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IACAPAP 2012–20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S140–S196 S141 Mo-P-1004 That’s [not] so gay: Computerised cognitive behavioural therapy for depressive symptoms in sexual minority youth M. Lucassen , S.N. Merry , S. Hatcher Psychological Medicine, University of Auckland, Auckland, New Zealand Corresponding author. Purpose.– Sexual minority youth disproportionately experience depression and have difficulty accessing help for emotional worries. The primary aim of the current study was to determine whether Computerised Cognitive Behavioural Therapy (CCBT) reduced depressive symptoms and was acceptable to sexual minority youth. Methods.– An open-trial was conducted with sexual minority youth and the results were compared with exclusively opposite-sex attracted youth from a ran- domised controlled trial (RCT) comparing SPARX/CCBT to usual care. SPARX is a 3D role-play CCBT programme and a special version (SPARX: The Rainbow Version) was developed for sexual minority youth. Changes in Child Depres- sion Rating Scale–Revised scores over time were analysed using general mixed linear models. Results.– The depressive symptoms of sexual minority youth (n = 21) from the open trial decreased significantly post intervention (P < 0.0001), with a large pre- to post-effect size (d = 1.01) and this positive change was maintained at three-month follow-up. Open trial participants were more likely to complete treatment compared to exclusively opposite-sex attracted youth (n = 154) from the RCT (P = 0.007). Over 80% of sexual minority youth thought SPARX: The Rainbow Version would appeal to other adolescents. Conclusions.– SPARX: The Rainbow Version shows promise and is an accep- table intervention for depressive symptoms in sexual minority youth. http://dx.doi.org/10.1016/j.neurenf.2012.04.116 Mo-P-1005 Internet addiction disorder among adolescent students S.A. Khan Reproductive and Child Health, National Institute of Preventive and Social Medicine (NIPSOM), Dhaka, Bangladesh Background.– The Internet addiction disorder (IAD) is conceptualized by an individuals inability to control his or her use of the internet which causes marked distress and/functional impairment. Aims.– It was a cross-sectional study with aimed to find out the proportion of Internet addiction disorder among adolescent students and association of age, sex, educational level with addiction as well as relation of Internet addiction to their different internet related activities and to determine to their severity of addiction. Methods.– The study Internet addiction disorder among adolescent students was conducted purposively from 5 schools and 7 colleges of Dhaka City of Bangladesh from January to June 2011. In total of 797 students (438 were male, 359 were female, mean age: 16.47 ± 1.21 years) of grade IX, X and XII were recruited. A self-administered questionnaire and Young’s Internet addiction scale (IAS) were applied to the participants. Results.– Among 797 students, 161 (20.20%) were found as Internet addiction disorder. Out of total 797 respondents, 40.15% were school students (Grade IX and X) and 59.85% were college students (Grade XII). Internet addiction was identified more among elderly adolescent (16–18 years) students (22.6%) and male students were more Internet-addicted (24.4%) than female students (15%). There was no relation found between educational level and Internet addiction. Association between information seeking behavior (P < 0.05) and chatting (P < 0.01) with Internet addiction found but no relation with email, face book and Instant message with Internet addiction were established. Out of 161 adolescent students who were identified as Internet addiction disorder, 60 (37.3%) were average user, 96 (59.6%) were occasional/frequent problematic and 5 (3.1%) had significant problem. Conclusion.– This study demonstrated that Internet addiction presents among Bangladeshi urban adolescent students. It will help parents and teachers about appropriate parental guidance as well as it will create awareness among teachers, parents, policy maker and students about this addiction. http://dx.doi.org/10.1016/j.neurenf.2012.04.117 Mo-P-1006 The experience of puberty: What is an Iranian girl perception? Z. Hamzehgardeshi a,, N.A. Hajikhani Golchin b , M. Fakhri a , L. Hamzehgardeshi c a Midwifery, Mazandaran University of Medical Sciences, Mazandaran University of Medical Sciences, Iran b Midwifery, Islamic Azad University Gorgan branch, Gorgan, Iran c Hospital Administration, Islamic Azad University Fars Science and Research branch, Iran Corresponding author. The aim of this study was to explore of puberty experiences in adolescent girls who live in Iran. Qualitative research was adopted using content analysis of semi-structured interviews carried out with 38 girls of 12 to 20 years old who had at least experienced three menstrual cycles. Data was collected by focus group and in-depth interviews. All interviews were transcribed verbatim and analysed. Researchers eventually determined themes and categories by quali- tative data analysis. The analysis of the transcripts showed seven main themes were extracted from the interviews including menarche as the most unpleasant event in puberty, getting nervous about and ashamed of bodily changes, psycho- logical changes, and discordance with parents, sexual orientation and the need for education on this issue, scholastic dysfunction and religious considerations. The majority of the participants had an unpleasant experience. Most of them were in need of education on how to go about the issues surrounding puberty. http://dx.doi.org/10.1016/j.neurenf.2012.04.118 Mo-P-1007 Adolescents’ aggression: Cold versus warm climates J. Khoshhal Dastjerdi Geography, University Of Isfahan, Isfahan, Iran Keywords: Adolescents; Aggression; Temperature; Climate; Variables Background.– The effect of climate on adolescents behavior especially aggres- sive rate is controversial. This study was designed to determine the association between type of climate and level of aggression in a group of adolescents. Material and method.– Adopting clustered random sampling method 567 high school students from two extreme climates, i.e., coldest (Fereidoonshahr) and warmest (Khoor) in Isfahan province during 1 year were screened by Aggression Questionnaire. Data were analyzed using SPSS and running Chi 2 , t student and ANCOVA. Results.– Irrespective of their region, their average aggression score was 41.04 ± 1.05.Students from cold areas like Fereidoonshahr were more aggres- sive as compared to their counterparts in hot climates like Khor (P < 0.001). Conclusion.– Mental health condition is also subject to variation in climate condition. Present findings indicate that people living in cold climate as compa- red to those from hot regions are more prone to aggression. http://dx.doi.org/10.1016/j.neurenf.2012.04.119 Mo-P-1008 Executive functioning and delinquent behavior in Chinese juvenile delinquent with comorbid developmental reading disability and attention-deficit/hyperactivity disorder K.Y. Poon Department of Psychology, The University of Hong Kong, Hong Kong, Hong Kong Background.– Many studies reported high prevalence of attention deficit hyper- activity disorder (ADHD) and reading disorder (RD) among offenders. Very few have examined the group with comorbid ADHD + RD and its underlying cognitive profile. The present study was to compare the severity of delinquent behavior and executive function (EF) in a group of juvenile delinquent with ADHD, RD, and comorbid ADHD + RD. Method.– Subjects were adolescent boys with RD and/or ADHD recruited from juvenile institutions. Assessment batteries on executive functions (EF) were

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IACAPAP 2012 – 20th World congress / Neuropsychiat

o-P-1004

hat’s [not] so gay: Computerised cognitive behaviouralherapy for depressive symptoms in sexual minority youth. Lucassen ∗, S.N. Merry , S. Hatcher

Psychological Medicine, University of Auckland, Auckland, New ZealandCorresponding author.

urpose.– Sexual minority youth disproportionately experience depression andave difficulty accessing help for emotional worries. The primary aim of theurrent study was to determine whether Computerised Cognitive Behaviouralherapy (CCBT) reduced depressive symptoms and was acceptable to sexualinority youth.ethods.– An open-trial was conducted with sexual minority youth and the

esults were compared with exclusively opposite-sex attracted youth from a ran-omised controlled trial (RCT) comparing SPARX/CCBT to usual care. SPARXs a 3D role-play CCBT programme and a special version (SPARX: The Rainbowersion) was developed for sexual minority youth. Changes in Child Depres-ion Rating Scale–Revised scores over time were analysed using general mixedinear models.esults.– The depressive symptoms of sexual minority youth (n = 21) from thepen trial decreased significantly post intervention (P < 0.0001), with a largere- to post-effect size (d = 1.01) and this positive change was maintained athree-month follow-up. Open trial participants were more likely to completereatment compared to exclusively opposite-sex attracted youth (n = 154) fromhe RCT (P = 0.007). Over 80% of sexual minority youth thought SPARX: Theainbow Version would appeal to other adolescents.onclusions.– SPARX: The Rainbow Version shows promise and is an accep-

able intervention for depressive symptoms in sexual minority youth.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.116

o-P-1005

nternet addiction disorder among adolescent students.A. Khan

Reproductive and Child Health, National Institute of Preventive and Socialedicine (NIPSOM), Dhaka, Bangladesh

ackground.– The Internet addiction disorder (IAD) is conceptualized by anndividuals inability to control his or her use of the internet which causes markedistress and/functional impairment.ims.– It was a cross-sectional study with aimed to find out the proportion of

nternet addiction disorder among adolescent students and association of age,ex, educational level with addiction as well as relation of Internet addictiono their different internet related activities and to determine to their severity ofddiction.ethods.– The study Internet addiction disorder among adolescent studentsas conducted purposively from 5 schools and 7 colleges of Dhaka City ofangladesh from January to June 2011. In total of 797 students (438 wereale, 359 were female, mean age: 16.47 ± 1.21 years) of grade IX, X and XIIere recruited. A self-administered questionnaire and Young’s Internet addiction

cale (IAS) were applied to the participants.esults.– Among 797 students, 161 (20.20%) were found as Internet addictionisorder. Out of total 797 respondents, 40.15% were school students (GradeX and X) and 59.85% were college students (Grade XII). Internet addictionas identified more among elderly adolescent (16–18 years) students (22.6%)

nd male students were more Internet-addicted (24.4%) than female students15%). There was no relation found between educational level and Internetddiction. Association between information seeking behavior (P < 0.05) andhatting (P < 0.01) with Internet addiction found but no relation with email,ace book and Instant message with Internet addiction were established. Out of61 adolescent students who were identified as Internet addiction disorder, 6037.3%) were average user, 96 (59.6%) were occasional/frequent problematicnd 5 (3.1%) had significant problem.onclusion.– This study demonstrated that Internet addiction presents among

angladeshi urban adolescent students. It will help parents and teachers aboutppropriate parental guidance as well as it will create awareness among teachers,arents, policy maker and students about this addiction.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.117

bAMj

l’enfance et de l’adolescence 60S (2012) S140–S196 S141

o-P-1006

he experience of puberty: What is an Iranian girlerception?. Hamzehgardeshi a,∗, N.A. Hajikhani Golchin b, M. Fakhri a,. Hamzehgardeshi c

Midwifery, Mazandaran University of Medical Sciences, Mazandaranniversity of Medical Sciences, IranMidwifery, Islamic Azad University Gorgan branch, Gorgan, IranHospital Administration, Islamic Azad University Fars Science and Researchranch, IranCorresponding author.

he aim of this study was to explore of puberty experiences in adolescent girlsho live in Iran. Qualitative research was adopted using content analysis of

emi-structured interviews carried out with 38 girls of 12 to 20 years old whoad at least experienced three menstrual cycles. Data was collected by focusroup and in-depth interviews. All interviews were transcribed verbatim andnalysed. Researchers eventually determined themes and categories by quali-ative data analysis. The analysis of the transcripts showed seven main themesere extracted from the interviews including menarche as the most unpleasant

vent in puberty, getting nervous about and ashamed of bodily changes, psycho-ogical changes, and discordance with parents, sexual orientation and the needor education on this issue, scholastic dysfunction and religious considerations.he majority of the participants had an unpleasant experience. Most of themere in need of education on how to go about the issues surrounding puberty.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.118

o-P-1007

dolescents’ aggression: Cold versus warm climates. Khoshhal Dastjerdi

Geography, University Of Isfahan, Isfahan, Iran

eywords: Adolescents; Aggression; Temperature; Climate; Variablesackground.– The effect of climate on adolescents behavior especially aggres-ive rate is controversial. This study was designed to determine the associationetween type of climate and level of aggression in a group of adolescents.aterial and method.– Adopting clustered random sampling method 567 high

chool students from two extreme climates, i.e., coldest (Fereidoonshahr) andarmest (Khoor) in Isfahan province during 1 year were screened by Aggressionuestionnaire. Data were analyzed using SPSS and running Chi2, t student andNCOVA.esults.– Irrespective of their region, their average aggression score was1.04 ± 1.05.Students from cold areas like Fereidoonshahr were more aggres-ive as compared to their counterparts in hot climates like Khor (P < 0.001).onclusion.– Mental health condition is also subject to variation in climateondition. Present findings indicate that people living in cold climate as compa-ed to those from hot regions are more prone to aggression.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.119

o-P-1008

xecutive functioning and delinquent behavior in Chineseuvenile delinquent with comorbid developmental readingisability and attention-deficit/hyperactivity disorder.Y. Poon

Department of Psychology, The University of Hong Kong, Hong Kong, Hongong

ackground.– Many studies reported high prevalence of attention deficit hyper-ctivity disorder (ADHD) and reading disorder (RD) among offenders. Veryew have examined the group with comorbid ADHD + RD and its underlyingognitive profile. The present study was to compare the severity of delinquent

ehavior and executive function (EF) in a group of juvenile delinquent withDHD, RD, and comorbid ADHD + RD.ethod.– Subjects were adolescent boys with RD and/or ADHD recruited from

uvenile institutions. Assessment batteries on executive functions (EF) were