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nd of the discussion, we try to answer what is the best possible way to includesychotherapeutic and counseling work with these patients.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.552

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elf-concept in children and adolescents with diabetes type: Its impact in adherence to the treatment.C. Jorge , I. Portinha ∗

Child and Adolescent Psychiatry, Centro Hospitalar do Porto, 003, PortugalCorresponding author.

iabetes Type l is a complex chronic disease that is difficult to control, especiallyuring childhood and adolescence. It requires an adjustment of their thoughts,eelings, and behavior which themselves can have impact on adherence to thereatment and well being in diabetics. The main objective of this study is tovaluate the self-concept in children and adolescents with diabetes type 1 andetermine if it influences adherence to the treatment. The study involved 30hildren and adolescents, aged to 18 years from the Pediatric Department ofentro Hospitalar do Porto-Liaison Child and Adolescent Psychiatry Service.elf-reports were obtained using a sociodemographic questionnaire and a Self-oncept Scale from Pier-Harris. Metabolic control was measured by averagebA1c in last 12 months. Preliminary results did show the influence of self-

oncept and other variables in metabolic control. Implication for research andraining are also discussed.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.553

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I want to die to see him again”, an infantile losslaborated during teenage year. Albu-Léost

Clinique Villa des Pages, Le Vezinet, France

he psychological work during adolescence interwoven with movements ofenunciation and acceptance, and with modifications of investments and inter-al behaviors, recalls closely the mourning process. A grieving which occurreduring childhood is often delayed till adolescence. Young subjects, often overw-elmed by emotions, try to use then the means available to them to overcome it.ost often, teenagers are powerless in front of their suffering and use the acting

ut as a way to avoid facing their feelings? We propose to illustrate this processhrough the story of a young patient followed in psychiatric clinic, hospitalizedor depressive state with suicidal ideas and scarifications.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.554

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he impact of father loss and maternal complicated griefeaction on the psychosocial development of the children. Akyil ∗, R. Saydam , S. Purisa , B. Alyanak , T. Sevketoglu , N. Ister ,.A. Tüccar , A. Gültekin

Association For Child Guidance and Mental Health, Istanbul, TurkeyCorresponding author.

udden and traumatic loss causes deterioration in psychological and somaticell-being, and can provoke a complicated grief reaction. Aim of the study is

valuating the complicated grief reaction in relation to the psychopathologicalutcome in mothers with partner loss. The study group consists of 104 mothersho live in Istanbul. Demographic Data Form, Complicated Grief Checklist andymptom Checklist (SCL-90R) were applied to the subjects. There was a signi-cant correlation between clinically dominant symptoms reported in SCL-90Rnd the complicated-grief scores (P < 0.001). The mothers with higher score in

oth assessment instruments reported a “happy” marriage with their lost hus-and, and they preferred to sleep with their children, leading to major problemsn the psychosocial development of the youngsters. In conclusion, it is impor-ant to offer professional assistance to the mourning mothers to overcome their

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l’enfance et de l’adolescence 60S (2012) S197–S253 S233

ifficulties and solve the dysfunctional grief process, which is a must in anppropriate individual and social development of the-also mourning-children.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.555

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upport for families dealing with perinatal and postnataloss and bereavement.E. Mickeviciute a,∗, R. Breidokiene b, G. Subaciute a, S. Lesinskiene a

Clinic Of Psychiatry, Centre Of Children Psychiatry and Social Paediatrics,ilnius University Faculty of Medicine, Vilnius, LithuaniaDepartment Of General Psychology, Vilnius University, Faculty ofhilosophy, Vilnius, LithuaniaCorresponding author.

bjective.– The aim of the study was to examine the need of support of theothers’ that have lost their child and the role of physician in child death

ituations.ethods.– The research method is in-depth case study of the mothers who have

ost their child. All participators were asked to answer an anonymous e-maileduestionnaire.esults.– There were 38 mothers participating in our research, 12 of them had

heir children born alive but children died afterwards, 18 experienced miscar-iage, six had still-borns and two abortions. The average age of the participatorsas 30,03 years (18–47 years old). The results show that the major support for

hem was provided by partner, relatives and people, who had similar experience.he majority of the women (31) mentioned that they communicated with theedical staff, but only four of them selected physician as a significant support

rovider.onclusion.– Although almost every family at the child’s death moment com-unicates with medical staff, well-timed and sufficient support still is lacking.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.556

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ourse of grief after prenatal loss and links with maternalepresentations: A prospective study. Vulliez-coady ∗, E. Martin , C. Dodane , S. Nezelof

Service de pédopsychiatrie, CHU de Besancon, Besancon, FranceCorresponding author.

ackground.– Prenatal loss is associated with significant depression and anxiety.he process of mourning is particular because of incomplete separation between

he mother and her baby.bjectives.– This study investigated the hypothesis that affective symptoma-

ology following prenatal loss is linked to the maternal representations of theregnancy and of the baby/fetus.ethods.– Seventy-nine women were recruited in the department of obstetric

CHU Besancon, France): 35 with spontaneous abortion (SA), 20 with termi-ation of pregnancy for foetal anomalies (TP), and 24 control pregnant womenithout complications. They were evaluated during 18 months after the loss,

or depression, anxiety, and grief. Maternal representations were evaluated byontent analysis of a semi-structured interview.esults.– Grief reactions gradually declined, but were still high at 18 months in3% of TP, and 12% of SA. Eleven of TP suffered of a major depressive disordert 18 months; 14 of SA spoke more of the break of the pregnancy than about theoss of their fetus at the first time of evaluation.onclusions.– In prenatal loss, it is important to assess the part taken by the lossf the fetus in relation to the major disruption caused by this loss.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.557

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elation between urine osmolarity and outcome of alarm

reatment for enuresis.F. Pereira a,∗, P. Braga-Porto b, E.F.D.M. Silvares a

Institute of Psychology, University of São Paulo, São Paulo, Brazil