Climate change refers to any change in climate over time, whether due to natural variability or human activity. It is estimated that between 2030 and 2050, climate change will cause an additional 250,000 deaths annually. Therefore, climate change has emerged as one of the most pressing global challenges of the 21st century, with far-reaching environmental, social, and economic consequences. Beyond its direct physical impacts, growing evidence links climate change to adverse mental health outcomes.

This review aims to synthesize current research on the impact of climate change on mental health, identifying key mental health disorders associated with climate-related stressors and highlighting vulnerable populations.

We performed a narrative literature review by searching PubMed, Google Scholar, and ScienceDirect articles published in English in the last ten years.

Climate change significantly affects mental health, with literature suggesting that for every one-degree Celsius increase in temperature, the incidence of mental health problems rises by approximately 0.9%. Extreme weather events like hurricanes, floods, and wildfires linked to climate change can negatively impact mental health, particularly by contributing to higher rates of depression and post-traumatic stress disorder. Additionally, more gradual shifts in climatic conditions, such as rising temperatures and declining air quality, have also been found to harm mental well-being, contributing to “eco-anxiety” and feelings of helplessness. Vulnerable populations, such as children, the elderly, the mentally ill, and marginalized communities, are at greater risk because of their limited coping resources and increased exposure to the impacts of climate change.

The effects of climate change can be direct or indirect, short-term or long-term, with a growing body of evidence showing its contribution to a wide range of psychological disorders. Policymakers and mental health professionals must consider mental health in climate adaptation strategies and create support systems for affected populations. The European Psychiatric Association (EPA) has recently published a position paper urging the inclusion of mental health considerations in climate strategies. Nevertheless, more research is needed to document the extent of these impacts and the best options for mitigating and treating them.

None Declared

Speech patterns offer valuable insights into cognitive and emotional states, particularly in mental health conditions such as Major Depressive Disorder (MDD). Traditional assessments often fail to capture its full severity, prompting the need for objective, non-invasive tools.

The objective of this study is to explore the potential of automatic speech analysis as a new method for distinguishing between varying severities of Major Depressive Disorder (MDD), and to assess how childhood trauma may further influence speech characteristics in individuals with depression.

Participants were recruited from the psychiatric clinic at the University Hospital in Nice, France. The cohort consisted of 27 patients diagnosed with MDD, divided into mild-to-moderate and severe depression groups based on Beck Depression Inventory (BDI) and Montgomery–Åsberg Depression Rating Scale (MADRS) scores. Speech recordings from semi-structured (V0) and free (V1) clinical interviews were analyzed using automatic speech recognition and feature extraction. Linguistic, prosodic, and spectral features were examined. Additionally, childhood trauma was assessed using the Childhood Trauma Questionnaire (CTQ), and associations with speech characteristics were explored.

In the severe depression group, longer pause durations and lower word frequency were observed in V0 interviews. Word frequency and proper noun usage were significantly different between groups, but the small differences in means made interpretation difficult. Free speech analysis (V1) showed that more severe depression correlated with fewer repetitions and reduced semantic richness. In BDI-based analysis, severe depression was associated with lower F2 frequency and bandwidth, alongside lower Harmonics-to-Noise Ratio (HNR), which persisted in both V0 and V1. Prosodic parameters revealed less speech duration and articulatory effort in severe cases. Analysis of childhood trauma showed that traumatic load correlated with longer speaking time and greater discourse complexity, in contrast to depression severity, which was associated with shorter speech and fewer repetitions.

Speech parameters, particularly pause duration and word frequency, demonstrate potential for distinguishing depression severity. Childhood trauma influences linguistic complexity, suggesting different underlying mechanisms between trauma and depression. Further studies are needed to validate these findings and explore the clinical applicability of speech analysis in psychiatric assessments.

A. König Employee of: Employee at the company ki:elements, E. Ettore: None Declared, H. Lindsay: None Declared, J. Tröger: None Declared, M. Benoit: None Declared, P. Robert : None Declared

Psychosis is a complex mental disorder characterized by a profound impairment in reasoning, emotional regulation, memory, and daily functioning. It is often accompanied by symptoms such as delusions and hallucinations, which can significantly disrupt an individual’s ability to engage in everyday activities. This case study focuses on a 37-year-old Senegalese woman who presented with disorganized behavior and incoherent speech, illustrating the challenges in diagnosing and treating unspecified psychosis.

The primary aim of this study is to analyze the clinical presentation, differential diagnosis, and treatment outcomes of a patient diagnosed with unspecified psychosis. Additionally, it seeks to highlight the importance of cultural considerations and language barriers in psychiatric assessment.

The patient arrived at the emergency department in a distressed state, accompanied by a friend due to her inability to communicate in Spanish. Clinical assessment revealed disorganized speech, severe anxiety, and potential auditory hallucinations. The clinical interview indicated that the patient had exhibited increasingly erratic behavior over several weeks, including withdrawing from work and engaging in bizarre actions such as throwing objects and speaking to herself. Comprehensive laboratory tests, including routine blood work and urine analysis, were conducted to exclude other psychiatric and medical conditions.

The laboratory results were largely normal, with the exception of a positive serology for hepatitis B. A thorough differential diagnosis ruled out other psychiatric disorders, including schizophrenia, substance-induced psychosis, and major depressive episodes. After establishing the diagnosis of unspecified psychosis, the treatment regimen was initiated with Amisulpride (100 mg) and Lorazepam (1 mg). Following treatment, the patient demonstrated a significant reduction in delusional thoughts and an improvement in her overall psychiatric condition.

The findings support the effectiveness of atypical antipsychotic medication in treating unspecified psychosis, particularly in alleviating delusional ideas and associated psychiatric symptoms. Furthermore, this case underscores the critical role of family support and the necessity for ongoing monitoring and follow-up in the management of psychotic disorders. It emphasizes the need for culturally sensitive approaches to psychiatric care, especially in cases involving language barriers.

This case illustrates the complexities involved in diagnosing and treating unspecified psychosis, particularly in patients from diverse cultural backgrounds. Early intervention and a combination of pharmacological and psychosocial support are essential for improving patient outcomes. Continued research and awareness are necessary to enhance the understanding and management of psychotic disorders in various populations.

None Declared

Tourette Syndrome (TS) is a neurodevelopmental disorder involving multiple motor and vocal tics, typically beginning in childhood with symptoms peaking around age 10-12. Though the exact cause remains unknown, genetic and environmental factors are believed to contribute to its development. Children with TS often face significant social, emotional, and academic challenges, further complicated by comorbidities which can lower their quality of life and place stress on family dynamics.Using data from the 2021 National Survey of Children’s Health(NSCH), this study provides updated insights into the prevalence and comorbidities of TS.

Assess TS prevalence in children aged 3-17 using 2021 data

Identify common TS comorbidities and evaluate TS’s demographic distribution

This cross-sectional study utilized 2021 NSCH data collected via parent-proxy responses in English and Spanish through mail and web-based surveys in the United States. Statistical analyses, including t-tests, Chi-Square tests, and multivariate regression, were performed to explore associations between TS, socio-demographic factors, and comorbidities. Results were reported using adjusted odds ratios and confidence intervals, with analyses conducted in Stata 18.0.

This study included 79,236 participants, of which 208 (0.26%) had TS.The TS group had a mean age of 12.7 years, with most cases found in adolescents aged 11-17.Males made up 74% of TS cases. While TS was slightly more common in White participants (72%), no significant racial differences were found. Higher-income households had lower odds of TS.Comorbidities were more common in individuals with TS:

Neurodevelopmental and Behavioral Disorders: ADHD (49% in TS vs. 10.2% in non-TS), Autism (21% vs. 3.2%), Learning disabilities (28% vs. 7.5%), Developmental delay (23% vs. 6%), Behavioral problems (36%)

Psychiatric Disorders: Anxiety (60% in TS vs. 11.3%), Depression (25% vs. 5%), Seizures (6%), Headaches (14.4%).

Immune Conditions: Asthma (15.5% in TS vs. 8%), Allergies (37%).

Physical Health: Hearing problems (3.8%), Vision problems (4.3%). Fig. 1

Children with TS born prematurely or with low birth weight had higher rates of comorbidities. Asthma was more common in the TS with a history of prematurity (37.1%) and TS with a history of low birth weight(30.7%) compared to the overall TS population (15.5%). Autism was also more prevalent in these groups, suggesting increased risks of comorbidities due to premature birth and low birth weight. Fig.2

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The study highlights significant socio-demographic disparities and the increased burden of comorbid conditions in children with TS. These findings emphasize the need for early diagnosis and comprehensive management strategies to address the complex challenges of TS, particularly the high prevalence of neurodevelopmental, psychiatric, and physical health comorbidities.

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Those with a history of depression during adolescence are at increased risk of suicidal ideation, attempts, and suicide completion in adulthood. Therefore, in order to reach adolescents at risk of suicide attempt or death due to suicide, it is important to determine the risk factors for MDD and predictors of suicidal ideation in adolescents diagnosed with major depressive disorder (MDD) in clinical samples.

This study aimed to compare adolescents diagnosed with major depressive disorder with healthy adolescents in terms of sociodemographic characteristics and psychosocial risk factors and to determine the important predictors of suicidal ideation based on sociodemographic variables.

The study group included 53 adolescents aged between 15 and 18 years who were newly diagnosed with major depressive disorder (MDD) 53 adolescents matched in terms of age and gender, who did not have a mental disorder diagnosis.Schedule for Affective Disorders and Schizophrenia for School-Age Children (6-18 Years) - Present and Lifetime Version - DSM-5 was applied to the adolescents by the clinician, and the Sociodemographic Data Form was filled in with the information obtained from both adolescents and parents. Adolescents were asked to fill out the Suicide Probability Scale.

In our study, adolescents diagnosed with major depressive disorder (MDD) were found to have higher rates of smoking, alcohol use, broken family structure, and school absenteeism compared to the control group; while the family’s monthly income, the child’s academic success, the rate of attending daycare during childhood, and their participation in social activities were found to be lower. Alcohol use and family relationship were found to be factors that increase the likelihood of suicide in adolescents diagnosed with depression. In the study, adolescents diagnosed with depression were found to have a higher rate of physical abuse, self-harm behavior, and a history of suicide attempts, domestic physical violence, and a history of suicide attempts among friends compared to the control group. Domestic physical violence was found to be factors that increase the likelihood of suicide in adolescents diagnosed with depression.

In our study, we tried to define the sociodemographic differences and possible risk factors of depression in adolescents diagnosed with depression who applied to a university hospital clinic compared to healthy adolescents.Conducting large-sample community-based studies to understand the risk factors for depression and suicidal thoughts, which are common in children and adolescents, is very important in terms of community mental health and preventive mental health.

M. Dilli Gürkan: None Declared, S. Sismanlar Consultant of: editing the text

There is no doubt that childhood is a crucial period in a person’s development. Anxiety disorders in modern times are at the forefront, with a huge number of children and adolescents suffering from them. An important asset, a protective shield against anxiety disorders that promotes mental well-being is self-esteem.

The present study aims to investigate the level of self-esteem and the differentiation of various anxiety disorders, as well as the assessment of the severity of anxiety symptoms exhibited by children aged 9-12 years, who were attending the 4th, 5th, and 6th grades of public primary schools in the Larnaca district of Cyprus. Additional objectives are to investigate possible associations between these variables and the socio-demographic characteristics of the students in combination with their teacher-reported school performance.

To 249 students were administered (a) a Sociodemographic Characteristics Questionnaire, (b) the Rosenberg Self-Esteem Scale, (c) the Spence Children’s Anxiety Scale (SCAS), and their teachers were given a questionnaire to assess the academic performance of each student individually.

The protective role of self-esteem in the development of anxiety disorders (p<0.001) and feelings of loneliness and the positive effect on school performance was confirmed by the study. Besides, high levels of self-esteem were associated with reduced feelings of loneliness (p 0.001), increased school performance (p 0.020) and greater satisfaction with teacher help (p 0.001). Additionally girls had more frequent anxiety disorder behaviours compared to boys (p 0.028), especially panic disorders, agoraphobia (p 0.020), specific phobias (p 0.012) and separation anxiety (p 0.005). Interestingly, the study found that stronger feelings of loneliness at school were associated with increased occurrence of anxiety disorders (p<0.001). It was also found that older students were less likely to develop anxiety disorder behaviours (p 0.002), while children with more siblings in a family showed worse ratings of student performance at school (p 0.001). Finally, it appears that school performance was associated with less social phobias (p 0.048) and that those children who received parallel support had lower performance than those who did not (p<0.001).

Promoting increased levels of self-esteem, especially in children, is very important as it can help safeguard mental health. Anxiety disorders are a crucial problem in modern times, so their continuous study and treatment are essential. Holding informational and awareness-raising conferences for teachers, parents, and generally all professionals who come into frequent contact with children at this sensitive age is necessary and indisputable.

None Declared

The results of achievements in mastering the program material of students of a special school by the end of the fourth year of study are characterized by a large variability in training, which allows us to assert the need to develop and apply special teaching techniques and methods, harmonize the academic workload

to study the mental capabilities and identify learning difficulties of fourth-grade students with mental disabilities in elementary school by the end of study

Two samples of fourth-graders (132 students) were identified: Group 1 - 100 students with mild mental retardation, Group 2 - 32 students with severe intellectual disabilities. Methods: observation, pedagogical experiment, cluster analysis

Clustering criteria: volume and level of assimilation of program material in academic subjects; achievement of subject and personal results.

In group 1 (75%), 3 clusters were identified by academic performance in the main academic subjects, which are uniform in terms of the variability of dynamics, which indicates the homogeneity of the group of students; however, the groups differ in the level of achievement of subject and personal results (sufficient, average, minimal).

In group 2 (25%), 3 clusters were also identified, which are variable, but do not duplicate each other, and have an individual spread of indicators in the dynamics of subject and personal results within each cluster, which indicates the heterogeneity of the group of students in each cluster

three levels of dynamics in the education of students with varying degrees of mental retardation were identified. The range in the variations of the results of the 2nd group of students with severe intellectual disabilities indicates the need for individualization of education, selection of partial programs taking into account the special educational needs of each student, and the development of special personalized approaches to education. Apparently, it is also necessary to select the optimal amount of academic workload and the level of complexity of the material studied, compliance with health-saving technologies in accordance with the individual psychological characteristics of the student

None Declared

Adolescence is a unique stage of cognitive, psychosocial and physical growth and development. This period is often associated with increased evening tendency, as well as increased risks for mental health and sleep problems. Insomnia is amongst the most common sleep problem in youths and is commonly associated with impulsivity and anxiety symptoms. Previous research suggested the comorbidity of insomnia and eveningness as a significant risk factor for anxiety symptoms in adolescents. Meanwhile, there has been some evidence suggesting that insomnia and eveningness are respectively associated with impulsivity. Nonetheless, the relationships among eveningness, impulsivity and anxiety in the context of insomnia remained unclear.

To investigate how circadian preference moderates the association between impulsivity and anxiety symptoms in adolescents with insomnia.

Adolescents aged 12-20 years old diagnosed of DSM-V insomnia disorder were recruited. They completed self-reported questionnaires, including the Morningness-Eveningness Questionnaire (MEQ) for assessing circadian preferences, Insomnia severity indexes (ISI) for assessing insomnia symptoms, the General Anxiety Disorder (GAD) scale to measure anxiety symptoms, and the Barret Impulsiveness Scale (BIS) for assessing impulsivity. Participants completed an objective cognitive task (the Balloon Analog Risk Task, BART) to measure risk-taking behavior. Their sleep was objectively assessed by 7-day actigraphy.

Eighty-eight participants were recruited into this study (age:18.20 ± 1.61 years). Among them, 44% of the participants were identified as eveningness type (MEQ < 42). There were no significant differences in anxiety symptoms and impulsivity based on both self-reported and behavioral task between circadian preferences (all p > .05). Circadian preferences was found to significantly moderate the association between self-reported impulsivity and anxiety symptoms after controlling age and sex factor (p = .009) but not the association between risk-taking behavior and anxiety symptoms (p > .05). Specifically, higher self-reported impulsivity was associated with more severe anxiety symptoms in adolescents with insomnia and eveningness (p = .006). No significant association was found between self-reported impulsivity and anxiety symptoms in non-eveningness group (p > .05).

The findings suggested the role of circadian preference in moderating the association between impulsivity and anxiety symptoms in adolescents with insomnia. Further research may explore different aspects of impulsivity and examine the causation between eveningness, insomnia, impulsivity and anxiety among adolescents in a longitudinal design.

Y. L. Wong: None Declared, H. F. Sit: None Declared, F. T. W. Cheung: None Declared, S. X. Li Grant / Research support from: This work was funded by General Research Fund (Ref. 17613820), Research Grants Council, University Grants Committee, Hong Kong SAR, China.

Depression is a significant global health issue among children and adolescents. It has been identified as a leading cause of disability among this population worldwide.

This study compares the characteristics and related factors of depressive disorders among child and adolescent patients in Thailand between 2014 and 2022, with the aim of enhancing treatment and screening strategies.

We included child and adolescent patients diagnosed with depressive disorders at Siriraj Hospital, comprising 93 patients in 2014 and 172 patients in 2022. Data on demographics, personal and social history, diagnoses, comorbidities, and treatment outcomes were collected from medical records. Results were analyzed using relative risk, 95% confidence intervals, and p-values through modified Poisson regression.

The proportion of female patients significantly increased from 49.5% in 2014 to 73.7% in 2022 (p<0.001). The prevalence of domestic violence rose from 7.5% in 2014 to 20.3% in 2022 (p=0.006). Suicidal ideation increased from 16.1% to 51.2% (p<0.001), and self-harming behaviors rose from 22.7% to 57.6% (p<0.001). Referrals to psychologists doubled from 22.6% in 2014 to 43.9% in 2022 (p<0.001), while hospitalization rates within the first year of treatment also increased from 6.5% in 2014 to 15.2% in 2022 (p=0.037). No significant differences were observed in age, family structure, parenting style, disease-triggering factors, psychotic symptoms, comorbidities, medication use, or remission rates between the two years. Our regression analysis indicated that authoritative parenting significantly influenced remission rates, with patients under authoritative parenting being 1.98 times more likely to achieve remission compared to those under other parenting styles (p=0.042).

There is a rising trend in the prevalence of depressive disorders among female child and adolescent patients, accompanied by more severe symptoms such as increased suicidal ideation and self-harming behaviors. Hospitalization rates within the first year of treatment have also increased. Despite these trends, remission rates have remained unchanged. The study highlights the potential role of authoritative parenting in improving remission rates. These findings underscore the need for enhanced screening protocols, updated treatment guidelines, and targeted parental counseling to improve depression management in the future.

None Declared

This literature review will present the results obtained by searching available databases on the connection of everyday life in urban environments with the occurrence of symptoms of anxiety and depression, the use of addictive substances, schizophrenia as well as the occurrence of suicide in children, adolescents, and young adults. The results will be compared to the occurrence in suburban and rural areas.

The work aimed to clarify the hitherto known risk and protective factors associated with everyday life in the urban environment and to show how its adaptation has the potential to promote and protect the mental health of children and adolescents.

Search of available databases: Medline, Scopus, PubMed.

Urban mental health; Adolescent mental health; Environment and health; Urban design for mental health;

The results of the presented studies indicate an ambivalent influence of the urban environment on the mental health of young people: on the one hand, better education and employment opportunities, easier choice of social circles, accessibility to health care services (especially if all of the mentioned services are accessible to young people independently through active mobility) contributes to the improved feeling of mental well-being. On the other hand, fewer green spaces, oversaturation with sound and visual stimuli, as well as involuntary interactions with other citizens can endanger mental health.

The collected data indicates a greater number of young people and adults with depression, anxiety symptoms, and psychotic symptoms in cities, while the frequency of attempted and committed suicides is more common in rural areas.

Many different interventions in the urban environment can improve the day-to-day experience and cumulative effect of city streets on our mental health. Such interventions in the built environment include increasing the amount of space dedicated to young people (especially young women) at the same time with the placement of green areas, decreasing automobile dependency, and improving active mobility infrastructure and public transport safety and efficiency.

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Urbanization is related to the mental health of citizens, especially young people, and it is important to follow the guidelines when designing the public space of urban areas, which relate to the presence of green spaces, opportunities for active movement, and the existence of places that enable and encourage socialization, all with the perception security.

The results known so far should be kept in mind during further research into the etiology and epidemiology of mental health in young people, starting with epigenetics and ending with healthcare planning.

None Declared

Maternal perinatal depression may increase the risk of neurodevelopmental disorders such as attention deficit hyperactivity disorder (ADHD), in children, either directly or through indirect pathways involving adverse birth outcomes.

This study assesses the risk of ADHD in offspring born to mothers with perinatal depressive disorders, examining both the direct and indirect pathways through adverse birth outcomes such as low birth weight, low APGAR scores, and preterm birth.

The study employed a retrospective cohort design, utilising administrative-linked health data from New South Wales. Maternal perinatal depressive disorders and offspring ADHD were identified using the International Classification of Diseases (ICD-10) codes. A generalised linear model with a binomial distribution and a log link function was applied to estimate the direct association. Additionally, a mediation analysis examined the mediational effect of low birth weight, low APGAR scores, and preterm birth on the association between maternal antenatal depressive disorder and ADHD.

After adjusting for potential confounders, offspring of mothers with antenatal, postnatal, and perinatal depressive disorders are respectively 2.10 times (RR = 2.10, 95% CI = 1.75–2.53), 1.81 times (RR = 1.81, 95% CI = 1.41–2.31), and 2.16 times (RR = 2.16, 95% CI = 1.84–2.54) more likely to have ADHD compared to their counterparts. The impact of maternal antenatal depressive disorder on offspring ADHD was mediated by preterm birth, but not by low birth weight or low APGAR scores. The proportion of the total effect mediated by preterm birth was only 0.73%, indicating this mediation effect was very minimal, about 45 times smaller than the direct effect.

Our study revealed that maternal perinatal depressive disorders are associated with an increased risk of offspring ADHD, with very minimal or no mediating effects from adverse birth outcomes. Therefore, implementing early intervention strategies aimed at improving maternal mental health is crucial to reducing the risk of ADHD in children.

None Declared

Our team faced two challenges in prescribing for patients with ADHD. On 27 September 2023, a shortage of methylphenidate prolonged-release capsules and tablets, lisdexamfetamine capsules, and guanfacine prolonged-release tablets was announced in the UK.

SCP is an agreement between secondary care, patient and GPs, which asks GPs to continue prescribing ADHD medication when young person is stable on a dose, this also applies to when the doses are changed. However, many GP practices in Oxfordshire declared a position statement that they would decline prescribing ADHD medication to adult or child patients on a “shared care” basis due to funding issues to support specialist reviews. These challenges led us to adapt our practices and create a protocol.

To make all staff members aware of recent updates on ADHD medication stock availability at local depots to ensure continuity of care and minimise distress.

To help reduce the number of declined shared care requests by GPs in 6–17-year-olds.

To identify the patients of GP practices that do not prescribe ADHD medication to adults so that a planned discontinuation of treatment can take place prior to discharge from CAMHS services.

Young people’s and their carers’ feedback regarding the medication shortage were carefully recorded.

Concerns were raised and discussed in multi-disciplinary meetings via MS Teams and in person.

Team members shared information with each other with a view to creating a protocol to minimise the risk to patients’ safety and distress in families.

Regular updates on ADHD medication availability, along with equivalent conversions of long-acting medications were sent to all staff members via email by the Trust.

Our service developed a “protocol for CAMHS ADHD when the children and young people’s (CYP) shared care protocol is declined and how to handle discharges at age 18.”

We agreed to make young people and carers aware of the current situation for prescribing ADHD medication in adults within Oxfordshire to explore the need for continuing medication in reviews.

ADHD medications were planned to be discontinued prior to discharge, if patients are 17, on ADHD medication, whose GP practice declines SCP. and do not meet threshold for community adult mental health team referral.

We agreed to consider prescribing for a brief time beyond age 18 on a case-by-case basis if patients are preparing for, or are currently taking, A-level (or other) exams or whereby discontinuing medication poses significant risk.

Patients and staff members were greatly affected by the ADHD supply issues as well as current changes in SCP. However, team members took necessary steps to address the current issues proactively.

We plan to develop guidelines about stopping stimulants under supervision prior to discharge from CAMH services.

None Declared

Mentalizing (operationalized as reflective functioning; RF), emotion regulation (ER), and reactivity (operationalized as physiological reactivity; PR) are highly relevant protective factors during development. However, limited research has examined these constructs during middle-childhood using a multimethod approach.

The first aim compared differences in these constructs between children with behavioral disorders and a non-clinical group, measuring PR during a dyadic stress task involving conflict with the mother. The second aim explored the relationship between RF and both ER and PR considering the moderating role of externalizing symptomatology.

The study involved 50 children with behavioral disorders (Mage = 11.3, SD = 1.76; 58% male) and 89 non-clinical children (Mage = 10.6, SD = 1.64; 48% male). The Child Reflective Functioning Scale applied to the Child Attachment Interview was used to assess RF, the How I Feel to assess self-reported ER over the past three months, and the Positive and Negative Affect Scale for Children to assess self-reported ER before and after the dyadic stress task. Shimmer 3 GSR+ device has been applied to measure physiological indexes of heart rate variability (HRV) and galvanic skin response (GSR) to assess PR during the dyadic stress task. Mothers completed the Child Behavior Checklist to assess child’s externalizing symptomatology.

Children with behavioral disorders showed lower levels of both global and others-oriented RF and reported higher levels of negative emotions in the previous three months, compared to their non-clinical peers. Both global and others-oriented RF were negatively correlated with reported negative emotions. In contrast, the non-clinical group exhibited higher levels of positive emotions in the previous three months and greater PR during the dyadic stress task. Additionally, externalizing symptomatology moderated the association between others-oriented RF with 1) physiological reactivity (i.e., GSR), only at lower levels of externalizing symptoms; 2) emotion regulation (i.e., emotional control subscale of the How I Feel), only at higher levels of externalizing symptomatology.

These findings reinforce prior research suggesting that children with behavioral disorders exhibit lower levels of RF, especially towards others, and negative emotions which may be risk factors for the development of behavioral disorders. Using a multimethod approach allowed to both evaluate ER and PR, highlighting the differences between the subjective perception of emotions and their physiological response. Lastly, the lower PR during the dyadic stress task in the clinical group could be a consequence of greater habituation to conflict, a hypothesis that could be explored in future research.

None Declared

The institution of child fostering aims to protect minors who lack a secure family environment. In Greece, the implementation of Law 4538/2018 and the Anynet electronic system sought to de-institutionalize minors. This paper, based on a doctoral thesis, investigates the law’s impact and identifies best practices in child fostering.

This study aims to evaluate the implementation of Law 4538/2018 in Greece and the Anynet electronic system, focusing on their impact on de-institutionalizing minors. Additionally, it seeks to identify best practices in the foster care system and their application in child protection settings.

A mixed-method approach was used. The first part involved a quantitative study targeting Directors of Child Protection Frameworks across Greece and foster parents. The second part employed a qualitative case study method, using semi-structured interviews with social workers from four selected Child Protection Frameworks recognized as examples of best practices

The research revealed that, despite the introduction of Law 4538/2018, foster care in Greece remains underutilized, especially for adolescents. Long-term fostering is the most common form, with most children aged four to six. Contact with biological parents is limited, often leading to adoption. Social workers lack sufficient training and familiarity with Anynet, impacting foster placements. However, child protection frameworks that applied specialized strategies for difficult cases saw fewer placement failures. A Unified Foster Care Protocol could standardize and improve foster care practices nationwide.

Though Law 4538/2018 and Anynet are steps forward, Greece’s foster care system is still underdeveloped, with minimal increases in placements. Targeted case management and better social worker training are essential for success. Implementing a Unified Foster Care Protocol could enhance consistency and improve outcomes for fostered children.

None Declared

Children with mild intellectual disability (MID) face specific challenges threatening their development, particular their mental health. They face a heightened risk of psychopathology (Buckley et al. ANZJP 2020; 54 970–984). This heightened susceptibility is theorized to be shaped by a complex interplay of diverse socio-demographic factors experienced by these children, collectively known as social determinants of mental health (SDOMH), include ethnicity, socioeconomic status, household conditions, family dynamics, and neighborhood deprivation (Allen et al. IJP 2014; 26 392–407).

This study examined the collective and unique role of diverse social determinants of mental health (SDOMH) associated with mental health problems (MHP) for children with MID, compared to peers with and without MHP.

Combining microdata from Statistics Netherlands, municipality data from The Hague and mental health care records, this population-based case-control study included four groups aged 0-17 years (Mage = 10.6, 35.6% female). Two groups of children receiving outpatient mental health care for MHP with MID (n=505) and without MID (n=2,767), each with a matched control group from the general population (n=2,525 and n=13,835, respectively), were studied. Through multivariate logistic regression analyses, both MHP groups were compared to their control group and each other to examine the likelihood of a particular SDOMH associated with receiving mental health care for MHP in children with and without MID.

Children with MID receiving mental health care showed significant differences in multiple domains compared to their control group and to children receiving mental health care without MID. In the multivariate model, they were less likely to have European-born mothers, more likely to have parents with moderate or low education levels, and tended to live in smaller, single-parent, lower-income households. Similar, though less deviant, patterns were observed for children without MID receiving mental health care compared to the general population, except for parental education. Additionally, children without MID were more likely than their controls to reside in densely populated areas with lower neighborhood education levels.

Our study highlights that diverse SDOMH are associated with the likelihood of receiving care for MHP in children. Moreover, children with MID face disproportionate disadvantages, particularly regarding low parental education and household income. Thus, interventions should not only target the child but also their family and environmental context.

None Declared

Potters Bar Clinic, CAMHS LSU, Elysium Healthcare, collaborates with external physical exercise therapy provider Psychesoma. Psychesoma operates within two CAMHS Low Secure wards. Psychesoma works with patients who have mental health problems, ASD, and learning disabilities. Psychesoma offer person-centred group and individual sessions aiming to improve young peoples’ mood state, wellbeing, and health through Physical exercise therapy.

We study the influence of physical exercise intervention in positive well-being, psychological distress, and fatigue measures in young people receiving mental health treatment under section 3 of the MHA in a LSU environment.

The Subjective Exercise Experience Scale (SEES; McAuley & Courneya, 1994) is a measure of global psychological responses to exercise stimuli and is a standardised measures used in previous similar research. The SEES assesses three general categories of subjective responses to exercise stimuli: positive well-being, psychological distress, and fatigue. Each sub-scale includes 4 emotion statements, with 12 statements in total. Young people are required to rate the degree to which they feel each emotion in the present moment on a Likert-type scale (1; ‘Not at all’ – 7; ‘Very much so’).

This measure is completed pre- and post- Psychesoma sessions. The data was collected by Psychesoma trainers between December 2022 and November 2023. The measure was completed 63 times in total by 11 young people. On the positive wellbeing sub-scale, the cohort had a mean pre-session score of 11.63, and a mean post-session score of 17.23, representing a 5.31 point increase in positive wellbeing. On the psychological distress sub-scale, the cohort had a mean pre-session score of 9.18 and a mean post-session score of 7.06, representing a 2.21 point decrease in psychological distress. On the fatigue sub-scale, the cohort had a mean pre-session score of 14.73 and a mean post-session score of 10.69, representing a 3.68 point decrease in fatigue

Data indicated that young people experience an increase in positive wellbeing and a decrease in psychological distress and fatigue immediately following Psychesoma sessions. Further research in place to explore the long term duration of these effects.

None Declared

Jacobsen syndrome (JS) is a rare genetic disorder caused by a partial deletion of the long arm of chromosome 11 (11q23.3qter), affecting approximately 1 in 100,000 births. It is associated with physical and developmental abnormalities, including pre- and postnatal growth retardation, facial dysmorphism, and multiple congenital malformations. Intellectual disability and psychomotor retardation are also common, with 97% of individuals presenting with varying degrees of cognitive impairment. Autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and, in rare cases, severe psychiatric disorders like schizophrenia or bipolar disorder, may complicate the clinical picture. JS management is complex, often requiring multidisciplinary care. Partial trisomy 10q is a rare chromosomal disorder, with around 40 reported cases worldwide. It is characterized by distinctive facial features, minor physical anomalies, and possible cardiac or renal malformations, with severity depending on the duplicated region.

The aim of this case report is to present a 13-year-old female with Jacobsen syndrome and Partial Trisomy 10q Syndrome who was diagnosed with ASD and intellectual disability (ID) who later developed psychotic symptoms.

The patient, a 13-year-old girl, was diagnosed with Jacobsen syndrome and Partial Trisomy 10q Syndrome following a neurological evaluation conducted at two months of age. Medical records were reviewed from her initial assessments to recent follow-ups.

The patient has ASD and ID, with poor verbal communication, repetitive behaviours, and social isolation. A notable regression in both language and behaviour was observed after the age of 10, coinciding with her school integration. Neuroimaging showed ventriculomegaly and loss of white matter, but no active demyelination or epileptic features were found. Due to impaired attention, we suspected ADHD, and started her on methylphenidate, later changing it to atomoxetine with poor response. Due to patient’s very limited speech, mental state examination was difficult. We observed that she was anxious, had hearing phenomena, and was talking in jargon, so we suspected psychotic symptoms in the form of auditory hallucinations. Treatment with Aripiprazole was initiated at doses of up to 7 mg daily, with a good response. Aripiprazole also helped to reduce social withdrawal and improve attention. Currently, the patient is maintained on a stable dose of Aripiprazole, alongside behavioural therapies and educational support.

This case highlights the complexity of managing young people with neuropsychiatric symptoms in patients with genetic syndromes, especially when poor language and speech skills are associated. Future research is needed to better understand the neuropsychiatric implications of JS Partial Trisomy 10q Syndrome and optimize treatment strategies for these patients.

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Extreme preterm birth (<28 weeks) is a significant risk factor for adverse neurodevelopmental outcomes in infants but also for heightened psychological stress in parents, both of these impacting on parent-child bonding style. Abnormal parent-child bonding may impact, in turn, on child’s emotional development. Longer stays at NICUs, with their stressful environment and caregiving demands, alongside psychosocial factors and perinatal complications can exacerbate parental emotional stress.

(i) To compare, around birthtime, levels of anxiety and depressive symptoms in parents of extremely preterm newborns (EPTN) compared to parents of born-at-term healthy control (HC) newborns; (ii) to assess, in parents of EPTN, longitudinal changes in levels of anxiety and depressive symptoms from birth up to 40 postmenstrual weeks (40PMW), and their association with demographic, clinical and environmental risk factors; (iii) to assess, in parents of EPTN, the impact of NICU-related stress and psychosocial / family context on levels of symptoms; and (iv) to examine, in parents of EPTN, the association between levels of anxiety and depressive symptoms and parent-child bonding quality around hospital discharge.

Observational, longitudinal, prospective, 24-month follow-up study. We recruited a cohort of n=150 EPTN and n=50 HC (the PeriStress-PremTEA cohort) in two tertiary hospitals in Spain. Of those, parents of n=70 EPTN and n=42 HC successfully completed, around birthtime (and at 40 PMW in EPTN) the STAI state & trait, BDI, PBQ, MSPSS and PPS at NICU questionnaires. We also gathered demographic, clinical and obstetric data from all patient & HC families. We compared, in EPTN vs HC, parental symptom levels around birth. Using logistic regression, we assessed, in EPTN, the association between demographic/perinatal variables, parental symptom levels around birth time and parent-child bonding quality at discharge.

Both fathers and mothers of EPTN showed higher anxiety and depressive symptom levels than those of HC (all p<.01). In EPTN, parental symptom levels around birth time were highly correlated with PSS NICU scores (p<.01). Levels of anxiety and depressive symptoms in mothers of EPTN predicted parent-child bonding quality at discharge, above and beyond other potential risk factors, as did level of depressive symptoms in fathers of EPTN (p<.01).

Our findings support the need to establish screening and longitudinal monitoring programs of psychopathology in parents of EPTN, both for mothers and fathers of these children, and even more so in higher-risk subgroups, such as those with higher perception of NICU-related stress.

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Nature based interventions are becoming more popular in mental health prevention and treatment. Blue therapies are rarely known because of limited access and high costs. The poster presents the results of research on the level of the hardiness and resilience of high sea cruises participants. The study involved 123 people, including 65 girls and 58 boys, and 55 young adults, including 15 women and 39 men.

The aim of the study was to assess the impact of blue intervention on the level of the hardiness and resilience of high sea cruises participants.

Pre-posttest study with questionnaires issued on the first and last day of each cruise. Dispositional Resilience Scale (Bartone et. al., 1989) was used to measure mental hardiness, commitment, openness to challenges and a sense of control of participants. EEA Resilience Scale (Maltby et. al., 2015) was used to measure ecological and engineering resilience and adaptive capacity of partifcipants.

The results show a statistically significant increase in hardiness level. There was also a significant increase in commitment, openness to challenges and a sense of control of participants, which are measured by subscales of the DRS. Significant increase of ecological resilience and adaptive capacity has been noted.

Hardiness and resilience are key protective factors for mental health. Blue interventions can be effetcive ways of mental wellbeing improvement.

None Declared

Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD) are neurodevelopmental conditions that often co-occur, leading to complex clinical presentations. While ASD is characterized by deficits in social communication and restricted, repetitive behaviors, ADHD is marked by inattention, hyperactivity, and impulsivity. The comorbidity between these conditions is increasingly recognized, yet their combined impact on diagnosis, treatment, and patient outcomes remains underexplored.

This study aims to investigate the prevalence and nature of the comorbidity between ASD and ADHD. We also seek to identify the shared and distinct cognitive, behavioral, and developmental features, and assess the implications of this overlap for clinical practice, especially in diagnosis and treatment planning.

A systematic literature review was conducted, examining peer-reviewed studies published in the last 10 years. Key databases such as PubMed, PsycINFO, and Scopus were searched for studies involving ASD and ADHD comorbidity in children and adolescents. Data on prevalence rates, diagnostic criteria, symptom overlap, and treatment approaches were extracted and analyzed.

The findings confirm a high prevalence of comorbidity between ASD and ADHD, with estimates ranging from 30% to 50% in pediatric populations. Shared symptoms, particularly inattention and executive dysfunction, often complicate differential diagnosis. Children with both ASD and ADHD tend to exhibit more severe social and cognitive impairments, and have a higher risk for anxiety, mood disorders, and academic challenges. The results suggest that overlapping symptoms may delay or complicate accurate diagnosis, affecting treatment efficacy.

The comorbidity of ASD and ADHD presents unique challenges for clinicians and families. Early identification of both conditions is crucial for tailored interventions. A multidisciplinary approach, combining behavioral, cognitive, and pharmacological treatments, appears to be the most effective. Further research is needed to develop clearer diagnostic criteria and targeted therapeutic strategies to address the specific needs of individuals with this comorbid profile.

None Declared