European Psychiatry - Volume 41 - April 2017

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S444 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464
with ADHD and severe CD. Limitations are the small number of
cases and those related to the controlled observation method used.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0125
The psychological profile and the
counter attitudes of encopretic
children’s mothers: A Tunisian study
W. Kammoun alha adjkacem ∗ accouche
H. Chaari Ayadi oalla hribi
1 Hédi Chaker University Hospital, Child and Adolescent Psychiatry,
Sfax, Tunisia
2 Faculty of Medicine, Faculty of Medicine, Sfax, Tunisia
∗ Corresponding author.
Introduction Persistent encopresis is part of a fairly specific
pathologic complex including personality, and familial factors. To a
very large extent, interest in encopresis issues has revolved around
the mother–child relationship.
Objectives In this study, we aimed to assess the psychological
profile and the counter attitudes of encopretic children’s mothers.
Methods We led a retrospective and descriptive study carrying
on 91 medical records of children with encopresis, followed in the
outpatient child psychiatry department of the Hédi Chaker univer-
sity hospital of Sfax over a period of seven years, going from January
1st, 2000 till December 31st, 2006.
Results In our study, emotional deprivation was noted in 62.2%
of cases. Besides, repeated separations from mothers were noted
in 26.4% of cases with 2.2% cases of prolonged separations. Our
study also revealed that 19.8% of mothers have obsessive personal-
ity traits while 14% have rather anxious traits. Furthermore, 6.6% of
encopretic children’smotherswere found to have anxio-depressive
spectrum disorders according to the DSM-IV-TR. Mothers’ intoler-
ance towards encopresis was estimated at 53.3%. This intolerance
was mainly reflected in physical punishment, depreciation, blame
and humiliation. Toilet training was rigid in more than half of cases
(62.2%).
Conclusion Childhood encopresis can be viewed as a result of
a maternal-child conflict. In fact, the mother–child relationship
appears to be directly involved in the genesis of encopresis. Nev-
ertheless, the role of the own child neurodevelopmental state in
response to the family system should not be ignored.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0126
The synergistic relationship between
perceived autonomy and
environmental factors in adolescents
with prosocial behaviour
W. Kammoun ∗, N. Charfi , J. Ben Thabet , M. Mâalej Bouali ,
N. Zouari ouari Mâalej
1 Hédi Chaker University Hospital, Child and Adolescent Psychiatry,
Sfax, Tunisia
2 Hédi Chaker University Hospital, Psychiatry, Sfax, Tunisia
∗ Corresponding author.
Introduction Perceived autonomy (PA) can be considered as the
key mediating variable in promoting intrinsic motivation. There-
fore, an environment that encourages autonomy increases intrinsic
motivation and leads to continuance intention.
Objectives Themain purpose of this studywas to assess the social
conditions which give rise to autonomous forms of motivation.
Methods We led a transversal study, over four months, from June
until September 2016. It included 90 adolescents aged 14–20 years
and members of voluntary association in Sfax (Tunisia). PA was
assessed using the “perceived autonomy in life domains” (PALD)
for the life spheres of leisure, interpersonal relationships, school,
and general domains.
Results The average age of participants was 16 (14 to 20 years).
The samplewas female-dominated (53%). All participantswere sec-
ondary school pupils. Almost 70% were from a high socioeconomic
level and over 60% had parents’ high level of education.
Themean scores of PA ranged from117 (SD = 4.5) in general domain
to 15 (SD = 4.5) in school domain.
There was a significant correlation between PA and parents’ level of
education (P = 0.01), parental relationship (P= 0.01), level of family
communication ( P = 0.00), giving compliments (P = 0.01) and rights
in decision-making (P = 0.05). The other factors that significantly
enhance PA were having a good network of friends ( P = 0.01) and
having sports and extracurricular activities (P = 0.03).
Conclusion The present findings provide additional support for
the synergistic relationship between family dynamics and family
relationship perceptions and PA, and emphasize the role of parents
to encourage autonomy.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0127
Social and family characteristics of
children with stuttering in Tunisia
K. Baccouche , A. Walha , I. Hadjkacem ∗, W. Kammoun ,
I. Hariz , H. Ayadi , Y. Moalla , F. Ghribi
1 Hédi Chaker University Hospital, Child and Adolescent Psychiatry,
Sfax, Tunisia
2 Faculty of Medicine, Sfax, Tunisia
∗ Corresponding author.
Introduction Stuttering constitutes for children a psychological
and social disability, in which the environmental context plays an
important role in the installation, stabilization and aggravation or
attenuation.
Objective Our study aims to describe the socio-familial charac-
teristics of children with stuttering.
Patients and methods This is a descriptive and analytical-
retrospective study carried out on 80 children with stuttering and
had been followed-up in the child psychiatry department of UMC
Hédi Chaker Sfax (Tunisia) for more than 3 years (January 2012 to
31 December 2013).
Results In our study, the prevalence of stuttering in child psy-
chiatry consultation department of Sfax is 4%. Most of the patients
were either the youngest (36.25% of cases) or seniors (35% of cases).
Personal history of speech disorder had been reported in 8 chil-
dren (10% of cases). Family history of speech disorder was reported
in 33.75% of cases. These disorders had been kind of stuttering in
60.66% of cases, speech delay in 18.52% of cases and sound speech
disorder in 7.41% of cases.
The parent–child relationship is marked by a parental rigidity in
18.6% of cases. The existence of triggering factor was noted in 37.5%
of cases: traumatic situation (30% of cases), the birth of a younger
sibling (22% case).
Conclusion The emergence and evolution of stuttering depend on
predisposing, precipitating and chronicisants factors. Identifying
these factors and adopting a favorable parental attitude contribute
to the fight against stuttering in children and, at least, avoid aggra-
vation and chronicity of this disorder.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.