European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169 S127
Objectives 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.
Methods 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.
Results The SPQ significantly (P < 0.01) correlated positively
with YSR externalizing problem (r= 0.148, r = 0.182) and neg-
atively with YSR Internalizing Problem (r = −0.212, r =−0.177)
in boys and girls, respectively. The Yang temperament group
(8.42 ± 6.24, 8.36± 6.59) is significantly (P < 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
(P < 0.01) higher than Yang group (6.01 ± 5.95, 8.28± 7.49) in Inter-
nalizing Problem with boys and girls, respectively.
Conclusion 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.
EW0065
Cognitive vulnerability to depression
in adolescents with depression, their
healthy siblings and a control group:
A cross-sectional study
G. Chartier ∗, P. Garel , C. Herba , L. Booij
1 The University of British Columbia, Psychiatry, Vancouver, Canada
2 CHU Ste-Justine, Psychiatry, Montréal, Canada
3 Université du Québec à Montréal, Psychologie, Montréal, Canada
4 Université de Concordia, Psychologie, Montréal, Canada
∗ Corresponding author.
Introduction 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.
Methods 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.
Results 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 (r= 0.43, P = 0.04).
Conclusions 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.
EW0066
The relationship between physical and
mental disorders in a pediatric
population
G. Chartier , D. Cawthorpe ∗
1 The University of British Columbia, Psychiatry, Vancouver, Canada
2 University of Calgary, Psychiatry, Calgary, Canada
∗ Corresponding author.
Introduction 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
population-scale.
Methods 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).
Results 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.
Conclusions 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.
EW0067
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.
Introduction 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.
Objectives 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-