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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169



The Yin-Yang represents two opposing and com-

plementary traits of nature such as introvert-extrovert and

passive-active, and has been primary framework of medicine for

thousands of years in the East. The purpose of this study was to

examine the problem behaviors of the middle school students,

which is a major social and psychopathological issue in Korea, from

the Yin-Yang temperaments.


Subjects of 670 middle school students (365 boys and

305 girls) finished Korean version of youth self-report (YSR) for

describing the problembehaviors and Sasang personality question-

naire (SPQ) for measuring Yin-Yang temperament. The high (30%)

and low (30%) SPQ score groups were shown to represent Yin and

Yang temperament groups with acceptable reliability and valid-

ity. We examined the correlation between YSR and SPQ, and YSR

subscale differences between high and low SPQ score groups.


The SPQ significantly (


< 0.01) correlated positively

with YSR externalizing problem (


= 0.148,


= 0.182) and neg-

atively with YSR Internalizing Problem (







in boys and girls, respectively. The Yang temperament group



6.24, 8.36


6.59) is significantly (


< 0.01) higher than Yin

group (6.17


4.82, 5.83


5.32) in Externalizing Problem, and the

Yin temperament group (9.55


7.72, 11.38


8.18) is significantly



< 0.01) higher than Yang group (6.01


5.95, 8.28


7.49) in Inter-

nalizing Problem with boys and girls, respectively.


These results showed that the Yin-Yang tempera-

ment of traditional eastern medicine might be clinically useful

for screening psychopathological problems in adolescents. Impli-

cations and suggestions for cross-cultural psychological study of

the East and West are also suggested.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Cognitive vulnerability to depression

in adolescents with depression, their

healthy siblings and a control group:

A cross-sectional study

G. Chartier

1 ,

, P. Garel


, C. Herba


, L. Booij



The University of British Columbia, Psychiatry, Vancouver, Canada


CHU Ste-Justine, Psychiatry, Montréal, Canada


Université du Québec à Montréal, Psychologie, Montréal, Canada


Université de Concordia, Psychologie, Montréal, Canada

Corresponding author.


At least half of first depressive episode appear

before adulthood. A negative cognitive bias is present among indi-

viduals who suffer frommajor depression. This bias is also reported

among individuals at high risk of major depression (e.g. child of

depressedmother).When present, cognitive vulnerabilitymay pre-

dispose tomajor depression. No study to date aimed to evaluate the

cognitive vulnerability of siblings of depressed individuals.

Objectives and aims

To review the principles behind cognitive

vulnerability. To assess cognitive vulnerability in depressed ado-

lescents, in healthy siblings and in a control group.


Eighty adolescents (27 adolescents treated for depres-

sion, 24 healthy siblings and 29 controls), aged between 12 and 20

years old, were recruited and assessed using validated measures

of bio-psycho-social vulnerabilities. All diagnoses were confirmed

using a K-SADS interview. Cortisol level samples were obtained

through morning saliva. Cognitive vulnerability was assessed

using self-report questionnaires (CES-D, LEIDS-R, EPQ) as well as

computer-based tasks (Ekman’s tasks of facial recognition and the

movie for assessment of social cognition [MASC]). We translated

the MASC from German to French. The parents of the adolescents

also filled the LEIDSR and the CESD.


The LEIDS-R presented a significant increase in certain

subscales (hopelessness, aggression and rumination) compared to

the healthy siblings and the controls. Interestingly, there was also

a correlation between the LEIDS R results of the parents and of the

depressed adolescent (


= 0.43,


= 0.04).


The LEIDSR appears to be the most sensitive task

to detect cognitive vulnerability. A relation between the parent

response and the depressed adolescent response could be found.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


The relationship between physical and

mental disorders in a pediatric


G. Chartier


, D. Cawthorpe

2 ,


The University of British Columbia, Psychiatry, Vancouver, Canada


University of Calgary, Psychiatry, Calgary, Canada

Corresponding author.


Few studies examine comorbidity in a pediatric

population. This poster presents results that extend our under-

standing of the relationship between mental disorder and physical

disorders using a population-based study approach.

Objectives and aims

To review the evidence behind comorbidity

of psychiatric disorders and other medical disorders. To propose

an informatic approach that evaluates those comorbidity on a



Using an informatics approach, a dataset containing

physician billing data for 235,968 (51% male) individuals up to

18 years old spanning sixteen fiscal years (1994–2009) in Calgary,

Alberta, was compiled permitting examination of the relationship

between physical disorders and mental disorders, based on the

International classification of diseases (ICD).


All major classes of ICD physical disorders had odds ratios

with confidence intervals above the value of 1.0, ranging from 1.08

(Perinatal Conditions in 4–6 year olds) to 4.95 (Respiratory Condi-

tions in 0-3 year olds). Distinct major class ICD disorder patterns

arise in comparing all children with adults and specific age strata

for those under 19 years of age.


This study represents the first evidence reported in a

population-based data set of the effect of mental disorders on each

major class of ICDdiagnoses related to a physical disorder. The focus

on the early intertwinements between physical and mental disor-

ders in a pediatric population may help to target strategic areas for

future research and investment.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Psychosis in adolescence: A prognosis

or a diagnosis? Integrated treatment

with psychodynamic peer support

L. Ciampa

, F. Gucci

Villa Camaldoli Alma Mater s.p.a., Psychodynamic Integrated

Psychiatry Department, Napoli, Italy

Corresponding author.


Our work comprises an integrated intervention

strategy for the treatment of psychotic manifestations and func-

tioning in adolescents which, following the theories of Laufer and

Chan, questions the usefulness of the diagnosis ‘psychotic’ during

adolescence. We apply an “open light treatment” (IPOLT), which

includes psychodynamically oriented peer-support.


To build a new form of therapeutic alliance with peer-

support based on shared real life experiences enabling adolescents

to reintegrate within their environment and re-establish cogni-