hyperactivity disorder

IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S140–S196 Mo-P-1004

Mo-P-1006

That’s [not] so gay: Computerised cognitive behavioural therapy for depressive symptoms in sexual minority youth

The experience of puberty: What is an Iranian girl perception?

M. Lucassen ∗ , S.N. Merry , S. Hatcher Psychological Medicine, University of Auckland, Auckland, New Zealand ∗ Corresponding author.

Purpose.– Sexual minority youth disproportionately experience depression and have difficulty accessing help for emotional worries. The primary aim of the current study was to determine whether Computerised Cognitive Behavioural Therapy (CCBT) reduced depressive symptoms and was acceptable to sexual minority youth. Methods.– An open-trial was conducted with sexual minority youth and the results were compared with exclusively opposite-sex attracted youth from a randomised controlled trial (RCT) comparing SPARX/CCBT to usual care. SPARX is a 3D role-play CCBT programme and a special version (SPARX: The Rainbow Version) was developed for sexual minority youth. Changes in Child Depression Rating Scale–Revised scores over time were analysed using general mixed linear models. Results.– The depressive symptoms of sexual minority youth (n = 21) from the open trial decreased significantly post intervention (P < 0.0001), with a large pre- to post-effect size (d = 1.01) and this positive change was maintained at three-month follow-up. Open trial participants were more likely to complete treatment compared to exclusively opposite-sex attracted youth (n = 154) from the RCT (P = 0.007). Over 80% of sexual minority youth thought SPARX: The Rainbow Version would appeal to other adolescents. Conclusions.– SPARX: The Rainbow Version shows promise and is an acceptable intervention for depressive symptoms in sexual minority youth. http://dx.doi.org/10.1016/j.neurenf.2012.04.116 Mo-P-1005

Internet addiction disorder among adolescent students S.A. Khan Reproductive and Child Health, National Institute of Preventive and Social Medicine (NIPSOM), Dhaka, Bangladesh Background.– The Internet addiction disorder (IAD) is conceptualized by an individuals inability to control his or her use of the internet which causes marked distress and/functional impairment. Aims.– It was a cross-sectional study with aimed to find out the proportion of Internet addiction disorder among adolescent students and association of age, sex, educational level with addiction as well as relation of Internet addiction to their different internet related activities and to determine to their severity of addiction. Methods.– The study Internet addiction disorder among adolescent students was conducted purposively from 5 schools and 7 colleges of Dhaka City of Bangladesh from January to June 2011. In total of 797 students (438 were male, 359 were female, mean age: 16.47 ± 1.21 years) of grade IX, X and XII were recruited. A self-administered questionnaire and Young’s Internet addiction scale (IAS) were applied to the participants. Results.– Among 797 students, 161 (20.20%) were found as Internet addiction disorder. Out of total 797 respondents, 40.15% were school students (Grade IX and X) and 59.85% were college students (Grade XII). Internet addiction was identified more among elderly adolescent (16–18 years) students (22.6%) and male students were more Internet-addicted (24.4%) than female students (15%). There was no relation found between educational level and Internet addiction. Association between information seeking behavior (P < 0.05) and chatting (P < 0.01) with Internet addiction found but no relation with email, face book and Instant message with Internet addiction were established. Out of 161 adolescent students who were identified as Internet addiction disorder, 60 (37.3%) were average user, 96 (59.6%) were occasional/frequent problematic and 5 (3.1%) had significant problem. Conclusion.– This study demonstrated that Internet addiction presents among Bangladeshi urban adolescent students. It will help parents and teachers about appropriate parental guidance as well as it will create awareness among teachers, parents, policy maker and students about this addiction. http://dx.doi.org/10.1016/j.neurenf.2012.04.117

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Z. Hamzehgardeshi a,∗ , N.A. Hajikhani Golchin b , M. Fakhri a , L. Hamzehgardeshi c a Midwifery, Mazandaran University of Medical Sciences, Mazandaran University of Medical Sciences, Iran b Midwifery, Islamic Azad University Gorgan branch, Gorgan, Iran c Hospital Administration, Islamic Azad University Fars Science and Research branch, Iran ∗ Corresponding author. The aim of this study was to explore of puberty experiences in adolescent girls who live in Iran. Qualitative research was adopted using content analysis of semi-structured interviews carried out with 38 girls of 12 to 20 years old who had at least experienced three menstrual cycles. Data was collected by focus group and in-depth interviews. All interviews were transcribed verbatim and analysed. Researchers eventually determined themes and categories by qualitative data analysis. The analysis of the transcripts showed seven main themes were extracted from the interviews including menarche as the most unpleasant event in puberty, getting nervous about and ashamed of bodily changes, psychological changes, and discordance with parents, sexual orientation and the need for education on this issue, scholastic dysfunction and religious considerations. The majority of the participants had an unpleasant experience. Most of them were in need of education on how to go about the issues surrounding puberty. http://dx.doi.org/10.1016/j.neurenf.2012.04.118 Mo-P-1007

Adolescents’ aggression: Cold versus warm climates J. Khoshhal Dastjerdi Geography, University Of Isfahan, Isfahan, Iran Keywords: Adolescents; Aggression; Temperature; Climate; Variables Background.– The effect of climate on adolescents behavior especially aggressive rate is controversial. This study was designed to determine the association between type of climate and level of aggression in a group of adolescents. Material and method.– Adopting clustered random sampling method 567 high school students from two extreme climates, i.e., coldest (Fereidoonshahr) and warmest (Khoor) in Isfahan province during 1 year were screened by Aggression Questionnaire. Data were analyzed using SPSS and running Chi2 , t student and ANCOVA. Results.– Irrespective of their region, their average aggression score was 41.04 ± 1.05.Students from cold areas like Fereidoonshahr were more aggressive as compared to their counterparts in hot climates like Khor (P < 0.001). Conclusion.– Mental health condition is also subject to variation in climate condition. Present findings indicate that people living in cold climate as compared to those from hot regions are more prone to aggression. http://dx.doi.org/10.1016/j.neurenf.2012.04.119 Mo-P-1008

Executive functioning and delinquent behavior in Chinese juvenile delinquent with comorbid developmental reading disability and attention-deficit/hyperactivity disorder K.Y. Poon Department of Psychology, The University of Hong Kong, Hong Kong, Hong Kong Background.– Many studies reported high prevalence of attention deficit hyperactivity disorder (ADHD) and reading disorder (RD) among offenders. Very few have examined the group with comorbid ADHD + RD and its underlying cognitive profile. The present study was to compare the severity of delinquent behavior and executive function (EF) in a group of juvenile delinquent with ADHD, RD, and comorbid ADHD + RD. Method.– Subjects were adolescent boys with RD and/or ADHD recruited from juvenile institutions. Assessment batteries on executive functions (EF) were

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IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S140–S196

administered, and subscale on delinquent behavior of Teachers Report Form (TRF) was completed. One-way analyses of variance (ANOVA) with post-hoc analysis of group differences was employed comparing three groups of juvenile delinquents (29 ADHD, 24 RD, 35 ADHD + RD) and 29 controls on their delinquent behavior and EF. Results.– ADHD + RD had a significantly high score in delinquent behavior comparing to pure groups. Comparing with controls, both pure ADHD and RD were associated with poor visual search, inhibition and planning, whereas pure RD showed additional poor processing speed. The comorbid ADHD + RD group shared all deficits with pure groups, and in addition, it exhibited a unique deficit in interference control and severed impairment in processing speed. Conclusion.– The relationship between delinquency and executive functions shown for the ADHD + RD groups pointed to a distinct executive dysfunction of the comorbid condition. EF should be considered in the remediation protocol.

self-injury (both results P < 0,01 – significant using Mann-Whitney criterion). A P < 0.05 – significant correlation between overestimation of danger and disposition to self-injury among adolescents with mental disorders was found. There is no such correlation among healthy adolescents. Conclusions.– Disposition to self-injury behaviour among adolescents with mental disorders may be considered as a pathological mechanism of control over fear resulting from inadequate situation perception. Among healthy adolescents cases of self-injury are isolated and are unrelated to danger perception.

http://dx.doi.org/10.1016/j.neurenf.2012.04.120

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Mo-P-1009

Self-reported somatic pain and comorbidity with psychiatric diagnoses in adolescence. Data from the cap survey, Trondheim, Norway

W.L. Mangerud ∗ , O. Bjerkeset , M.S. Indredavik Department of Neuroscience, The Regional Centre for Child and Adolescent Mental Health (RBUP), Norwegian University of Science and Technology (NTNU), Trondheim, Norway ∗ Corresponding author. Background.– Psychiatric disorders are associated with somatic symptoms, such as pain. However, knowledge on associations between various psychiatric disorders and pain is more established for adults than for younger age groups, indicating the need for further research in adolescence. Objectives.– In this study, we want to examine the relationship between self-reported somatic pain and various psychiatric diagnoses, with focus on the location, amount and severity of the experienced pain. Variations in relation to gender, age and socioeconomic status, will be announced. Method.– The sample consists of 717 adolescents aged 13–18 years, who participated in the survey in Department of Child and Adolescent Psychiatry (The CAP survey), St. Olav’s University Hospital. The participants answered an electronic questionnaire and data were drawn from their clinical charts. Data collection is completed and data are now being analyzed. The results will be presented at the congress. http://dx.doi.org/10.1016/j.neurenf.2012.04.121

Mo-P-1010

Relation between self-injury behaviour and danger perception among normal adolescents and adolescents with mental disorders M. Veshchikova a,∗ , M. Zvereva b Department of Clinical Psychology, The Mental Health Research Center of the Russian Academy of Medical Sciences, Moscow, Russian Federation b Faculty of Psychology, Lomonosov Moscow State University, Moscow, Russian Federation ∗ Corresponding author. a

Purpose.– Investigation of relations between self-injury behaviour and peculiarities of danger perception among normal adolescents and adolescents with schizotypal disorders and personality disorders. Participants.– Sixteen adolescents with clinical diagnosis of schizotypal disorder and personality disorder; 12 adolescents never attended by a doctor on mental disorders. Method.– Specialized questionnaires and projective methods. Results.– Among adolescents with mental disorders there were obtained both an increase of situations estimated as dangerous and an upward trend in

http://dx.doi.org/10.1016/j.neurenf.2012.04.122 Mo-P-1011

The MMPI-A as adaptation measure: A comparative study in two samples of low-income adolescents B. Barcelata a,∗ , E. Lucio b , M.E. Marquez-Caraveo c Psychology/Fes Zaragoza, National Autonomous University of Mexico, Mexico, Mexico b Psychology, National Autonomous University of Mexico, Mexico, Mexico c Research Division, Child Psychiatric Hospital, Mexico, Mexico ∗ Corresponding author.

The aim of this study was to identify the Minnesota Multiphasic Personality Inventory Adolescent (MMPI-A) scales that discriminate adaptation between two samples of low-income adolescents and to describe their personality characteristics. A comparative study (grant by UNAM-PAPIIT IN303512) was carried out and a sample of 549 adolescents from public educational and mental health institutions participated; 46% were male and 54% female, aged 13 to 18 years (M = 15.3 years, SD = 1.34). A sociodemographic Questionnaire was used to assess the socioeconomic status (Lucio, 2007). Adaptation was assessed by the MMPI-A (Mexican version [Lucio, 1998]). Selected scales were examined as independent variables of adaptation by a discriminant analyses (canonical correlation = 475; Wilks’ Lambda = .774; P < .001). Classification analyses also demonstrated the utility of the MMPI-A in differentiating between adolescents with negative and positive adaptation by correctly classifying 72.50% of the cases. Implications for the use of the full or brief MMPI-A with low-income adolescents are discussed. http://dx.doi.org/10.1016/j.neurenf.2012.04.123 Mo-P-1012

Academic stress among medical students D. Backovic a,∗ , J.I. Zivojinovic a , M. Maksimovic a , V. Arsic Arsenijevic b Belgrade University, Faculty of Medicine, Institute of Hygiene and Medical Ecology, Belgrade, Serbia b Belgrade University, Faculty of Medicine, Institute of Microbiology, Belgrade, Serbia ∗ Corresponding author.

a

Introduction.– Several studies have revealed the signs of academic distress in significant number of medical students, which could harm their professional development, humanitarian attitudes and whole mental health. Objective.– The aim of this study was assessing the academic stress and psychological distress occurrence at the beginning and at the end of medical study. Method.– This cross sectional study comprised all students of the first and final year at the School of Medicine in Belgrade, which responded to voluntary anonymous questionnaire addressed to academic stress. The distress effect was estimated by the General Health Questionnaire (GHQ-12). Results.– Exams were cited as a highest academic stressor in both groups (58%), and also stressfulness of communication with teaching staff and patients increased from first to sixth year. Mean scores GHQ-12 was significantly higher in students first year comparing to sixth. Conclusion.– High prevalence of psychological distress among students from the very beginning of medical studies suggests a need of stress reduction measures targeted to the examination process and communication skills improvement. http://dx.doi.org/10.1016/j.neurenf.2012.04.124