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190 IACAPAP 2012 – 20th World congress / Neuropsychiat

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sychological assistance for parents during child’sreatment. Mazurova

Special Psychology, Scientific Center of Children’s Health, Moscow, Russianederation

urpose of the study.– Examine particular emotional state of parents, determineatter of psychological assistance to them during child’s treatment.atients.– We note that 1850 parents, whose children had diseases with variousegree of severity.ethods.– Clinicobiographical, diagnostic, expert, statistical data processing.esults.– We determined factors of parental emotional response and described

ypes of psychological state. We found out that the type of emotional state ofarents depended on their knowledge about the severity of the disease. Depthnd duration of emotional response are connected with personal characteristicsf parents, their system of values in life. One of important factors is lengthf the time interval from the moment when the diagnosis became known. Weetermined content of counseling depending on the severity of child’s disease,ge, personal characteristics of parents.onclusion.– This kind of assistance must become indispensable part of child’s

reatment. The earlier psychological support the more successful child’s reha-ilitation runs, the higher indicators of compliance are.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.345

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he effect of family therapy on the changes in the severityf online game play and brain activity in adolescents withnline game addiction.H. Han a,∗, Y.S. Lee a, T.Y. Choi b

Psychiatry, Chung Ang University Hospital, Seoul, KoreaCatholic University Hospital, Dae Gu, KoreaCorresponding author.

e evaluated whether a short, 3-week family therapy intervention would changeatterns of brain activation in response to affection and gaming cues in adoles-ents from dysfunctional families who met criteria for online game addiction.ifteen adolescents with online game addiction and fifteen adolescents withoutroblematic online game play and an intact family structure were recruited.uring 3 weeks, families were asked to carry out homework assignments focu-

ed on increasing family cohesion for more than 1 hour/day and 4 days/week.rior to therapy, adolescents with online game addiction demonstrated decrea-ed activity within the caudate, middle temporal gyrus, and occipital lobe inesponse to images depicting parental affection and increased activity of theiddle frontal and inferior parietal in response scenes from online games, rela-

ive to healthy comparison subjects. Improvement in perceived family cohesionollowing 3 weeks of treatment was associated with an increase in the activity ofhe caudate nucleus in response to affection stimuli and was inversely correlatedith changes in online game playing time. In contrast, activity of the dorsolate-

al prefrontal cortex in response to online game stimuli decreased. The presentndings suggest that brain activation in response to images depicting parentalffection may displace the brain activation in responding to online game playingues following treatment.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.346

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hink family/whole family approach multi-agency trainingrogram for frontline professionals: Improving the

utcomes for mentally ill parents and their children. Gatsou a,∗, G. Fadden b, N. Goodrich c, S. Yates c, R. Valand d,. Shahzad d, K. Thomaidis a

Leicestershire Partnershire NHS Trust, Leicester, UK

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l’enfance et de l’adolescence 60S (2012) S140–S196

Birmingham and Solihull Mental Health Foundation, University ofirmingham, Birmingham, UKDe Montfort University, Leicester, UKHIEC Intern, Leicester University, Leicester, UKCorresponding author.

his presentation aims to illustrate the development and dissemination of thehink Family/Whole Family Approach Multi-agency Training in the regionf East Midlands, UK (locality of Leicester, Leicestershire and Rutland). Thisraining package was developed in order to provide a unified approach to fami-ies experiencing parental mental illness and to promote joint working acrosservices. The multi-agency training programme equips frontline professionalsith family focused intervention skills and necessary knowledge and awareness

egarding mental illness in the family. Hundred frontline professionals fromore then 20 different services from health, education, social care and volun-

ary sector have been trained in a family based intervention using components ofhe evidence based Behavioural Family Therapy model used by Meriden Familyrogramme and informed by the Think Family/Whole Family Approach, Thinkhild, Think Parent, Think Family and Children of Parents with Mental Illnessuidelines and principles.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.347

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ünchausen syndrome by proxy with psychiatric features. Auxemery

Psychiatrie, HIA Legouest, Metz, France

ünchausen syndrome by proxy (MSP) is defined in the International Classifi-ations of Diseases as a factitious disorder by proxy. This pathology, expressedhrough the intermediary of a child, constitutes serious abuse. Although MSPas long been misunderstood by practitioners, it is now a subject of great edi-orial interest, particularly in the paediatric literature. Because of the emotionsnd questions that this syndrome raises, the media regularly refers to this issue.fter an update on the classic form of MSP via somatic expression and its diag-ostic issues, we present a review of the literature to explain the peculiaritiesf MSP with psychiatric expression. This clinical form is characterised by thellegation of artificial psychiatric disorders to convince others that a child suffersrom these disorders. We detail the psychological complications for the childhrough a case report and analysis that illustrate the difficulty of identifying thisarticular disorder, the treatment of which is complex.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.348

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xamining the experience of parents and staff in a neonatalntensive care nursery

.S. Turner ∗, A. Chur Hansen , H. WinefieldDiscipline of Psychiatry, University of Adelaide, South Australia, SA, AustraliaCorresponding author.

his presentation considers the results from a qualitative research project exami-ing parents’ and nursing staffs’ experiences of the neonatal intensive care unitsNICU) at a tertiary women and children hospital in South Australia. Ten parentsere interviewed while their babies were inpatients; they were then interviewed

gain 3 months post baby’s discharge from the unit. Nine Neonatal intensive carenit nursing staff were interviewed during a break from their nursing shift. Inotal 29 interviews were transcribed and analysed to determine the main themesegarding their experiences of the neonatal intensive care unit. The results will beresented and discussed. A Parental Stress Survey NICU survey (Miles, 1993)as completed by 72 parents who in the 12 months spanning August 2009 to

ndings will also be discussed, in relation to the findings from the qualitativenalyses.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.349