Chemsex is typically described as the use of specific substances to enable or enhance sex during extended sessions with multiple partners among men who have sex with men (MSM). Numerous studies have linked chemsex with different physical and mental health risks and other potential harms.

According to the latest European online survey por MSM (EMIS-2017), the section on substance use revealed the prevalente of substance use for sexual purposes in the last twelve months was 14.1% with Spain being one of the countries with the highest prevalence of chemsex at the European level.

As the prevalence of chemsex is increasing, consequences from this phenomena arises and a progressive increase in the number of psychiatric consultations and admissions related to chemsex practice have also been described, with substance abuse disorders, depression, and anxiety as the most prevalent diagnoses.

From our Liaison and Emergency Psychiatry Service consultations related with mental health issues and chemsex are increasing with growing number of suicide attempts, psychotic, maniac and depressive episodes.

Our objective in this poster is to describe the mental health risks of chemsex, its peculiarities and the main manage issuses in the Liaison and Emergency Pscychiatry Service.

Systematic review of the scientific literature related with chemsex and mental health risks will be carried out and we will also analyse some of our cases to describe presentation and management of the symptoms.

Chemsex is related with an increased rate of mental health issues and consultations related with substance use disorders, depression and anxiety. Clinical features due to this disorders are unique and integral treatment in coordination with Infectious Medicine Specialist is needed.

Chemsex is an increasing phenomena and it is intimately related with psychiatric disorders.

Psychiatrists must be concerned about it and trained to approach and treat these complex disorders in an integrative way.

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There is an increasing demand for alternative evaluation tools capable of providing objective assessments or highlighting differences. Functional near-infrared spectroscopy (fNIRS) and heart rate variability (HRV) are frequently employed as biomarkers for assessing emotional status.

This study hypothesizes that emotional expressions, particularly unpleasant emotions and their variations in adolescents, are associated with changes in heart rate variability and frontal lobe activity.

A total of 55 adolescents participated in this study. Following the completion of clinical scales, assessments of both HRV and fNIRS in a resting state were conducted for all participants for 200 seconds. After a 10-second rest, HRV and fNIRS assessments were performed during a positive emotional perception test for 192 seconds. Following a 30-second rest, the same procedures were repeated during a negative emotional perception test.

The correction rate of unpleasant emotional perception negatively correlated with HRV measures (unpleasant-HF, unpleasant-SDNN) and positively with pleasant-RMSSD. Additionally, it positively correlated with the ΔaccHBO2 within the left dorsolateral prefrontal cortex (DLPFC). Conversely, the correction rate of pleasant emotional perception negatively correlated with increases in ΔaccHBO2 within the left DLPFC. Both unpleasant-SDNN and unpleasant-HF negatively correlated with ΔaccHBO2 within the left DLPFC.

The perception of negative emotions in adolescents is associated with individual levels of depression and anxiety. Furthermore, the perception of negative emotions significantly correlates with changes in HRV and activity within the left DLPFC. There is also evidence suggesting a link between changes in HRV and brain activity in response to the perception of negative emotions.

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Auditory verbal hallucinations (AVH) are one of the primary symptoms of schizophrenia, but the biological mechanisms underlying them remain uncertain (1,2). Theoretical approaches have proposed that AVH are caused by abnormal activity in the auditory cortex; or that they represent misinterpreted cognitive activity such as inner speech. Recently, our group found, using a symptom capture task, that AVH did not trigger activity in the auditory cortex, but instead in language-related areas, thus shifting the focus towards cognitive theories of AVH (3). To date, cognitive approaches have only been preliminarily investigated, and mostly in psychological studies (1,2).

Our aim was to test the theory that a disturbance in inner speech processes underlie AVH. We used conjunction analysis to examine common activation patterns between the experience of AVH and phonological encoding.

Eleven patients meeting DSM-5 criteria for schizophrenia or schizoaffective disorder with near-continuous AVH underwent fMRI during symptom capture and during a phonological encoding task. In the symptom capture task, the patients were instructed to press their left index finger when they begin to hear an AVH, wait three minutes, mentally repeat what they heard, and then press their right index finger. The phonological encoding task required them to indicate, via button press, whether the names of two objects shown in line drawings rhymed.

Pre-processing and analyses were carried out with FSL software using linear models. Activation maps were thresholded at p<0.05, cluster-corrected for multiple comparisons. To find regions of common activation between the two tasks, the activation maps from the contrasts of interest were binarized and entered into a conjunction analysis. Regions showing significant activation in both tasks simultaneously were considered activated in the conjunction analysis.

The conjunction analysis showed common activation in several regions involved in phonological encoding, such as Broca’s area and its right homologue, supplementary motor area bilaterally, Wernicke’s area and cerebellum, in patients with AVH.

These results support a non-perceptual origin of AVH and link them to brain areas related to the phonological loop and working memory in schizophrenia.

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Foreign medical students in Tunisia represent a dynamic academic community, making an essential contribution to the global medical training. Their presence creates a vibrant academic ecosystem, conducive to discovery, intercultural exchange and medical innovation.

To determine the socio-cultural and the personal profile of foreign medical students, in order to optimize their academic performance and facilitate access to a high-quality professional training.

We conducted a cross-sectional, descriptive and analytical study, from July to September 2023 among foreign students at the Sfax Faculty of Medicine via an anonymous self-questionnaire via “Google Forms” shared among students through social media. We used scale of satisfaction in studies, which is a 5-item scale, each rated on a 7-point Likert scale indicating the degree of agreement or disagreement with the statements.

Seventy-two foreign student completed the survey. The average age was 25 ± 3.45 years. Students of Moroccan origin accounted 68.1%. The socioeconomic status was average in 93.1%. The majority of respondents were single (77.8%). One-third of the students lived with a roommate. Fifty-one per cent of the students had at least one family member in the healthcare field. Of those surveyed, 61.1% were enrolled in the third cycle of medical studies, 26.5% were enrolled in the second cycle of medical studies and 12.5% were enrolled in the first cycle of medical studies. The average length of stay in Tunisia was 6.5 years. Seventy-seven percent were satisfied with the choice of Tunisia for the medical studies. Seventy-nine percent of the students were satisfied with their academic performance. Coffee was the most consumed substance (88.9%) followed by tobacco (47.2%), alcohol (36.1%) and illicit drugs (26.7%). Fifty-nine percent (N=41) practiced sports and 16.7% had an artistic leisure activity. We found a statistical association between satisfaction and the practice of a leisure activity (p=0.007) and a statistical negative association with having a family member in the healthcare field (p=0.022). We found no statistical association with the choice of Tunisia as a destination even though the mean score was higher among the students that was satisfied with their choice. The quality of the studies in Tunisia as well as the geographic localization were the main reasons for choosing Tunisia No statistically significant association was found with gender, socioeconomic status or marital status, substance consumption.

The medical field studies are still challenging for students in general due heavy learning process and training process adding to that the personnel, cultural changes that a foreign student can face. Highlighting these aspects can contribute to improving their experience, by focusing on the learning process as well as making time to practice their leisure activities in order to break the routine.

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Fibromyalgia is not a primarily psychogenic disorder, however due to high levels of comorbidity with psychiatric disorders and shared therapeutic targets, psychiatrists can play an important role in the diagnosis and treatment of fibromyalgia.

Fibromyalgia is a chronic pain syndrome affecting around 2-5% of the general population. Fibromyalgia’s core symptom is the persistent generalized pain, its other symptoms include fatigue, stiffness, depressed mood, anxiety and sleep disturbance. Although some psychiatric symptoms are an integral part of fibromyalgia clinical presentation, in a significant part of patients their severity warrants a specific psychiatric diagnosis and management. Available data shows high rates of psychiatric comorbidity in fibromyalgia, with lifetime prevalence reaching 9-33% for anxiety disorders, 16% for post traumatic stress disorder, 63% for depression, 26% for bipolar disorders. Psychiatric comorbidity in fibromyalgia is associated with the severity of fibromyalgia, its impact on patients functioning, quality of life and socioeconomic status. Moreover, the works of our team have also shown that some psychopathological symptoms such as depression, anxiety, anhedonia, chronobiological preferences and circadian rhythm disruptions as well as some psychological traits are linked to lack of response to pharmacological treatment in fibromyalgia.

The current knowledge on fibromyalgia etiopathogenesis is incomplete and does not warrant a comprehensive description. There are no biomarkers or objective tests, which would verify the fibromyalgia diagnosis, which is therefore based primarily on the physician’s history-taking and fulfillment of criteria. In effect, the group of patients diagnosed with fibromyalgia is most likely heterogeneous, regarding the biological basis of its symptoms, clinical presentation and susceptibility to treatment. This also means treatment is symptomatic and characterized by limited effects.

Fibromyalgia management requires a multidisciplinary approach, with emphasis on non-pharmacological interventions such as physical activity, cognitive–behavioral/mindfulness psychotherapy, physical therapies. For a large number of fibromyalgia patients these interventions are not sufficiently effective and there is a need for pharmacotherapy. The use of selective serotonin and noradrenaline reuptake inhibitors (SNRI) and pregabalin, which are commonly used to manage depression and anxiety, is supported by best scientific evidence. Also other drugs used for psychiatric disorders such as amitriptyline, gabapentin, quetiapine or naltrexone (in low doses) were proven useful in fibromyalgia management.

This presentation will sum up current knowledge on psychiatric comorbidity in fibromyalgia and treatments which psychiatrists can offer to fibromyalgia patients.

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The critical importance of preventing, recognizing early, and effective treatment of complicated form of alcohol withdrawal syndrome (cAWS) lies in its high mortality rate. cAWS include alcohol-related seizures (ARS), and delirium tremens (DT). The Prediction of Alcohol Withdrawal Severity Scale (PAWSS) was developed to identify patients at risk of developing cAWS. Recently, history of ARS and/or DT (“kindling mechanism”-related predictors) have been suggested as the strongest risk factor for developing cAWS.

The present study aimed to validate the Hungarian version of the PAWSS as suitable for evaluating the risk of developing cAWS and determining the significance of past ARS and/or DT occurrences.

A total of 70 inpatients were enrolled from at the Department of Psychiatry, University of Szeged, Hungary in 2023 with a principal diagnosis of AWS. PAWSS, Severity of Alcohol Dependence Questionnaire (SADQ) and Alcohol Use Disorders Identification Test (AUDIT) were used. Demographic variables (age, sex) and clinical outcomes (development of cAWS) were collected. Statistical analyses were performed using Receiver Operating Characteristic (ROC) analysis, binary logistic regression analyses and chi-square test.

The ROC analysis showed that ≥ 6 is the optimal cutoff point in our sample. The sensitivity (73.91%), specificity (82.98) and positive- (68.00%) and negative- (86.67%) predictive values were highest for the threshold value of 6. In the first binary logistic regression model our results indicate that the PAWSS score of 6 or more was identified as a significant predictive factor for the current cAWS (OR = 12.332; 95% CI = 3.468–43.85; p < 0.001). The results of the second binary logistic regression showed that the history of the cAWS (OR = 6.811; 95% CI = 2.084–22.25; p = 0.001) and the SADQ total score (OR = 1.048; 95% CI = 1.001–1.10; p = 0.043) were significant predictive factors for the current cAWS. The chi-square test results showed significant difference between the rate of the history of cAWS and the current cAWS (χ2 (1) = 13.0; p < 0.001) and 21.4% (n = 15) of the patients had both current and previous cAWS. The Phi-coefficient was 0.431, which indicates that the history of complicated AWS has a relatively strong effect on the current cAWS.

Our results revealed that the Hungarian version of PAWSS is a valid tool for predicting cAWS with a different cutoff score compared to the original version. Furthermore, our findings suggest that the risk of developing cAWS is independent of the severity of alcohol use disorder. Our results also demonstrated that a history of cAWS is a significant predictor in the development of future episodes of cAWS.

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Affective disorders are in constant rise and they are a serious medical and social problem. All the latest studies suggest that the incidence of affective disorders is about 14%, which makes them one of the most common psychiatric disorders. Because of that, there is a need for alternative forms of treatment of affective disorders.

The main goal of this study is to evaluate the effectiveness of the combined treatment of pharmacotherapy together with the Neurofeedback method in the treatment of affective disorders in adult individuals.

A prospective randomized study including a total of 100 outpatients from University Clinic of Psychiatry in Skopje. The subjects were randomly divided into 2 groups of 50 patients, of which the patients in the study group were treated with a combined treatment that includes the neurofeedback method as an augmentation to antidepressant therapy, while the control group with monotherapy with antidepressant medications. Subjects were examined for 2 months, with evaluation of despressive symptoms 2 weeks after the start of treatment, and then after 1 month, using the following psychodiagnostic instruments: psychiatric interview; short non-standardized socio-demographic questionnaire, CGI, HAMD, HAMA and Beck depression scale.

Patients in the study group, treated with a combined approach of antidepressant therapy and the neurofeedback method, showed a significantly greater reduction in symptoms of depression and anxiety compared to patients in the control group treated with antidepressants as monotherapy. According to the HAMA anxiety scale, the mean score in the study group (SG) decreased by 2.86 points (p<0.0001), compared to a decrease of 0.84 points in the control group (CG) (p=0.0017). On the Beck Depression Scale, the mean score in the decreased by 2.08 points (p<0.0001), compared to a decrease of 0.44 points in the CG (p=0.022). On the HAMD depression scale, the average score in the study group (SG) decreased by 2.42 points (p<0.0001), while in the control group (CG) the decrease was 0.12 points (p=0.63), the CGI scale showed a significant reduction in global symptoms in (SG) (p=0.0035), which further confirms the positive effects of the combined treatment.

The research shows that neurofeedback treatment in addition to pharamcological therapy leads to significant improvement in depressive and anxiety symptoms.

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Women with a history of major depression are at risk of perinatal depression (PND). The associations between PND and other types of psychiatric disorders are less clear, although a recent GWAS revealed genetic correlations with almost all psychiatric disorders.

The aim of this study was to examine the association between PND and overall, and 17 type-specific, psychiatric disorders in a life course approach.

Leveraging Swedish nationwide health register and primary care data, we included all birthing women diagnosed with depression or prescribed for antidepressants during pregnancy or within a year postpartum, i.e., women with PND (n=122,720), during 2001-2022. Using incidence density sampling, we matched each case to 10 unaffected birthing women. We ascertained any diagnosis of psychiatric disorder over the lifetime from the National Patient Register. Using multivariable conditional logistic regressions, we estimated the association between PND and any, or subtypes of, psychiatric disorders dated before or after the PND diagnosis in a liftecourse approach. Moreover, we conducted a nested case control study to investigate the association of psychiatric disorders and subsequent PND, and a matched cohort study to investigate PND and subsequent psychiatric disorders.

In preliminary results, at a mean age of 31.0, we found that PND was highly associated with any other psychiatric disorders (adjusted odds ratio (aOR)=9.02, 95%CI 8.9-9.2). The association remained when excluding depression (aOR=6.2, 95%CI 6.1-6.3), and was comparable for psychiatric disorders dated before PND diagnosis (aOR = 9.0), whereas attenuated for diagnoses dated after PND (OR= 3.9). Most pronounced association was noted for bipolar, personality disorders, depression, and anxiety. The association was stronger in primiparous women and in women born ourside of Europe (p-for interaction <0.001).

Throughout life course, PND is associated with psychiatric disorders, particularly with bipolar disorder, personality disorder, depression and anxiety. These findings may shed light on shared genetic/risk factors between PND and other psychiatric disorders.

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Schizophrenia is a highly complex mental disorder. It is associated with hallucinations and delusions. Caring for a patient with schizophrenia presents major challenges, especially for mothers. The mother-child relationship is one of the first relationships to be formed, serving as the basis for other human relationships [1,2]. The mother is the most important person shaping the child’s behaviour.

Although schizophrenia has biological and genetic causes, the environment in which the person grew up is very important.

Translated with DeepL.com (free version)

To explore the childhood experiences of patients with schizophrenia with their mothers in order to identify the early mother-child relationship in these patients.

This was a descriptive cross-sectional study using a questionnaire including sociodemographic and clinical criteria as well as questions to assess patients’ childhood experiences with their mothers and patients’ feelings towards their mothers.

Inclusion criteria were patients’ willingness to participate in the study. Participants were male schizophrenic patients over 18 years of age hospitalised at the Arrazi Psychiatric Hospital in Salé.

Exclusion criteria: intellectual disability.

Schizophrenia, mother-child relationship, emotions, patients.

In this study, a total of 88 male patients with schizophrenia were collected. The majority had an average socio-economic status. Almost 77% were single and 89% lived with their families. All participants were unemployed. 91% had a substance use disorder, including tobacco and cannabis. 77% had reported psychological abuse by their mother and 55% had reported physical abuse. All the participants had received comparisons with other children and the majority reported having already felt that they were going to be abandoned by their mother. 75% reported having played the role of parent for their parents in childhood. 88% of the participants had feelings of anger and blame for their mother, 20% had feelings of security, 51% had ambivalent feelings of love and hate at the same time.

The present study showed that the early relationship between mother and child in patients with schizophrenia was associated with complex and ambivalent emotions and was also characterised by alternating feelings of hatred and love. Feelings of abandonment of the child and lack of attention to the child’s basic needs caused patients many emotional problems towards their mothers.

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It is important to address the prevention and early detection of opioid addiction with a comprehensive approach. The collaboration and early attention are essential to mitigate the risks associated with opioid misuse. In this session we will review the myths associated with high risk of opioid addiction and how to address when it has been developed.

Some key strategies could be: Provide accurate and understandable information about the risks associated with opioid use, as well as the early signs of addiction. Consider alternative options for pain management, such as physical therapies, exercise, and medications non-opioids, before prescribing opioids. It is important balance pain relief with control of possible addiction risks. The appropriate and controlled indication of opioids is of vital importance to prevent and detect inappropriate use. Prescribe the lowest dose and duration shortest possible. It is important to visit frequent monitoring to detect signs of misuse and/or addiction.

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Post-ictal psychosis is a kind of epileptic psychosis in which psychotic features appear 12h – 7 days after the epileptic seizure causing them.

To present a challenging case reflecting upon presentation, management and considerations of post-ictal psychosis.

Case presentation and non-systematic literature review.

A 40-year-old female, living in a European foreign country with her partner and child, flies to Lisbon 5 days previously to her admission as a sudden decision because she believed she was the daughter of a portuguese yoga master. She was brought to psychiatry ER by the police due to disorganized and aggressive behavior in public, where she presented with severe agitation, disorganized and coprolalic speech, persecutory, mistic and filiation delusions, somatic and affective passivity, and very uncollaborative. She had no analytic or image alterations except for positive cannabinoids in urine. She was admitted in psychiatry and started on risperidone titled till 6mg and diazepam 15mg, with remission of symptomatology. When she was able to collaborate, she admitted she had a history of Epilepsy for which she was not having treatment, and a previous post-ictal psychotic episode some years ago. Family confirmed she had a generalized tonic-clonic seizure about a week ago, and delusional ideas starting the following day, having left home unannounced. Although the EEG was normal, considering suggestive history post-ictal psychosis was admitted ad most probable diagnosis and she was slowly stopped medication without symptom resurgence. The importance of anti-epileptic treatment in order to avoid subsequent seizures and post-ictal psychosis was explained, however the patient denied treatment and was discharged back to her hometown with indication to follow-up in neurology.

Post-ictal psychosis corresponds to 25% of epileptic psychosis. It is associated with temporal lobe epilepsy, psychotic symptoms of mistic and religious themes, aggressive behavior, and increased suicide risk. It has a sudden onset and complete remission although a risk of recurrence as in this case. Treatment consists of seizure control to avoid following episodes. Antipsychotics that don’t increase convulsive risk such has risperidone may be useful to acute control of psychotic features and behavior alterations.

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Hospitalization in psychiatry often marks a critical point in the management of mental health disorders. For elderly patients, this can be a first-time experience and is often associated with complex psychological, social, or medical factors. Due to the age, psychiatric symptoms may become more pronounced because of comorbidities, cognitive decline and social challenges. Understanding the profile, medical history, presenting complaints, and associated conditions of elderly patients admitted for the first time to psychiatric care is essential to improve the comprehensive care.

The objective of this study is to analyze the profile of elderly patients hospitalized for the first time in the psychiatric department, focusing on their medical history, presenting complaints, diagnoses, and comorbidities.

It’s a retrospective study. We reviewed the files of all patients aged over 65 years old who were hospitalized in the Avicenne Psychiatric Department at Razi Hospital between September 2022 and September 2024.

We identified 22 patients with 16 men and 6 women. The average age of our patients was 68 years (ranging from 64 to 80 years). The majority had a secondary school education (47%), came from an urban background (81%) , were retired (54%), with a high socioeconomic status (42%), married (61%), parent of an average of 2 children and with a family history of mental disease (52%). A history of somatic illness was found in 61% of the patients. The reason for hospitalization was behavioral disorder in 73%, suicidal thoughts in 18.2% and refusal to eat in 8.8%. A history of psychiatric consultation without the need for hospitalization was found in 59% of the cases around the age of 51 years. In 18% of the cases, the onset of the disorder was acute, while it was progressive in the rest. Concerning the diagnosis, we observed mental confusion caused by an organic pathology in 9%, a purely neurological cause of the disorder in 14% ( dementia in 10% and Parkinson’s disease in 4%), a depressive episode in 31%, a manic episode within the context of bipolar disorder in 37%, and schizophrenia in 9%. Comorbidity with paranoid personality disorder was observed in 4 patients, all of them were females. For patients with a psychiatric diagnosis, a neurological comorbidity was found in 31.25% (25% dementia, 6.25% Parkinson’s disease).

This study shows that elderly patients in their first psychiatric hospitalization have complex profiles affected by age-related factors and comorbidities. Diagnosis varied from mood to psychotic disorders, often with neurological issues. The frequent history of psychiatric consultations without hospitalization suggests that early intervention could help prevent more severe admissions. Understanding these profiles is crucial for improving care and treatment for elderly patients.

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Diet-related support is urgently needed for people with serious mental illness underlying the role of nutrition in a biopsychosocial approach. Integrating healthy lifestyle practices such as a balanced diet and physical exercise could supplement and amplify the effects of existing pharmacotherapies and psychotherapies. Despite its considerable role, nutritional literacy of mental health professionals appears scarce. Specific nutrition training courses for mental health professionals are needed in order to increase awareness on nutrition as a well-being contributing factor in the biopsychosocial model.

The aim of this study is to investigate insight and attitudes on nutrition in mental health among a sample of psychiatrists and psychologists resident in Italy.

The survey was conducted from May to June 2024 and the questionnaire was anonymous and self-rated, accessible via Google forms. The sample comprised 110 Italian mental health professionals (adult and child psychiatrists, psychologists) who voluntarily completed the on‑line questionnaire.

110 participants (61 psychologists, 46 adult psychiatrists and 3 child psychiatrists) agreed to participate to our survey. 89.2 % (n= 91) of them worked in southern Italy.The majority of participants were female (77.98%) and reported working in a Mental Health Centre (n= 41, 37,27%), followed by psychiatric residential facilities (n=22, 20%), private practice (n= 19, 17.27%), hospital (n= 14, 12.73%), university research centre (n=4. 3.64%), other non specified institute (n=10; 9.09%). The numer of years of working as mental health professional was 19.27 ± 11.27 years. Adopting “sometimes” nutritional approach for the treatment of the patients was the answer mostly reported (n= 56, 51.4%) followed by “most of the time” (n= 28, 25.69%), “always” (n=11; 10.09%), “never” (n= 7, 6.42%), “almost never “(n= 7, 6.42%).

Despite the scientific evidence and some treatment guidelines in support of this relationship, the implementation of nutritional psychiatry into routine clinical practice remains limited. Integrating nutrition into the clinical practice of psychologists and psychiatrists and providing evidence-based nutritional advice represent an interesting mental health challenge to address in the coming years.

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Suicidal ideation, encompassing thoughts, planning, and the desire for death, is a critical facet of the suicidal process, potentially leading to suicide attempts and completion. Understanding its prevalence and severity among college students is vital for preventive interventions.

Our study aimed to estimate the prevalence and severity of suicidal ideation among college students.

We conducted a cross-sectional and analytical study among students from various faculties in Sfax between October 2022 and January 2023. Student recruitment occurred electronically through a Google Forms questionnaire, emphasizing anonymity and the study’s scientific purpose. We utilized the Suicidal Ideation Attributes Scale (French Version) (SIDAS-FR) to identify and assess the severity of suicidal ideation.

Our sample comprised 149 students, predominantly female (83,20%), with an average age of 26 years. Among them, 78,5% were single, and 81,9% lived with their families. Nearly half of the students were from the Sfax Faculty of Medicine, and 64,4% were in their 3rd cycle of education. The mean total score on the SIDAS scale was 1,21 +/- 3,84. Suicidal ideation was reported by 11,4% of participants, with 5,36% indicating moderate to high severity. Factors associated with suicidal ideation included psychiatric disorders (p=0,00), alcohol consumption (p=0,033), psychotropic medication use (p=0,001), and unsatisfactory intrafamily communication (p=0,036).

Suicidal ideation, a concerning issue, particularly among young people, demands focused attention in public health efforts. Understanding the associated factors is pivotal for prevention strategies, emphasizing the importance of mental health support and effective communication within families.

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Craniocerebral injuries are serious traumatic situations with negative effects in the overall health and also in sports performace and health

Aim of this study is to present cases of deppresive disorders after mild craniocerebral injuries in professional athletes

6 cases are presented. Range of age between 20 and 30 years old. All of them reported depressive disorders during the post traumatic period after craniocerebral injuries mainly during professional athletic activities

All of them they receive appropriate neurological, psychiatric, psycological and rehabilitation support and treatment. They managed to have a good outcome after 24 months follow up.

The development of depressive disorders after such traumatic events remains a strong predictor of a variety of difunctions (social, personal, work etc). The emergence of depressive disorders in many cases remains unexplored and poorly understood. The effect into the the overall health remains a very important factor to investigate. The combination and collaboration of the various medical disciplines is essential in order to help young people and mainly professional athletes.

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Prementrual disorders (PMD) affect millions of women in reproductive age worldwide. Understanding the potential link between PMD and its comorbidities, including autoimmune disease (AD), is crucial for ultimately improving women’s health. Although hormonal fluctuations seem involved in the development of PMD and some AD, the relationship between PMD and AD remains unclear.

Hence, we aimed to investigate the bidirectional association between PMD and AD.

Leveraging Swedish nationwide and regional registers, we conducted a nested-case control study and a matched-cohort study. Among 3,630,028 eligible women of reproductive ages during 2001-2022, we identified 104,972 incident PMD, their unaffected full sisters, and 10 unaffected matched women per case. We extracted 41 types of AD diagnosis recorded in the registers. Using conditional logistic regression and Cox regression models, we estimated the odds ratio (OR) and hazard ratio (HR) with 95% confidence interval (CI).

Women with AD had a 12% increased risk of subsequent PMD (95% CI 1.10-1.15) compared to unaffected women, and a 6% increased risk compared to their unaffected full sisters (95% CI 1.01-1.11). Women with PMD had 23% (95% CI 1.20-1.26) and 17% (95% CI 1.10-1.24) elevated risks of subsequent AD compared to unaffected women and full sisters, respectively. Among parous women, a stronger bidirectional association was observed for those both exposed to PMD and perinatal depression (nested case-control OR:1.46, 95%CI 1.38-1.54; matched cohort HR:1.49, 95%CI 1.34-1.66) compared to only PMD (nested case-control OR:1.04, 95%CI 1.00-1.07; matched-cohort HR:1.14, 95%CI 1.07-1.21). The strongest bidirectional association with PMD was found for autoimmune thyroid disease and celiac disease.

Our findings illustrate a bidirectional association between PMD and AD, in particular among parous women with a history of perinatal depression. If confirmed in future studies, healthcare professionals need to be vigilant about the risk of AD in women with PMD and vice versa.

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Sudan is currently experiencing the largest child displacement crisis worldwide. Since the conflict erupted in 2023, over 4.6 million children have been internally displaced within Sudan, and nearly one million are seeking refugee in neighboring countries (UNICEF, 2023). The mental health of these children has been overlooked, and there is a noticeable lack of data on their psychological wellbeing.

To assess the prevalence of PTSD, anxiety and factors associated with them among internally displaced Sudanese children during war in IDP camps in Al Jabalain district, White Nile state, Sudan, 2024

A cross-sectional study was conducted among internally displaced Sudanese children in 11 camps in Al Jabablain district. Children were interviewed using a standerdised questionnaire consisting of the PTSD Civilian Checklist Version 5 abracic version and the Hamilton Scale arabic version to assess the prevalence of PTSD and anxiety. Data analysis was conducted using IBM® SPSS, version 26.0.

The sample included 223 children; age median was 12 years (IQR: 9-15). 127 (57%) of them were females, with majority 128 (57.4%) in primary school. Participants who met the criteria for probable PTSD were 23 (14.3%), (median: 32, IQR: 17-28). 150 (67.3%) participants had mild anxiety, with a median score of 11 (IQR: 9-14). Older children had higher levels of PTSD and anxiety. Also, both scales were significantly associated with gender, displacement frequency and separation from close ones (p value <0.05). Females were more likely suffer from anxiety 116/127(91%) in comparison to males 76/96(79%). Yet, 19(59.4%) of children with probable PTSD were males. Children displaced more than four times were more prone to PTSD symptoms and moderate to severe anxiety. Interestingly, recently displaced children were more likely to have higher PTSD scores and lower anxiety scores. Educational level was significantly associated with PTSD, with about one-third of high school students experienced PTSD symptoms. Anxiety scale was significantly associated with direct exposure to violence, as 13.6% of those exposed to violence experienced mild to moderate anxiety.

This study identified significant levels of PTSD and anxiety among internally displaced children in the Al Jableen camps, highlighting the urgent need for mental health interventions, which promotes resilience and coping skills. Factors such as age, gender, frequency of displacement, direct exposure to violence, and educational level significantly impact the development of these mental health conditions.

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This knowledge exchange program was designed to enhance the clinical training of a Cambodian psychiatrist in general psychiatry and addiction care. Conducted between July 1, 2024, and August 30, 2024, the program involved immersive clinical experiences in the Netherlands and South Africa. The exchange facilitated engagement with leading mental health institutions, offering valuable insights into advanced psychiatric practices and addiction care models.

The primary objectives of the program were to improve clinical competencies in diagnosing and managing psychiatric and addiction disorders, to gain exposure to multidisciplinary and community-based care models, and to develop cultural competence in adapting psychiatric practices to low-resource settings like Cambodia. These goals were pursued through a combination of clinical visits and participatory learning activities.

The psychiatrist participated in clinical visits and hands-on learning at Radboud University Medical Center and Pro Persona in the Netherlands, as well as Rustenburg Addiction Care in South Africa. These experiences included observing advanced treatments and participating in community-based psychiatric care programs. The program’s structure combined hands-on training and multidisciplinary teamwork to provide a comprehensive learning experience.

The program yielded significant improvements in the psychiatrist’s ability to manage complex addiction cases and implement community-based care. Additionally, the experience fostered greater cultural competence, enabling the application of psychiatric practices suited to the Cambodian context. The collaboration also promoted potential future psychiatric training initiatives and international partnerships.

The knowledge exchange program was successful in enhancing the psychiatrist’s clinical skills and cultural awareness. It underscored the importance of international collaboration in psychiatry and addiction care, providing a model for how mental health professionals from low-income countries can benefit from exposure to global best practices and community-based care strategies.

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Anorexia nervosa (AN), bulimia nervosa (BN) and Binge Eating Disorders (BED) are diagnosed using the DSM-5 (American Psychiatric Association [APA] 2013) and its revised text (DSM-5-TR; APA 2022) or the ICD-11 (World Health Organization [WHO] 2019). While both systems use a severity indicator for AN based on body mass index (BMI), only the DSM-5 proposes a severity indicator for BN, based on the weekly frequency of purging behaviours, and, in the case of BED, based on the weekly frequency of binge episodes. These severity scores aim to index the level of general and eating disorder (ED) psychopathology, and thus, if valid, should serve as a crucial tool for tailoring treatment decisions, including duration, frequency and type of treatment. However, the current literature is contradictory with regard to the appropriateness of the criteria used and their validity. Therefore, alternative criteria have been proposed (e.g. drive for thinness, duration of the disorder…), especially when exploring chronicity and long-lasting EDs. Furthermore, few studies have directly examined the relationship between severity ratings and treatment outcome. In this presentation, we will discuss current gaps in severity indicators and potential alternatives. Data from existing longitudinal cohorts will be described.

F. Fernandez-Aranda Consultant of: Novo Nordisk. It has no conflict of interest in the current talk. Nothing about pharmacological prescription will be discussed in my talk., S. Jimenez-Murcia Consultant of: Novo Nordisk. It has no conflict of interest in the current talk. Nothing about pharmacological prescription will be discussed in my talk.

Childhood maltreatment (CM) encompasses various forms of abuse and neglect before age 18 and frequently manifests in somatic symptoms (SS) such as chronic pain or fatigue. Despite growing recognition of this connection, the relationship between specific CM types and SS, as well as the mechanisms underlying this link, remains incompletely understood.

To examine the current understanding of the association between CM and SS, to highlight gaps in the literature, and propose directions for future research.

A state-of-the-art review searching a range of different databases was performed to explore the interplay between CM (exposure) and SS (outcome) in adults (over age 18).

Identified literature gaps include 1) inconsistency regarding the specific impact of subtypes of CM, specifically of neglect, on the development of SS; 2) narrowing the focus to specific functional syndromes (e.g., fibromyalgia), or selected health outcomes (e.g., respiratory disease) rather than SS as a broad category; and 3) underexploring the impact of culture.

Key recommendations for future research include adopting standardized WHO definitions for CM subtypes, expanding SS diagnostic criteria (e.g. through using comprehensive ICD-11 coding), and integrating cultural moderators (e.g. different health beliefs) into research methodologies. By adopting these recommendations, research could significantly improve patient care and mitigate the broader societal consequences of childhood trauma.

None Declared