European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S8–S52 S25
Recent mass movement of human beings in various parts of the
world has brought several challenges. Not only refugees from
Syria and Libya to Europe but also refugees, migrants and asy-
lum seekers in Latin America bring specific set of issues with
them. It is critical that clinicians are aware of both the vulnera-
bility of individuals to mental ill health as a result of migratory
experiences but equally importantly their resilience. The impact
on the mental health of those who may be involved directly
or indirectly in delivering care along with those new commu-
nities who receive these groups need to be taken into account
when planning and delivering psychiatric services. It is essen-
tial to recognize that experiences of being a refugee or asylum
seeker are heterogeneous. Being an asylum seeker carries with
it legal definitions and legal imperatives agreed at international
levels.
Policymakers and clinicians need to be aware of differential rates
of psychiatric disorders in these vulnerable individuals and spe-
cific needs related to language, religious values and other cultural
factors. Mental health problemsmay be related to experiencing cul-
tural bereavement where individuals feel that they have lost their
cultures, relationships and cultural values. Judicious and careful
use of trained culture brokers and mediators should be encouraged
as these individuals can inform the team about community needs
and inform the community about the team functioning and its
principles so that community expectations can be managed appro-
priately. Such approaches may also help reduce stigma against
mental illness.
Disclosure of interest The author has not supplied his declaration
of competing interest.
Symposium: Child maltreatment and
unfavourable clinical outcome
S058
Prevalence and consequences of
bullying: What could healthcare
services do for intervention?
D. Wolke
University of Warwick, department of psychology, Coventry, United
Kingdom
Bullying is the systematic abuse of power and defined as aggres-
sive behavior or intentional harm doing by peers that is carried out
repeatedly, and involves an imbalance of power between the victim
and the bully. One in 3 children report having been bullied at some
point in their lives, and 10 - 14% experience chronic bullying lasting
for more than six months.
Longitudinal research indicates that children who were victims of
bullying are at higher risk for common somatic problems, inter-
nalizing problems and anxiety or depression disorder, psychotic
symptoms and are at highly increased risk to self-harm or think
about suicide in adolescence The mental health problems of
victims and bully/victims remain in adulthood. Indeed, we showed
that peer bullying in childhood has more adverse effects on diag-
nosed anxiety and depression disorders than being physically or
sexually abused or neglected by parents. Victims also report to
have more trouble with making or keeping friends in adulthood
and were less likely to live with a partner and have social support.
In contrast, bullies had no increased risk for any mental or general
health problems, were healthier than their peers, emotionally and
physically.
Sadly, many bullied children suffer in silence. To prevent dropping
out of school, violence against oneself (e.g. self-harm) and reduce
mental and somatic health problems, it is imperative for health
practitioners, families and schools to address bullying.
Disclosure of interest The author has not supplied his declaration
of competing interest.
Reference
[1] Wolke D, Lereya ST. Long-term effects of bullying.
Archives of Disease in Childhood 2015;100(9):879–85,
S059
Adolescent mental health outcomes of
early adversities: Not a simple story
A. Oldehinkel
University medical center Groningen, psychiatry, Groningen, The
Netherlands
Introduction Living creatures are shaped by the their experiences
in a constant process of adaptation. These experiences accumulate
and so their relative weight diminishes across the lifespan. In chil-
dren, the relative weight of new experience is high, and children’s
developing brains are programmed to learn like in no other life
phase. Early adversities can thus have a major impact on later men-
tal and physical health outcomes. However, the nature of impact of
exposure to adversities early in life on further development is less
straightforward than it may seem at first sight.
Objectives In this presentation, I will address and illustrate a cou-
ple of issues that manifest the complexity of this association.
Methods The data will come from TRAILS (Tracking Adolescents’
Individual Lives Survey), a longitudinal study on the development
of mental health from preadolescence into young adulthood, with
bi- or triennial assessments from age 11 onwards, for a period of
over fifteen years.
Results Results from various analyses indicate that early adversi-
ties do not lead to unfavorable outcomes in every person, and that
the consequences of early adversities depend on their timing.
Conclusions The experiences that individuals encounter during
development are incorporated in a continuous process of adap-
tation that shapes them and keeps on doing throughout life.
Considering the complexity and individuality of these processes,
it is inevitable that research findings are often heterogeneous, and
effect sizes small.
Disclosure of interest The author has not supplied his declaration
of competing interest.
Symposium: gaming, gambling, behavioural
addictions: challenges in diagnosis and treatment
S060
Pathological gambling, impulse
control disorder or behavioural
addiction: What do the data indicate?
K. Mann ∗ eménager iefer Fauth-Bühler
1 Central institute of mental health, university of Heidelberg,
Mannheim, Germany
2 Central institute of mental health, department of addictive behavior
& addiction medicine, Mannheim, Germany
∗ Corresponding author.
Objective The reclassification of PG as an addictive disorder is
under debate for ICD-11. Data on psychiatric comorbidity and fam-
ily history might provide the basis for a well-informed decision.