S190

IACAPAP 2012 20th World congress / Neuropsychiatrie de lenfance et de ladolescence 60S (2012) S140S196

Mo-P-1233

Psychological assistance for parents during childs

treatment
N. Mazurova
Special Psychology, Scientic Center of Childrens Health, Moscow, Russian
Federation
Purpose of the study. Examine particular emotional state of parents, determine
matter of psychological assistance to them during childs treatment.
Patients. We note that 1850 parents, whose children had diseases with various
degree of severity.
Methods. Clinicobiographical, diagnostic, expert, statistical data processing.
Results. We determined factors of parental emotional response and described
types of psychological state. We found out that the type of emotional state of
parents depended on their knowledge about the severity of the disease. Depth
and duration of emotional response are connected with personal characteristics
of parents, their system of values in life. One of important factors is length
of the time interval from the moment when the diagnosis became known. We
determined content of counseling depending on the severity of childs disease,
age, personal characteristics of parents.
Conclusion. This kind of assistance must become indispensable part of childs
treatment. The earlier psychological support the more successful childs rehabilitation runs, the higher indicators of compliance are.
http://dx.doi.org/10.1016/j.neurenf.2012.04.345
Mo-P-1234

The effect of family therapy on the changes in the severity

of online game play and brain activity in adolescents with
online game addiction
D.H. Han a, , Y.S. Lee a , T.Y. Choi b
Psychiatry, Chung Ang University Hospital, Seoul, Korea
b Catholic University Hospital, Dae Gu, Korea
Corresponding author.

We evaluated whether a short, 3-week family therapy intervention would change

patterns of brain activation in response to affection and gaming cues in adolescents from dysfunctional families who met criteria for online game addiction.
Fifteen adolescents with online game addiction and fifteen adolescents without
problematic online game play and an intact family structure were recruited.
During 3 weeks, families were asked to carry out homework assignments focused on increasing family cohesion for more than 1 hour/day and 4 days/week.
Prior to therapy, adolescents with online game addiction demonstrated decreased activity within the caudate, middle temporal gyrus, and occipital lobe in
response to images depicting parental affection and increased activity of the
middle frontal and inferior parietal in response scenes from online games, relative to healthy comparison subjects. Improvement in perceived family cohesion
following 3 weeks of treatment was associated with an increase in the activity of
the caudate nucleus in response to affection stimuli and was inversely correlated
with changes in online game playing time. In contrast, activity of the dorsolateral prefrontal cortex in response to online game stimuli decreased. The present
findings suggest that brain activation in response to images depicting parental
affection may displace the brain activation in responding to online game playing
cues following treatment.
http://dx.doi.org/10.1016/j.neurenf.2012.04.346
Mo-P-1235

Think family/whole family approach multi-agency training

program for frontline professionals: Improving the
outcomes for mentally ill parents and their children
L. Gatsou a, , G. Fadden b , N. Goodrich c , S. Yates c , R. Valand d ,
W. Shahzad d , K. Thomaidis a
a Leicestershire Partnershire NHS Trust, Leicester, UK

b Birmingham and Solihull Mental Health Foundation, University of

Birmingham, Birmingham, UK
c De Montfort University, Leicester, UK
d HIEC Intern, Leicester University, Leicester, UK
Corresponding author.

This presentation aims to illustrate the development and dissemination of the

Think Family/Whole Family Approach Multi-agency Training in the region
of East Midlands, UK (locality of Leicester, Leicestershire and Rutland). This
training package was developed in order to provide a unified approach to families experiencing parental mental illness and to promote joint working across
services. The multi-agency training programme equips frontline professionals
with family focused intervention skills and necessary knowledge and awareness
regarding mental illness in the family. Hundred frontline professionals from
more then 20 different services from health, education, social care and voluntary sector have been trained in a family based intervention using components of
the evidence based Behavioural Family Therapy model used by Meriden Family
Programme and informed by the Think Family/Whole Family Approach, Think
Child, Think Parent, Think Family and Children of Parents with Mental Illness
guidelines and principles.
http://dx.doi.org/10.1016/j.neurenf.2012.04.347
Mo-P-1236

Mnchausen syndrome by proxy with psychiatric features

Y. Auxemery
Psychiatrie, HIA Legouest, Metz, France
Mnchausen syndrome by proxy (MSP) is defined in the International Classifications of Diseases as a factitious disorder by proxy. This pathology, expressed
through the intermediary of a child, constitutes serious abuse. Although MSP
has long been misunderstood by practitioners, it is now a subject of great editorial interest, particularly in the paediatric literature. Because of the emotions
and questions that this syndrome raises, the media regularly refers to this issue.
After an update on the classic form of MSP via somatic expression and its diagnostic issues, we present a review of the literature to explain the peculiarities
of MSP with psychiatric expression. This clinical form is characterised by the
allegation of artificial psychiatric disorders to convince others that a child suffers
from these disorders. We detail the psychological complications for the child
through a case report and analysis that illustrate the difficulty of identifying this
particular disorder, the treatment of which is complex.
http://dx.doi.org/10.1016/j.neurenf.2012.04.348
Mo-P-1237

Examining the experience of parents and staff in a neonatal

intensive care nursery

M.S. Turner , A. Chur Hansen , H. Winefield

Discipline of Psychiatry, University of Adelaide, South Australia, SA, Australia
Corresponding author.
This presentation considers the results from a qualitative research project examining parents and nursing staffs experiences of the neonatal intensive care units
(NICU) at a tertiary women and children hospital in South Australia. Ten parents
were interviewed while their babies were inpatients; they were then interviewed
again 3 months post babys discharge from the unit. Nine Neonatal intensive care
unit nursing staff were interviewed during a break from their nursing shift. In
total 29 interviews were transcribed and analysed to determine the main themes
regarding their experiences of the neonatal intensive care unit. The results will be
presented and discussed. A Parental Stress Survey NICU survey (Miles, 1993)
was completed by 72 parents who in the 12 months spanning August 2009 to
August 2010 had a baby admitted to the neonatal nursery. A summary of these
findings will also be discussed, in relation to the findings from the qualitative
analyses.
http://dx.doi.org/10.1016/j.neurenf.2012.04.349