Riccardo Alessandrelli graduated in Medicine at University of Rome “Tor Vergata” in the year 2004. Since 2012 he is working at Multidisciplinary Unit of the ASL2 Abruzzo-Department of Prevention of Public Health ASL2 (Azienda Sanitaria Locale nr2, Abruzzo- Italia). He is also teaching in “Childhood and Adolescent Psychiatry” at the School of Specialization of University “Gabriele D’annunzio” of Chieti, Italy.

Sleep problems are frequently found in patients diagnosed in the Autism Spectrum. These symptoms may be secondary to the “core” symptoms of autism, or caused by related psychiatric comorbidity. A specific diagnostic classification is therefore necessary for the reconstruction of the dynamics underlying insomnia, in order to set the most effective treatment.

Riccardo Alessandrelli graduated in Medicine at University of Rome “Tor Vergata” in the year 2004. Since 2012 he is working at Multidisciplinary Unit of the ASL2 Abruzzo-Department of Prevention of Public Health ASL2 (Azienda Sanitaria Locale nr2, Abruzzo- Italia). He is also teaching in “Childhood and Adolescent Psychiatry” at the School of Specialization of University “Gabriele D’annunzio” of Chieti, Italy.

This study evalued a sample of 1161 patients affered in the period from May 2012 to January 2015, within our multidisciplinary unit. Patients were selected assessing autism spectrum features and taking into account the diagnosis of access, received in the past in other clinical centers , compared with our diagnosis made with official diagnostic tools (SINPIA guidelines, 2002).The diagnostic assessment was done through anamnesis, patient examination, behavior’s observation , DSM5 criteria, as well as the utilization of the following assessment:- CARS1ADI-R2, CBCL3, CRS-R extended form4 ,Leiter-r5, WPPSI36,WISC47, coloured matrices8- Vineland9- DDE-210, MT11, AC-MT12- TPL13, TVL14- DSM4-TR15, DSM516.

In the pharmacotherapeutical treatment, and particularly in psychopharmacotherapy, there is more need to take into account the psychological factors that influence the effectiveness or ineffectiveness of the treatment. It\\\\\\\'s important to takes into account the holistic approach to the patient and a \\\\\\\"brain-mind\\\\\\\" concept is also inevitable in this approach.rnInefficiency of psychopharmacotherapy, treatment-resistence, non-adherence, nocebo etc.rnare only some of the phenomena that require a psychodynamic approach and the kind of creativity in prescribing drugs.rnrn

Raul Ramirez is a psychiatrist at the Brief Hospitalization Unit in Complejo Asistencial Benito Menni (Spain), with special interests about research in nosological and medical features of severe mental disorders. At the present, he is implementing a protocol about functional evaluation of psychiatric patients, using the World Health Organization paradigm. These lines of research have led to several publications at scientific journals and professional meetings.

Introduction: Assistance for severe mental disorders in Brief Hospitalization Units usually tends to focus on its symptomatic stabilization by essentially pharmacological strategies. However, there are a lot of patients in whom the severity of the disorder is manifested at a functional rather than a symptomatic level, and history of traumatic life events precipitating the disorder that led to the hospitalization is commonly presented.
rnObjective: To present the model of comprehensive care for severe mental disorders applied in Brief Hospitalization Unit (BHU) at Complejo Asistencial Benito Menni (Ciempozuelos, Madrid, Spain).
rnMethodology: The assistance protocol for the service, as well as future lines of work in it, is presented. Two cases dealing with such care model are discussed.
rnResults: The BHU care strategy is based on an integrated approach to patient problems beyond the merely symptomatic, examining also the functional and psychosocial elements affecting patient’s mental health. Specific evaluation strategies of both the patient’s functional status (according to the paradigm of the World Health Organization), and the presence of traumatic events in the past to allow an implementation of the treatments currently applied, are designed.
rnDiscussion / Conclusions: The model of care applied in the service and its proposals for future actions are related to the global trends of psychiatric assistance from public health protocols, also in parallel with current trends in other European countries, thus facilitating mental health recovery and greater satisfaction for patient.
rn

Mariely Lima has a degree in Speech Therapy (Superior School of Health Technology of Porto, 2001) and a PhD in Biomedical Sciences (Institute of Biomedical Sciences Abel Salazar of the O’Porto University, 2012). She is an invited Professor at the Superior School of Education Paula Frassinetti, where she lectures, since 2004, in Post-graduated and Master courses and supervises academic research. More recently (2013), she has been invited to lecture also at the Higher School of Health Sciences of the Aveiro University. rnShe is a founding member of ANIMAS (2002), a Portuguese association, that implements dog-assisted interventions and educates assistance dogs, being the only in Portugal that is accredited by the Assistance Dogs International. She has been responsible for planning and implementing a number of dog-assisted activities and therapy programs for children with different diagnoses, namely autism spectrum disorders and profound intellectual and multiple disabilities. She has been responsible for training courses aiming at certifying dog-handler teams in Portugal. rnShe has attended different conferences as an invited speaker and she has published a number of scientific papers, in the fields of communication, sensory stimulation and dog-assisted interventions, in peer reviewed journals with impact factor.rn

More than 50 years ago, the Psychiatrist Boris Levinson gave birth, quite by accident, to the concept of dogs as ‘co-therapists’. In a paper that turned out to be at the basis of Animal-Assisted Interventions (AAI), he described the unexpected benefits that the presence of his dog brought to his counseling sessions with children and youth, and provided numerous examples of ways in which a positive interaction with animals could enhance therapy. By stressing the need to empirically evaluate his model and highlighting a number of research questions that would be fruitful to explore at that point, he opened the way for the emergence of a multi-disciplinary field of research known as Anthrozoology, or Human-Animal Interaction (HAI). This field encompasses the relationships between people and animals, the emotional and cognitive mechanisms underlying them, and the ways in which they may affect human physical and psychological health and well-being, namely in clinical populations. Within these, Autism Spectrum Disorder (ASD) has been suggested, by markedly varied studies, as a target population that may specially benefit from positive interactions with animals, and particularly, dogs. To date, however, there is no comprehensive overview integrating data of relevance to the field of ASD from both ‘laboratory’ studies (i.e. studies focusing on particulars aspects of the dog-human interaction) and ‘clinical’ investigations (i.e., research evaluating dog-assisted interventions for ASD), nor any discussion on the need to evaluate the application of laboratory findings to targeted therapeutic protocols. The purpose of the information presented inthis poster is to fill this gap in the literature while, simultaneously, calling for attention on how far we still are today, within the particular field of ASD, from a proper analysis of the questions first brought to light by Levinson himself more than half a century ago.

Dr. Soumya Sachdeva has completed her MBBS (Bachelors of Medicine and Surgery) at the age of 24 years from Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India . She is very passionate about medical research and has 5 publication in Pubmed and 2 others in peer reviewed journals. She also is the editor board of Journal of Young Medical Researchers, wikidoc.org and is also the Ambassdor for International Journal of Medical Students (IJMS).

Context: Infertility is regarded as a trigger for psychological morbidity. Infertile couples often suffer from anxiety, depression and lack of self confidence. rnAims: To study the demographic factors associated with infertility in a tertiary care setup and to determine the levelof anxiety and depression associated with it by using standardized scales. The Study protocol also included studying thevarious coping strategies employed by these patient groups. rnMethods and Material: A prestructured questionnaire based study conducted for a span of 6 months. The study population included the patients attending the infertility and the family planning outpatient department. We applied the Hospital Anxiety and Depression scale (HADS) and the Becks depression Inventory (BDI). Brief COPE Inventory was applied to look for the various coping measures that are employed by the anxious and depressed patients. rnStatistical analysis: Data analysis was done using SPSS ver20. rnResults: A total of 280 study subjects were included in the study; which included 140 women from the infertility clinic and 140 from the family planning OPD. A total of 56.4% (79/140) of the females were found to be suffering from depression and 68.9% (96/140) of the females were found to be suffering from anxiety and depression both. Seven risk factors were found to be significant for depression based on the BDI scale which were significant on univariate analysis were increasing age, lack of employment, abortion, no. of children, support from spouse, relatives support, menses, gynecological infections, duration of infertility and previous treatment of infertility. The independent risk factors causing depression in the females were found to benumber of abortion, no of children, cost of treatment and the duration of infertility and previous treatment of infertility. Six risk factors were found to be significant based on the HADS scaleon univariate analysis were increasing age of the study subjects, lack of employment, education, abortion, no of children, support from spouse, support from relatives, menstrual disturbances, gynecological infection, duration of infertility and previous treatment for infertility. The Independent risk factors associated with anxiety and depression on binary logistic regression were unemployment , duration of infertility and previous treatment for infertility and the cost of treatment. The most common coping method employed by depressed women was venting 72.2% (57/79) followed by behavioral disengagement 70.9% (56/79); whereas the most important coping method employed by the anxious and depressed women was behavioral disengagement 71.9% (69/96). rnConclusions: Anxiety and depression is common among patients suffering from infertility and measures should be taken to alleviate it.rn

Across the developed world,\r\nefforts are being made to identifyand develop effective\r\ninterventions that will reduce the prevalence and severity of mental health problems among children and young people in out-of-home care. Foster and kinship carers have been identified as critical in this process. This study utilised the scoping study method in order to develop a better understanding of what interventions and/or support assist carers in responding effectively to the mental health needs of the children and young people in their care.

Boksha I.S. education: 2013 – Advanced courses in Biotechnology at the Institute of Bioorganic Chemistry of RAS; 2008 – Dr. Nat. Sci. in Biology (Biochemistry), the People’s Friendship University, Medical Faculty, Moscow; 1995 - Ph.D. in Biology (Biophysics/Microbiology), the Institute of Chemical Physics of RAS, Dept. of Kinetics of Biological and Chemical Processes. She has published more than 25 papers in reputed journals and has been serving as an editorial board member of repute. \r\n

Individual prognosis of antipsychotic therapy efficacy in patients with endogenous psychoses remains an unsolved problem, and no reliable biological or clinical markers are proposed still for development of approach to elevation of individual antipsychotic therapy efficacy. Glutamate dehydrogenase (GDH) enzymatic activity was determined in platelets of patients with endogenous psychoses (diagnosed as schizophrenia (n=48) or schizoaffective disorder (n=21)) in comparison with control group (n=34), and links were searched between their platelet GDH activity and clinical psychopathological condition. Generally, baseline GDH activity in patients was significantly lower, than in the control group (р<0.001, Mann-Whitney U-test). Significant differences were revealed in baseline GDH activity between subgroups of patients with first episode psychosis (FEP, n=34), chronic patients (n=35), and control group (p<0.002, Kruskal-Wallis test), wherein baseline GDH activity correlated with PANSS assessed before the treatment course in FEP patients: PANSStot (Spearman R= – 0.44, р<0.008), PANSSneg (R= – 0.48, р<0.003), and PANSSpsy (R= – 0.37, р<0.03). No links were found in patients with chronic schizophrenia. Besides, significant links between baseline GDH activity and PANSS scores after the treatment were found in FEP patients: the higher were levels of GDH activity, the lower were their PANSS scores after the treatment: PANSStot (R= – 0.39 p<0.04), PANSSneg (R= – 0.39 p<0.04), and PANSSpsy (R= – 0.37 p<0.04). Conclusion – data on initial (baseline) levels of platelet GDH activity can help to develop individual prognosis of antipsychotic pharmacotherapy efficacy in patients with FEP.