European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464 S429
higher than LA group (P = 0.04). When the other parameters were
controlled in regression analysis, only CDI scores predicted CPSRI
scores in LA group (P= 0.02), and TA scores predicted CPSRI scores
in the GA group (P = 0.03).
Conclusion Children who witness the surgical procedure of the
circumcision do not develop serious PTSD symptoms. In contrast,
children who experience general anesthesia procedure during cir-
cumcision develop more serious PTSD symptoms than children
operated with local anesthesia. Trait anxiety and depressive symp-
tom severity may be important in developing PTSD symptoms after
circumcision operation.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0077
Parenting styles and anxiety disorders
in children – A study in an Albanian
clinical population
V. Alikaj ∗, V. Skendi , B. Zenelaj , B. Allkoja
1 University of Medicine, Faculty of Medicine, Neuroscience, Tirana,
Albania
2 University hospital center “Mother Tereza”, Psychiatric service,
Neuroscience, Tirana, Albania
∗ Corresponding author.
Introduction About 20% of children suffer from an anxiety disor-
der and symptoms may persist in adulthood. About 13 in every 100
children from 9 to 17 years old experience anxiety disorders, girls
seem more vulnerable than boys. Theoretical models of anxiety
emphasize the effect of parenting on development and mainte-
nance of child anxiety.
Objectives This research aims to study the nature of correlation
between parenting styles and anxiety in childrenwho attend Tirana
Child & Adolescent Psychiatric Service.
Methods One hundred and seventy-five children and 175 their
parents filled Spence Children Anxiety Scale (SCAS) and Parenting
Styles & Dimensions Questionnaire (PSDQ) was found a significant
correlation between parenting styles and anxiety in children.
Conclusions Parental overprotection produces vulnerable chil-
dren who become adults ready to give up in front of life difficulties
therefore; it is necessary parents’ awareness in practicing a balance
in their parenting styles, in order to reduce children’s anxiety.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0078
Knowledge of kindergarten and
elementary schools’ teachers
regarding attention deficit
hyperactivity disorder
S. Almutairi ∗, M. Almutairi , A. Al Harbi , M. Alsuhaibani ,
N. Alkeaid , T. Albatti
1 Qassim University, College of Medicine, Almulayda, Saudi Arabia
2 King Fahad Medical City, Rehabilitation Center, Riyadh, Saudi
Arabia
3 KFSH & KKUH, Psychiatry Unit, Riyadh, Saudi Arabia
∗ Corresponding author.
Background Attention deficit hyperactivity disorder (ADHD) is
one of the most common mental disorders that manifest among
children. Despite the fact that the teacher’s role is essential in the
assessment and management of pupils with ADHD and the recom-
mendation of participation of teachers for the success and efficiency
of diagnoses and treatment, the vast majority of teachers have nei-
ther understanding nor knowledge of ADHD.
Objectives The current study explores the kindergarten and ele-
mentary school teachers’ knowledge regarding early detection and
management of ADHD.
Methods Cross sectional survey using stratified randomsampling
technique was carried out in governmental and private elemen-
tary and kindergarten schools in four cities of Qassim region, Saudi
Arabia.
Results The study included 1095 teachers, 711 (59.3%) did not get
information about ADHD during undergraduate studies. Teachers’
overall ADHD knowledge mean was 21.7 + 5.5 out of 38 marks. Tea-
chers with high qualification degree and kindergarten specialty
scored 56.4% and 60.2%, respectively. Teachers who attended con-
ferences related to ADHD scored 64.5%, while teachers who read
about ADHD or have been ever asked to diagnose/teach an ADHD
student had 59.4% and 62.1%, respectively. The sources for those
who got their information through reading were statistically sig-
nificant in overall knowledge, general knowledge and treatment
dimensions. As scientific studies and books were the highest with
percentage of 24.6% and 23.3%, respectively, 4% and 3.6%, respec-
tively, 3% and 3%, respectively. The level of ADHD knowledge
perception showed that 76% of teachers were knowledgeable in
relation to overall ADHD perception.
Conclusion Teachers who have higher qualifications or training
in identifying ADHD children scored higher in our study.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0079
Affective attitudes towards health are
more ambivalent among older
adolescents
G. Arina ∗, M. Iosifyan , L. Pechnikova , V. Nikolaeva
1 Lomonosov Moscow State University, Department of Psychology,
Moscow, Russia
2 National Research Center for Preventive Medicine, Laboratory of
Psychosocial Factors, Moscow, Russia
∗ Corresponding author.
Introduction Attitudinal ambivalence is a mediator between atti-
tudes and health behaviors. The present study contributes to our
understanding of affective attitudes ambivalence.
Objectives We studied the ambivalence of affective attitudes
towards health among adolescents.
Aims We compared the affective attitudes ambivalence between
younger (10–14 years) and older (15–16 years) adolescents.
Methods Older (n = 51, Mage = 15.09 ± 0.30) and younger adoles-
cents (n = 28, Mage = 12.96 ± 0.99) performed a modified Etkind
Color Test. We calculated the associations between 13 factors
related to health (e.g. sport, risky behavior) and positive emo-
tions, as well as the associations between same factors and negative
emotions. Thompson, Zanna and Griffin ambivalence index was a
measure of attitudinal ambivalence.
Results Among younger adolescents all 13 correlations between
negative and positive attitudes towards health related factors were
significant and negative: −0.402 < r < −0.804 (which means the
greater is the association between a word and positive emotions,
the smaller is the association between the same word and negative
emotions; and vice versa). Only 5 correlations were significant and
negative among older adolescents (−0.209 < r< −0.463): environ-
ment, risky behaviors, family, sleep, my psychological well-being.
The difference in ambivalence indexes was significant in two
groups of adolescents [F(14,64) = 5.97, P = −0.0001]. Younger ado-
lescents had significantly lower ambivalence indexes in affective
attitudes towards all 13 factors.
Conclusions Older adolescents had more ambivalent affective
attitudes towards health related factors compared to younger ado-
lescents.