychiatric University Hospital, Center for Affective- Stress and
Sleep Disorders, Basel, Switzerland
2 University of Basel, Department of Sport, Exercise and Health,
Division of Sport and Psychosocial Health, Basel, Switzerland
3 University Children’s Hospital Basel, Paediatric Gastroenterology &
Nutrition, Basel, Switzerland
∗ Corresponding author.
Background and aims Patients with inflammatory bowel disease
(IBD) report increased mental health issues, poorer sleep quality
and less engagement in physical activity (PA). Standard treatment
consists of immune modulating pharmaceuticals, though evidence
is growing that aerobic exercise training (AET) might serve as
adjuvant option to reduce disease symptoms and improve mental
health. The aimof the present study was to investigate possible AET
effects on psychological functioning, depressive symptoms, sleep
and PA behavior in paediatric patients with IBD.
Methods Twenty-one paediatric patients with IBD and 23 gen-
der and age-matched healthy controls (HC) were assessed. The IBD
group was split into a “remission-group” (IBD-RE; n = 14) and an
“active disease group” (IBD-AD; n = 7). All participants completed
an 8-week AET exergame intervention reaching 60–80% of maximal
heart rate for 5 days per week. At baseline and after 8 weeks, psy-
chological functioning, depressive symptoms, objective sleep EEG,
subjective sleep and objective and subjective PA were assessed.
Results AET significantly improved the exercise capacity of all
participants. Self-reported fitness and daily PA behavior sig-
nificantly increased in IBD-AD, but not in IBD-RE and HC.
No improvements were observed for psychological functioning,
depressive symptoms and subjective or objective sleep dimensions.
Descriptively, the IBD-ADgroup reported lower psychological func-
tioning and poorer subjective sleep quality.
Conclusions Results suggest that children and adolescents in an
active disease state were at increased risk to descriptively report
lower scores of psychological functioning and sleep. Further, an
exergaming intervention has the potential to improve exercise
capacity, self-reported fitness and daily PA.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0060
Disturbed sleep and activity in
toddlers with early signs of ADHD
A.K. Bundgaard ∗ ilenberg , J. Asmussen ,
N. Vigeholm Stokbæk
Child and Adolescent Psychiatry Odense, University of Southern
Denmark, Odense C, Denmark
∗ Corresponding author.
Introduction Attention-deficit-hyperactivity-disorder (ADHD) is
a frequent psychiatric disorder present in childhood, where sleep-
problems are a prominent, pervasive and clinically important
feature. However, our understanding of whether sleep-problems
mimic or exacerbate daytime ADHD-symptom expression remains
insufficient.
Objective Research examining sleep and daily activity in toddlers
with early signs of ADHD might help identify early risk factors.
Aims To investigate whether disturbed sleep patterns and daily
activity level is associated with early signs of ADHD in toddlers.
Methods Twenty-four toddlers from the Danish Odense Child
Cohort scoring above the 93rd percentile on the ADHD scale of
the Child Behaviour Checklist for ages 1½–5 were categorized as
cases and compared to 25 age and gender-matched controls sco-
ring below the 50th percentile. Daytime and nocturnal activity for
49 toddlers were assessed through seven days of actigraphy. Par-
ents completed Children’s Sleep Habits Questionnaire (CSHQ) and
the ADHD Rating Scale IV Preschool Version (ADHD-RS).
Results Actigraphic data revealed an increased night-to-night
variability, prolonged total sleep time, fewer sleep interrup-
tions and fewer minutes in moderate-to-vigorous-physical activity
(MVPA) in cases compared to controls. Increased night-to-night
variability was found significantly associated with higher total
scores on both the CSHQ and ADHD-RS. Further, fewer minutes in
MVPA were associated with a higher parent-reported motor activ-
ity on the ADHD-RS.
Conclusion Findings show that early signs of ADHD are associated
with irregular sleep patterns and lower daytime activity, as illus-