European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464 S433
Introduction Further research is still needed to demonstrate the
benefits of animal-assisted therapy (AAT) for specific participant
profiles, such as children with behavioural disorders.
Objectives We wanted to find out if AAT could be considered an
efficient therapeutic strategy for the treatment of children with
behavioural disorders.
Aims Wewanted to study the effects of a preestablished AAT pro-
gram on the behaviour of children with emotional and behavioural
issues in 6 different reception centres for children under govern-
ment guardianship.
Methods Forty-five children (12 to 17 years old) with emo-
tional and behavioural issues participated in a 14-session AAT
program. Behavioural measures were those routinely scored as
part of therapy; an observational report of 3 different problem-
atic behaviours (such as impulsivity, lack of social skills or lack of
personal recognition) was made twice a week for each child (with a
score of frequency and intensity). A pre- and post-treatment “global
behaviour score” was calculated for each child, as an average value
of the 3 problematic behaviours measured during the month pre-
treatment and the month post-treatment.
Results The 45 participants attended, on average, 72.8% of AAT
sessions. Independent behaviour scores differed between the pre-
and post-intervention evaluations (n = 135 behaviours) (Wilcoxon
test; P < 0.0001). Based on the global behaviour score for each
child (n = 45), significant change was found between pre- and post-
intervention evaluations (Wilcoxon test; P = 0.0011).
Conclusions Our results suggest AAT could be a beneficial inter-
vention for children with behavioural issues in terms of program
adherence and behaviour improvement.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0090
Exercise for depression in
adolescents: A meta-analysis of
randomised controlled trials
T. Carter ∗ orres Meade atrick
1 The University of Nottingham, School of Health Sciences,
Nottingham, United Kingdom
2 University of Thessaly, School of Physical Education and Sport
Science, School of Physical Education and Sport Science, Greece
3 University of Nottingham, School of Health Sciences, Nottingham,
United Kingdom
∗ Corresponding author.
Background The reported lifetime prevalence of depression in
adolescents has increased drastically in recent decades. Depression
in this population can be particularly damaging and can fre-
quently have a long-lasting adverse impact. The common treatment
approach includes psychological therapy and/or anti-depressant
medication. However, the efficacy of these approaches, both sin-
gularly and combined, is far from conclusive. Recently, there have
been an increased number of studies investigating the effect of
exercise and physical activity on adolescent depression, however,
despite this increased attention, there are no recent reviews and
meta-analyses synthesising such studies.
Aim The review examines the treatment effect of exercise on
depression symptoms for adolescents aged 13–17 years of age.
Methods A systematic search of seven electronic databases
identified relevant randomised controlled trials. Screening, data
extraction and trial methodological quality were undertaken by
two independent researchers. Standardizedmean differences were
used for pooling post-intervention depressive symptom scores.
Results Eleven trials met the inclusion criteria, eight of which
provided the necessary data for calculation of standardized effect
size. Exercise showed a statistically significant moderate overall
effect on depressive symptom reduction. Sensitivity analyses were
also conducted and will be presented.
Discussion Exercise and physical activity appear to improve
depression symptoms in adolescents, especially in clinical sam-
ples, suggesting that exercise may be a useful treatment strategy
for adolescents with depression.
Conclusion Despite the positive findings, large clinical trials that
adequately minimise bias are required for firmer conclusions on
the effectiveness of exercise as an antidepressant treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0091
Sixteen-year population-based cohort
study of main class International
Classification of Diseases associated
with psychiatric disorders in a sample
under the age of two years
D. Cawthorpe
The University of Calgary, Psychiatry/Community Health, Calgary,
Canada
Introduction This paper illustrates the use of cohort data from
a population to describe the early life prevalence and odds ratios
(ORs) of the main classes of International Classification of Diseases
(ICD) associated with any mental disorder arising at any time dur-
ing the 16 year study period.
Objectives The main ICD disorder classes were examined in rela-
tion to psychiatric disorders over 16 years in a cohort under the age
of two years between April 1st, 1993, and January 1st, 1995.
Aims To demonstrate the utility of studying the complete profile
of associated diagnoses over time in a population cohort.
Methods The total number of individuals under the age of two
years before 1995 (n = 17,603) were tallied within each main class
of ICD disorder by year and expressed as ORs of those with and
without any 16-year psychiatric disorder.
Results The greatest annual rates observed in the early years of
life were for the following main ICD classes of disease: respira-
tory system, sense organs, symptoms signs ill-defined conditions,
no diagnosis, injury poisoning, and skin subcutaneous tissue disor-
ders. These disorders also had the highest ORs in early life given the
presence of a mental disorder at any time during the study period.
Discussion Knowing the early lifemain class diagnoses associated
with psychiatric disorders could guide both basic science research
as well as early intervention social and health investment policies.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0092
Drawing in autistic spectrum disorder
children
S. Cepedello ∗, A.S. Adrian , G.B. LAura , M.T. Eduardo ,
D.U.V. Nieves , D.L.R. Henar , Á.A. Aldara
Hospital Clinico Universitario, Psiquiatria, Valladolid, Spain
∗ Corresponding author.
Introduction Drawing can be a tool to complete the psychodi-
agnose process, especially in children with expression and verbal
problems.
The autistic spectrum disorder (ASD) children have problems to
describe their feelings and emotions, they can provide us many
information drawing their own world.
Objective The purpose of this study was to discover the psy-
chopathology of children with ASD through their drawings.