European Psychiatry - Volume 41 - April 2017

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S452 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464
RBS-R. Results of the t-test for independent samples indicated a
significant difference in mean score for the children with autism
of age 3–6 year old (M= 53.1) and for control group (M= 11.9),
t = −13.3, P < 0.01. Also, the mean score of children with autism of
age 7–10 year old (M= 54.9) is significantly higher, compared to
control group (M= 13.7), t = −12.2, P< 0.01.
Conclusion This comparison provides information on particular
forms of repetitive behavior to further our understanding on these
important symptoms.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0151
The case of successful treatment of
gender identity disorder of childhood
O. Pityk ∗, V. Seliverstova
1 Ivano-Frankivsk National Medical University, Department of
Psychiatry, Narcology and Medical Psychology, Ivano-Frankivsk,
Ukraine
2 Ivano-Frankivsk Regional Psychoneurological Hospital 3, Center of
Psychological and Psychiatric Help to Children, Ivano-Frankivsk,
Ukraine
∗ Corresponding author.
Gender identity disorder of childhood refers to a rather rare dis-
orders, but according to the literature girls with the disorder in
the future may become homosexual or transsexual. The necessary
diagnostic criterion for gender identity disorder of childhood is
the presence of a constant desire to belong (or the conviction of
belonging) to the opposite sex, coupled with a strong denial of the
behavior, characteristics and/or clothing specific to the registered
sex. Usually the disorder is manifested in the preschool years, but
for diagnosing it is necessary that it manifests before the onset of
puberty. Both sexes may have a rejection of anatomical structures
inherent in his own sex; however, such unusual display is rare.
Patient V. came to the appointment with psychiatrist with parents
3 years ago. During the interview reported that she starts to feel
the boy at the age of 9 years. This announcement provoked out-
rage from parents. With the beginning of the critical days began
to position herself in a male person. The patient met all diagnos-
tic criteria for gender identity disorder of childhood. The patient
underwent a course of systemic therapy combined with nootrop-
ics. Currently, patient name is the name of a female, the patient
wears women’s clothing, identifies herself as a woman. The patient
continues to meet with a psychotherapist, is satisfied with the
treatment, thoughts on sex change does not express. Thus, in the
case of diagnosis of this disorder can become effective systemic
therapy in combination with nootropics.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0152
Access and participation: What factors
influence the provision and utilisation
of health care services by children
with learning disabilities?
A. Rebowska
Tees, Esk & Wear Valley NHS Trust, Newberry Unit, Darlington,
United Kingdom
Aims The aim of this literature review is to explore the range of
factors that influence the degree of access to health care services
by children and young people with learning disabilities.
Background Children with learning disabilities are at increased
risk of awide range of health conditions comparingwith their peers.
However, recent reports by UK government as well as independent
charities working with children and young people with learning
disabilities demonstrated that they are at risk of poor health out-
comes as a result of barriers preventing them from accessing most
appropriate services.
Methods Comprehensive searches were conducted in six
databases. Articles were also obtained through review of ref-
erences, a search of the grey literature, and contacting experts
in the field. The inclusion criteria were for studies evaluating
access to healthcare services, identification and communication
of health needs, organisational aspects impacting on access and
utilisation, staff attitudes where they impacted on access, barriers,
discrimination in patients with intellectual disabilities age 0–18.
The literature search identified a sample of 36 papers. The marked
heterogeneity of studies excluded conducting a meta-analysis.
Results Barriers to access included problems with identification
of healthcare needs by carers andhealthcare professionals, commu-
nication difficulties, the inadequacy of facilities, geographical and
physical barriers, organisational factors such as inflexible appoint-
ment times, attitudes and poor knowledge base of healthcare staff.
Conclusion The factors identified can serve as a guide for man-
agers and clinicians aiming to improve access to their healthcare
services for children and young peoplewith intellectual disabilities.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV0153
Body image, food behavior and
models esthetic in university students
A.M. Romero Otalvaro ∗, M. Munoz-Argel , C. Aguilar-Aruachan ,
G. Padilla-Vargas Gianina
Universidad Pontificia Bolivariana, Psicologia, Monteria, Colombia
∗ Corresponding author.
A growing host is currently evident in young people all about sports
culture where interest in body image and a strong cult of the body
whose main purpose in many cases prevails is to achieve aesthetic
purposes based body models of society, which may be related to
an increase in risk eating behaviors and habits of excessive exer-
cise. This research aims to examine the possible presence of three
variables: eating behavior, aesthetics models and body image in
male college gym users and nonusers. The variables were evalu-
ated by applying Inventory eating disorder EDI 2, which measures
the presence of symptoms associated with eating disorders. The
Adonis complex Questionnaire which is used to assess the degree
of concern about physical appearance and The Questionnaire Body
Influences of Aesthetic Model CIMEC-40 which evaluates the inter-
nalization of cultural aesthetic ideals. The sample consists of 50
subjects, aged 18 and 24 years, students from the one University of
the city of Monteria – Colombia.
The results indicate that the user group show greater trend scales
obsession with thinness and social insecurity than non-users, like
greater influence of verbal messages regarding the cultural aes-
thetic models, however none of the groups expresses serious or
pathological concern about body image.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0154
The origins of mental
toughness–internalizing and
externalizing problems at the age of 5
years predict higher mental toughness
scores at the age of 14 years