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


of this study was to assess the stress levels of parents of chil-

dren with autism and to verify its association with the inability of

verbal communication and the relationship to quality of life. Par-

ticipants were parents of 75 children with autism and 100 parents

with no complaints about their children development. They were

divided in 3 groups. All participants responded to questionnaires

regarding: socio-demographic date, stress level and quality of life.

Most parents presented medium level of stress. Presence of speech

did not yield to significant differences. More parents of children

with autism reported high levels of stress. Associations between

the stress level and the quality of life were also observed. It can be

concluded that the stress level of parents of children with autism

not influenced by their lack of verbal communication.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Improvement of autism symptoms

after comprehensive intensive early

interventions in a clinical setting

N. Haglund

1 ,

, S. Dahlgren


, M. Råstam


, P. Gustafsson



K. Källén



Lund University, Department of Clinical Sciences, Lund Child and

Adolescent Psychiatry, Lund, Sweden


University of Gothenburg, Department of Psychology, Gothenburg,



Lund University, Department of Clinical Sciences Lund, Child and

Adolescent Psychiatry, Lund, Sweden


University of Lund, Department of Clinical Sciences Lund, Obstetrics

and Gynecology, Center of Reproduction Epidemiology, Lund, Sweden

Corresponding author.


The last two decades increase in early detection

and diagnosing children with autism spectrum disorders (ASD) has

challenged child and youth habilitation centers to offer the best and

most appropriate treatment and support.

Objectives and aims

To evaluate an ongoing Comprehensive

Intensive Early Intervention (CIEI) program for children with ASD

based on principles of behaviour learning and developmental sci-

ence, implemented in the child’s natural setting.


The change in autism symptoms among children par-

ticipating in CIEI (intervention group,


= 67) was compared with

children who received traditional habilitation services only (com-

parison group,


= 27). Symptom changes were measured as

evaluation-ADOS-R-scores, total-, severity-, and module-adjusted-

scores (ADOS-MAS), minus the corresponding baseline-scores,

divided by the time between baseline and evaluation, and esti-

mated using ANOVA adjusting for confounders. The ADOS-MAS

were developed to allow improved communicative functions to be

counted in the overall symptom improvement.


Children in both study groups improved their autism

symptoms as measured with the ADOS-MAS, and the improve-

ment was statistically significantly larger among children without

any developmental delay (


< .001). When adjustments were made

for developmental delay, there was a statistically significant larger

improvement of ADOS-MAS among children in the intervention

group than in the comparison group (


= 0.047). Similar resultswere

found for ADOS-R-total and ADOS-severity scores (


= 0.023 and


= 0.060. respectively).


The results of the current study indicate that the

CIEI program significantly improve social and communicative skills

among childrenwith autism, and that childrenwith developmental

delay could benefit to a similar degree as other children.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Emotional and behavioral problems in

early adolescents and association with

socio-demographic risk factors

L. Dostovic Hamidovic

University Clinical Center Tuzla, Department of Pediatrics, Tuzla,

Bosnia and Herzegovina


The aim is to analyse the frequency emotional and

behavioural problems early adolescents and associationwith socio-

demographic risk factors.

Subject and methods

We analysed a group of 240 early adoles-

cents (11–15 years) from the area of Tuzla Canton, Bosnia and

Herzegovina, in the general population. For the assessment of

children’s emotional and behavioural problems, the Strength and

Difficulties Questionnaire – SDQ is used. Data were processed

by descriptive statistics. For the assessment association between

socio-demographic risk factors and emotional and behavioural

problems in early adolescents we used Pearson correlation test.


The result show that the frequency of emotional and

behavioural problems are present in 3% of cases, The results

of correlation sociodemographic risk factors and emotional and

behavioral problems, showed that unemployed mothers have a

significant increased risk of developing behavioral disorders in

early adolescents (


< 0.05). Low family economic status leads to

a significantly higher frequency of emotional symptoms in early

adolescents, poor attitude towards society and significantly higher

overall difficulties (


< 0.05). Higher levels of parental education

was significantly associated with a higher frequency of behavioral

problems and illness in the family leads to a much more emotional

problems (


< 0.05).


The obtained results of this study indicate that early

adolescents showed low levels of emotional and behavioral prob-

lems. There is a significant correlation between socio-demographic

risk factors and emotional and behavioral problems early adoles-



Emotional problems; Behavioral problems; Children;

Early adolescents; Sociodemographic factors.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.


What are the mental health impacts

on adults coming from childhood


A. Hashorva , T. Pengili

, M. Lici , I. Prifti

University Hospital Center “Mother Teresa”, Psychiatric department,

Tirana, Albania

Corresponding author.

Though there is no universal definition of childhood bullying, the

term is often used to describe when a child repeatedly and delib-

erately says or does things that causes distress to another child.

Research shows that persistent bullying can cause depression and

anxiety and contribute to suicidal behaviour.

This paper will bring into focus some studies done by the Depart-

ment of Mental Health that show that the impact of bullying in

childhood can cause depression, anxiety and especially OCD in

adult. Also strongly contributes to bullying in suicidal behaviour.

The study involved 177 children aged 9–15 years old and were fol-

lowed until they were 19–25 years old. The study ended in 2013.

The subjects in this group were found to be 6 times more likely to

have a serious physical illness, or develop a psychiatric disorder in

adulthood than those who were not involved in bullying.

Another study in 2014 found that the negative effects at social,

physical and mental health of childhood bullying are still evident

up to 40 years later. Victims of bullying are 6 times more likely to