European Psychiatry - Volume 41 - April 2017

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S434 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464
Methods A4-sized booklets were given for ASD children from6 to
16 years to draw an imaginary family (L. Corman), a human figure
(Buck) or a free drawing.
Results In most of the drawings of ASD children, we could find at
least one of the three criteria of ASD: social deficits, communication
difficulties and restricted interests.
Conclusions A projective technique as drawing could help us to
discover additional information about our patients, specially chil-
dren and mainly the ones who had problems with the expression
of feelings like ASD children.
The act of drawing can be used to understand children’s struggles,
their internal world. Moreover, it could also help the children gain
insight and review progress through drawing records.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0093
Reconceptualilzing agitation in
autism as primary affective
dysregulation: Case report and
literature review of use of quetiapine
in a patient with Treacher–Collins
syndrome and autism
R. Cosme ∗, S. Dharmapuri
Rush University Medical Center, Psychiatry/Child and Adolescent
Psychiatry, Chicago, USA
∗ Corresponding author.
This case report describes the successful use of low dose quetiap-
ine in the treatment of agitation in a patient with Treacher–Collins
syndrome (TCS) and suspected autistic spectrum disorder (ASD).
Results from this case report found better efficacy in controlling
symptoms of agitation in ASD utilizing lower doses of quetiapine.
TCS is a genetic disorder that is characterized by a mandibulofa-
cial dysostosis but is not associated with developmental delay, nor
is it associated with a high risk of co-morbid autism, and to our
knowledge, there are no previous reports of a co-occurrence of TCS
and ASD in the extant literature. There are reports of mandibulo-
facial dysostosis associated with co-morbid developmental delay
that are similar but distinct from TCS, however these reports do
not comment on the treatment of agitation in this patient pop-
ulation. The results described in this case report demonstrate a
reduction of agitation with low dose quetiapine, and offers sup-
port for the reconceptualization of agitation in ASD as a primary
affective dysregulation which is also in line with evidence from the
extant literature regarding the neurobiologic basis of aggression.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0094
Compassionate Attributes and Action
Scale for adolescents: Adaptation and
validation
M. Cunh ∗ odrigues Matos Galhardo Couto
1 Miguel Torga Institute, Clinical Psychology, Coimbra, Portugal
2 FPCE, University of Coimbra, Cognitive-Behavioural Research
Centre, Coimbra, Portugal
∗ Corresponding author.
Introduction Compassion can be defined as an intentional sen-
sitivity to the suffering, with a motivation and commitment to
try to relieve it, which can have a positive impact on individuals’
emotional and psychological well-being. The relevance of com-
passion focused therapies is well established and this makes the
development of reliable instruments for the assessment of the
different facets of compassion targeting different age groups cru-
cial for research and clinical practice. The Compassionate Attributes
and Actions Scale (CAAS) aims to assess compassion on three
directions: self-compassion, compassion for others or compassion
received from others. Each of the scales assesses one’s compassion-
ate attributes and compassionate actions separately when dealing
with difficult or painful situations.
Objective/aim This study aimed to adapt the CAAS for adolescents
and to explore its factor structure and psychometric properties in
a sample of Portuguese adolescents.
Methods A total of 336 Portuguese adolescents with ages ran-
ging from 12 to 19 years old participated in the study. Several
exploratory factor analyses were conducted.
Results Exploratory factor analysis showed that, except for the
attributes section of the self-compassion scale (that showed to be
bi-factorial), all the other scales (and their sections) presented a
single-factor structure. The three scales, and its sections, demon-
strated a good reliability and excellent test-retest reliability and
good convergent and discriminant validity.
Conclusion Results were in line with the factor structure found
in the adults’ version. The scales and its sections have shown good
psychometric characteristics and constitute a useful instrument to
assess and investigate the three directions of the compassion.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0095
Assessment of test anxiety in
Portuguese adolescents: Psychometric
properties of the Cognitive Test
Anxiety Revised
J. Silva ∗, M. Cunha , A. Galhardo , M. Couto ,
I. Massano-Cardoso
1 Miguel Torga Institute, Clinical Psychology, Coimbra, Portugal
2 Miguel Torga Institute/CINEICC-UC, Clinical Psychology, Coimbra,
Portugal
∗ Corresponding author.
Introduction Test anxiety represents a considerable personal bur-
den due to its interfering nature and is associated with a range of
deleterious life trajectories, encompassing school difficulties and
health consequences. Although test anxiety seems to be highly
prevalent and the pathological symptoms are similar to those
of other childhood anxiety disorders, there are specificities that
deserve a more in-depth approach. Given that adolescents seem
to experience test anxiety in several school grades there is a need
for a valid and reliable scale to measure test anxiety in school age
students.
Objective This study aims to adapt and analyse the psychomet-
ric properties of the Cognitive Test Anxiety Revised (CTAR25) for
Portuguese adolescents. In addition, the convergent and divergent
validities were examined with related constructs.
Methods Participants were 279 adolescents, with ages between
12 and 19 years old, attending middle and high schools. Together
with CTAR25, participants also filled out self-report questionnaires
assessing tests anxiety (TAI), self-esteem (RSES), procrastination
(QPE) and worry (PSWQ-C).
Results The scale showed good internal consistency, good test-
retest reliability, and good validity. Factor analysis revealed the
existence of two factors with good internal consistency.
Discussion Results showed that the Portuguese version of CTAR-
25 is a valid and reliable self-report instrument for the assessment
of test anxiety in adolescents, replicating the findings of the original
version.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.