European Psychiatry - Volume 41 - April 2017

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S854 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910
EV1367
Sleep environment of preschool
children effects on children’s sleep
disorder and parents’ mental health
S. Lee ∗, H. Ji-Hye , M. Duk-Soo , Y. Soyoung , P. Boram ,
C. Seockhoon
1 Asan medical center, Psychiatry, Seoul, Republic of Korea
2 Purme Foundation Nexon Children’s Rehabilitation Hospital,
Psychiatry, Seoul, Republic of Korea
3 Seoul Metropolitan Children’s Hospital, Psychiatry, Republic of
Korea
∗ Corresponding author.
Introduction In Korean culture, co-sleeping of parents and chil-
dren are quite common, which is different fromtheWestern culture
where solitary sleeping of children is preferred. In this study, we
evaluate the sleep environment factors that effect on children sleep
disorder, and parent’s parenting stress and mental health.
Methods Surveys were conducted to 115 participating parents of
preschool children sleeping behaviour lecture. Seventy-one com-
pleted surveys were analyzed for the study. The mean age of target
children was 53 ± 23months. Parents’ mental health was eval-
uated by using several forms such as Insomnia Severity Index,
Korean-Parenting Stress Index short form, and The Patient Health
Questionnaire-9. Children’s sleeping environment and qualitywere
assessed by Child SleepHabit Questionnaire and Sleep environment
survey.
Results Pearson correlation analysis (P < 0.05) was conducted to
evaluate the relationship between the sleep disorder of children,
and the parent’s parenting stress and mental health. Analyzing the
data through the partial least square path modeling, co-sharing
would have negative effect; bed-sharing could have negative effect
on the depressing emotion of parents (P= 0.065). Solitary sleeping
of children could have positive effect on parent’s mental health
(P < 0.01).
Conclusion Preschool children’s sleeping disorder occurs more
often in co-sleeping children with parents than solitary sleeping
children. Parents’ parenting stress is related to the parent’s age
and depression, further related to the children sleeping disorder
and their sleep environment. Although, it is difficult to generalize
the exact cause, evaluation and improvement of children’s sleep
environment would help to reduce the parent’s parenting stress.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1368
Trazodone a good start key for normal
sleep in two cases of somnambulism
G.C. Marinescu ∗, S. Popa , I.C. Zarioiu
1 Spitalul Judetean de Urgenta Pitesti and Psychiatry Private Care,
Sectia de Psihiatrie, Pitesti, Romania
2 Psychiatry Private Care, Psychiatry, Pitesti, Romania
∗ Corresponding author.
Introduction In our current practice, we do not see many cases
of somnambulism in adults. We do not have much information
about their treatment and outcome. In difficult cases, some clini-
cians try to use benzodiazepines, which decrease slow-wave sleep.
More recent reports suggest the use of zolpidem.
Objectives Sleepwalking disorder consists of a sequence of com-
plex behaviours that are initiated in the first third of the night
during deep NREM (stage III and IV) sleep. The architecture of
normal sleep is impaired. In important cases - with dangerous
behaviour – we need treatment.
Aims Trazodone is an antidepressant with sedative effect due to
H1 and 1 receptors blockade. Trazodone can rewrite the bad sleep
architecture of depressive patients with insomnia and improve
sleep in such cases. For these reasons, we try to use trazodone in
somnambulism.
Method We had two case studies (males, 24 and 22 old), diag-
nosed with NREM arousal disorder, sleepwalking type, according
to DSM-5. Both patients were treated with trazodone 50mg/day,
up-titrated with 50mg/day every three days. The target used dose
was 150mg/day because this is the most sedative.
Results Somnambulism disappeared in both cases after the first
dose of trazodone. We treated three month both patients and then
down-titrated and stopped the treatment. After one year from
stopping the treatment, the patients had not new episodes of som-
nambulism.
Conclusions Trazodone has the power to rewrite, in those cases,
the sleep architecture of somnambulism. This action is due to block-
ade the brain’s arousal histamine and adrenaline systems.
Disclosure of interest Speaker honoraria from Angelini Pharma-
ceuticals Romania.
EV1369
Sleep duration and suicidal behavior:
A systematic review
T. Pereira , S. Martins ∗, L. Fernandes
1 Faculty of Medicine, University of Porto, Porto, Portugal
2 CINTESIS, Center for Health Technology and Services Research, UP,
Porto, Portugal
3 Clinic of Psychiatry and Mental Health, CHSJ, Porto, Portugal
∗ Corresponding author.
Introduction Suicide is a serious public health problem, being
the second leading cause of death among 15–29-year-olds. Many
risk factors have been associated with suicidal behavior, such as
psychiatric disorders, family history of suicide, loss of a close
friend/relative, physical/sexual abuse, lack of support network, or
sleep disturbances where nightmares and insomnia have been con-
sistently reported to increase the risk of suicidal behaviors.
Objective To conduct a systematic review to examine the associ-
ation between short sleep duration and suicidal behaviour (suicide
ideation/attempt/suicide).
Methods This is a systematic review of published research arti-
cles in the electronic database PubMed in the last 10 years. The
query “sleep” or “sleep disorders” and “suicide” was used. Stud-
ies that assessed the relation between sleep duration and suicidal
behaviour, with a well-defined index for sleep disorders and with
an outcome measure of suicidal behavior were included.
Results Of the 522 references founded, 33 articles met the inclu-
sion criteria (1 review, 1 qualitative and 31 quantitative studies).
An association between short sleep duration and suicidal behaviour
was found in most of the studies with children/adolescents and
adult samples. However, this relation was not verified in the
research into the elderly.
Conclusion The results point to a significant association between
short sleep time and the presence of suicidal behaviours, for both
adults and children/adolescents. The effect of short sleep duration
seems to be more consistent with suicidal ideation, but not for
attempts, needing further studies to highlight the importance of
this link between sleep duration and suicide.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.