European Psychiatry - Volume 41 - April 2017

457 / 916

25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464 S453
D. Sadeghi Bahmani ∗ Hatzinger Gerber emola
P.J. Clough erren on Klitzing on Wyl
E. Holsboer-Trachsler rand
1 University of Basel Psychiatric Hospital, Center for Affective, Stress
and Sleep Disorders ZASS, Basel, Switzerland
2 Psychiatric Services Solothurn, Department of Adult Psychiatry,
Solothurn, Switzerland
3 University of Basel, Department of Sport, Exercise and Health, Sport
Science Section, Basel, Switzerland
4 University of Warwick, Department of Psychology, Coventry, United
Kingdom
5 Manchester Metropolitan University, Department of Psychology,
Manchester, United Kingdom
6 University of Konstanz, Department of Psychiatry, Konstanz,
Germany
7 University of Leipzig, Department of Child and Adolescent
Psychiatry, Psychotherapy, and Psychosomatics, Leipzig, Germany
8 University of Zurich, Institute of Psychology, Zurich, Switzerland
9 Psychiatric Clinics of the University of Basel, Center for Affective,
Stress and Sleep Disorders, Basel, Switzerland
∗ Corresponding author.
Background The concept of mental toughness has gained increas-
ing importance among non-elite athletes for its psychological
importance and explanatory power for a broad range of health-
related behaviors. On the flip side, no study has focused so far on
the psychological origins of mental toughness. Therefore, the aims
of the present study were three-fold: to explore, to what extent
psychological profiles of preschoolers at the age of five years pre-
dicted mental toughness scores and sleep disturbances at the age
of 14 years, and to explore possible gender differences.
Method Nine years after their first assessment at the age of five
years (preschoolers), a total of 77 adolescents (mean age: 14.35
years; SD = 1.22; 42% females) took part in the present follow-
up study. At baseline, both parents and teachers completed the
Strengths and Difficulties Questionnaire (SDQ), covering inter-
nalizing and externalizing problems, hyperactivity, negative peer
relationships, and prosocial behavior. At follow-up, participants
completed a booklet of questionnaires covering socio-demographic
data, mental toughness, and sleep disturbances.
Results Preschoolers with high prosocial behavior and low inter-
nalizing and externalizing problems, as rated by parents and
teachers, at the age of 14 years self-reported higher mental tough-
ness and lower sleep disturbances. At the age of 14 years, and
relative to their male counterparts, female participants reported
lower MT scores and higher sleep disturbances.
Conclusions The pattern of results suggests that mental tough-
ness traits during adolescence have their origins during pre-school
years.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0155
Psychopathological approach of
unsafe games among teenagers:
A case report
A. Ben Hamouda , S. Bourgou , S. Ben Rejeb , M. Hamza ,
B.N. Saguem∗, F. Charfi , A. Belhadj
Mongi Slim Hospital, Child and Adolescent Psychiatry, La Marsa,
Tunisia
∗ Corresponding author.
Introduction Voluntary asphyxiation by practicing unsafe games
such as choking, hanging, strangulation or other means of inducing
hypoxia/anoxia is not uncommun among adolescents and can lead
to unintended death but it stills not very well-known so underes-
timated by parents and underdiagnosed by health professionals.
Objectives Study of clinical, psychological and psychopatholo-
gical features in adolescent practicing unsafe games through a case
report and a literature review.
Methods We will present the case of a 14-year-old boy followed
up in the Child and Adolescent Psychiatry Department of Mongi
Slim Hospital (La Marsa, Tunisia) for behavioral disorders and
recurrent syncope. This case report will be supported by a literature
review.
Case report S.B., 14-year-old boy, unique child of two divorced
parents, with precarious family socio-economic conditions, no
apparent medical problems and no known history of drug or alco-
hol abuse, suicidal ideation or suicide attempts, consulted first time
in the department for behavioral disorders. The diagnostic of dys-
thymia was made. Seven months later, he was hospitalized in the
medical intensive care unit for postictal coma. All medical investi-
gations were normal. In the following, S.B. revealed that he used to
practice voluntary asphyxiation by compressing the two carotids
using his fingers until loss of consciousness. The diagnosis of para-
philia (DSM-5) was established.
Conclusions Early recognition of such cases and awareness of
psychological and psychopathological motivations might prevent
serious complications and lethal outcome for these “unsafe-young-
players”.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0156
Risk factors of problematic video
game use among teenagers in Sfax
L. Cherif , C. Sahnoun ∗, K. Khemakhem , H. Ayadi , A. Walha ,
Y. Moalla , I. Hadjkacem , F. Ghribi
EPS Hédi Chaker, Child and Adolescent Department, Sfax, Tunisia
∗ Corresponding author.
Objective To identify correlates that might constitute risk fac-
tors for problematic video game use (PVU) among urban Tunisian
secondary school students.
Methods This multivariate cross-sectional study was carried out
on 587 secondary school students, aged 14 to 20 years. They were
randomly selected from seven secondary schools in the urban area
of Sfax. The self-administered Fisher’s nine-itemquestionnaire was
used in this survey. To identify an associated problematic inter-
net use video game addiction, Young’s eight-item questionnaire
was used. A self-administered, anonymous questionnaire covered
socio-demographic, individual and family data.
Results The prevalence of PVU was 14.01%. In multivariate logis-
tic regression analysis, we found that the individual risk factors for
problematic video game usewere anxiety symptoms (P = 0.034) and
an associated problematic Internet use (P < 0.001). Playing sport
was a protective factor (P = 0.011). The poor relationships within
the family (P = 0.001), the lack of parental supervision of time spent
on playing video game (P < 0.001) and mother profession as mid-to
upper level manager (P = 0.002), predicted PVU.
Conclusion The identification of risk factors can help to deter-
mine individuals at high risk, and alert mental health providers to
be careful to screen these patients for PVU. Total avoidance of the
Internet is unrealistic and inadvisable; but a sensibilisation out-
reach for youth, their families and health professionals may help to
limit the onset of PVU among young people.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.