European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464 S449
tistical society contained all of the primary school children with
attention deficit-hyperactivity disorder in Rafsanjan City. Forty
children with attention deficit-hyperactivity disorder were chosen
by the method of random sampling and randomly assigned in con-
trol and experimental groups (20 children in experimental group
and 20 children in control group). At first in pretest stage used
academic self-efficacy questionnaire and the software of selected
and divided attention. For measurements of academic improve-
ment were used the scores of a teacher build test mathematic
and spelling. Then, experimental group take 8 sessions education
of selected and divided attention-shaping Training. The data were
analyzed by analysis of variance with repeated measurement test.
Results Results of this research show that selected and divided
attention training improved the amount of divided and selected
attention and academical improvement of children < but it’s not
effective significantly on reaction time and academic self-efficacy
of children with attention deficit disorder-hyperactivity.
Conclusion Attention training can be effective to increase atten-
tion and academical achievement in children with ADHD.
Keywords Attention training; Selected attention; Divided
attention; Academic improvement; Academic self-efficacy;
Attention deficit hyperactivity disorder
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0142
Long-term inyectable antipsychotics
in adolescents. A case report
L. Nuevo Fernández ∗, V. Mu˜noz , B. Saenz , L. Asensio ,
L. Mella , M.A. Font , M. Novo
1 Ciudad Real University Hospital, Psiquiatria UHBIJ, Ciudad Real,
Spain
2 Ciudad Real University Hospital, Psiquiatria USM, Ciudad Real,
Spain
3 Ciudad Real University Hospital, Psiquiatria UHB, Ciudad Real, Spain
4 Ciudad Real University Hospital, Psiquiatria USM IJ, Ciudad Real,
Spain
5 Hospital General Villarrobledo, USM, Villarrobledo, Spain
6 Hospital Nuestra Se˜nora del Perpetuo Socorro, USM, Albacete, Spain
∗ Corresponding author.
Introduction Actually psychiatrists around the world are treat-
ing children and adolescents (despite limited medical indications
in this age group) with atypical antipsychotics at increasing rates
for a range of psychiatric illnesses (schizophrenia, bipolar disor-
der, behavioral changes. . .). Over the last few years, a number
of new long-term injectable treatments (ILD) have emerged, the
advantages of which are found in adult (adherence, functionality,
consistent blood level without daily peaks. . .) but we do not have
enough data in minors.
Objectives Discuss utility of ILD in adolescents.
Methods We expose a case report about a 17-year-old man,
when he was a child he was diagnosed with attention deficit dis-
order and autism spectrum disorder and also he had a story of
disrupted behavioural and aggressively. After been hospitalized
in our hospital we remake his clinic history and he was diag-
nosed with schizophrenia. Before the injectable treatment (ABILIFY
MAINTENA®) this patient tried various treatments (mood stabili-
zers, antidepressants. . . ) and many hospitalizations.
Results After the ILD, our patient has good functionality, he is
now living with his parents and studying in the high school. He has
not needed another hospitalization after the last one.
Conclusions The ILD in adolescents must be a therapeutic option
in mental disease, in this group is very difficult the complementa-
tion of the treatment, it’s frequent the comorbid use of substances,
this population are not used to take medications. . . so every treat-
ment that facility this kind of problems must be a perfect weapon
to improve their mental health and to prevent relapse and hospi-
talization.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0143
A child with Pica. A case presentation
M.D. Ortega Garcia ∗ . Marti Garnica
S. Garia Marin artinez Martinez
R. Gomez Martinez lanco del Valle
1 CSM Cartagena, Child and Juvenile Mental Health Centre,
Cartagena, Spain
2 CSM Cartagena, Adults Mental Care, Cartagena, Spain
3 CSM Lorca, Adults Mental Care, Lorca, Spain
4 CSM Leon, Psychiatry, Leon, Spain
5 CSM Soria, Psychiatry, Soria, Spain
∗ Corresponding author.
Description/clinical case A. is a 10-year-old girl of Moroccan ori-
gin appearing in pediatric specialist of A.P repeatedly by unspecific
stomachache, nausea and vomiting. After several visits to the
same reason for consulting an exploratory interview alone with
the patient in that regard that “sometimes when calms nervous
scratching the walls and eating them” is performed. The mother
says intrafamily difficulties. Information reported by the patient’s
mother confirms next visit also providing pictures on the wall of
your room is returned. Referral to child and adolescent mental
health is decided.
Exploration/complementary tests There is no single test for pica. It
is carried out systematic blood, biochemical (iron, zinc, lead. . .) to
assess toxic substances and nutritional levels. Abdominal Rx. Both
normal.
Diagnosis Pica (F98.3).
Differential diagnosis Ingestion of nutrients can occur in the
course of other mental disorders (for example, a pervasive devel-
opmental disorder, schizophrenia), mental retardation, in the
Kleine–Levin syndrome. . . In these cases, should only be estab-
lished an additional diagnosis of pica if the feeding behavior is
sufficiently severe to warrant independent clinical attention.
Conclusions Pica disorder has been studied by pediatricians,
gynecologists, dermatologists, psychiatrists, psychologists, nutri-
tionists, anthropologists, etc., which has been interpreted as a
conduct disorder, food, mental illness, poverty, hunger. . . but really
the cause it is unknown. Although morbidity and mortality is
unknown and difficult to study, include poisonings, parasitosis and
surgical abdomen as serious complications. Finally, like all other
eating disorders, the overall management of this entity requires
the coordinated intervention of various professionals.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0144
Approach to somatomorphic
disorders in children. A case
presentation
M.D. Ortega Garcia ∗ . Marti Garnica arcia Marin
M.A. Lopez Bernal omez Martinez artinez Martinez
P. Blanco del Valle
1 CSM Cartagena, Child and Adolescent Mental Health Centre,
Cartagena, Spain
2 CSM Lorca, Psychiatry, Lorca, Spain
3 CSM Cartagena, Psychiatry, Cartagena, Spain
4 CSM Leon, Psychiatry, Leon, Spain
5 CSM Soria, Psychiatry, Soria, Spain
∗ Corresponding author.