Læknablaðið : fylgirit - 01.08.2003, Page 70

I POSTERS / 27TH NORDIC PSYCHIATRIC CONGRESS
P - 37 Thursday 14/8,14:00-15:00
Am I my brother's keeper: Responsibility attitudes and
obsessive compulsive symptoms in childhood
Jakob Smári. Professor, Faeulty of Social Sciencc, University of Iceland, 101 Reykja-
vík, Iceland. Þóra Magnúsdóttir, Anika Böðvarsdóttir.
jakobsm@hi.is
Background: Responsibility attitudes and appraisals have in cogni-
tive models been suggested as important determinants of obsessive-
compulsive symptoms. Support for this has mostly been obtained in
studies of adults. It seems thus important to investigate whether the
model is applicable to children and adolescents.
Aims: To investigate whether responsibility attitudes are related to
self-reported obsessive-compulsive symptoms over and above de-
pression and anxiety. Furthe the relationships between responsibi-
lity attitudes and different types of obsessive-compulsive symptoms
are elucidated.
Method: Tlie Responsibility Attitudes Scale Child-Version (RAS-
CV), the Obsessive-Compulsive Inventory-Child-Version (OCI-
CV), the Children’s Depression Inventory (CDI) and the Multidi-
mensional Anxiety Scale for Children (MASC-10) were adminis-
tered to 407 Icelandic schoolchildren aged 13-15 yrs.
Results: Responsibility attitudes had higher correlations with OCI-
CV than with CDI or MASC and the correlation between OCI-CV
and responsibility attitudes was significant when CDI and MASC
were partialized out. Furthermore, in a hierarchical multiple regres-
sion, responsibility attitudes added significantly to the prediction of
OCI-CV scores over and above age, gender, CDI score and MASC
scores. Among the OCI-CV scales responsibility attitudes were
most strongly related to obsessing.
Conclusions: Responsibility attitudes seem to be specifically related
to obsessive-compulsive symptoms in late childhood, over and
above symptoms of anxiety and depression.
P - 38 Thursday 14/8, 14:00-15:00
Brain function and structure in paedophilia
Naudts KH, MD, Department of Psychiatry, Ghent University, 9000 Ghent,
Belgium. Taylor PJ, Van den Eynde F, Audenaert K, Van Heeringen C.
kris. naudts@hotnuiil. com
Background: Paedophilia is recognised as a mental disorder in
International and American classification manuals, but clinicians
on both sides of the Atlantic are, at best, ambivalent about any case
for treatment. Recognition is in operational terms only; there is
indication neither of aetiology nor prognosis.
Aims: To review the literature on brain imaging in this condition; to
evaluate the evidence for an organic brain contribution to its aetio-
logy and develop testable hypotheses.
Methods: Medline search for the period 1.1.1960 through 2002 and
a PsycINFO search from 1995 until July 2002 and a manual search
of selected high impact journals from the general/forensic psychi-
atric field; from the neuro-imaging/sexuality literature. We included
only articles which fulfilled our operational criteria for paedophilia.
Results: From neuropsychological tests, EEG, CT-, SPECT, MRI and
PET-scans possible involved brain regions in paedophilia appear the
frontal and temporal lobes; the septal and hypothalamic nuclei; the
limbic system. There are also indications for hemispheric dysfunction.
Condusions: PET and (f)MRI in a large, homogenous sample of
fixated paedophiles- compared to other subgroups of paedophiles
or sex offenders and normals could yield a further insight into the
aetiology of paedophilia and sex-offending.
P - 39 Thursday 14/8, 14:00-15:00
Child sexual abuse in lceland
Hrefna Ólafsdottir. Social Worker MSW, Landspítalinn, The University Hospital,
Department of Child and Adolescent Psychiatry, Dalbraut 12,105 Reykjavfk, Ice-
land
hrefnaol@landspitali. is
Background: I had been working on a questionnaire for this re-
search with researchers in this field in Schandinavia since the year
1995. In the year 2000 this first probability research was made on
Child Sexual Abuse in Iceland. I worked with The University of
Iceland - Social Science Research Institute. In the year 2001 the
first step of data analyses was made.
Aims: The aim is to determine the prevalence and the nature of the
abuse in accordance with relations and social and psychological
situation. Also to try to determine the epidemological impact of
CSA, especially for the survivors.
Method: It is a Questionnaire Survey Research. We sent a question-
naire out to a random sample of 1500 people in the age from 18 to
60 years. The random sample was made from the whole population
of Iceland.
Results: The group of survivors is determined to be 16.7% of all
children/adolescents within the age of 18 years have at least once
been sexually abused. This group is a little bigger than in the other
Schandinavian countries. Tlie survivor is a girl at the age 7-10 years,
she is sexually abused by some man within the family who is either
under 20 or older than 50 years. Tlie abuse happens more than once
and spreads over more than one year and is coarse or very coarse in
over 60% of the cases.
Conclusions: Survivors of CSA is a big group. The biggest part of
the group are young girls within the age of 10 years that are mostly
abused within the shelter of their home environment. It seems to
have a major negative impact on their future life, both socially and
psychologically.
P - 40 Thursday 14/8,14:00-15:00
Behaviour and emotional disorders among icelandic
children and adolescents
Helga Hannesdóltir, Psychiatrist, Landspítalinn University Hospital, Reykjavík,
Iceland. Lilja Sólnes, Jorma Piha.
helgah@centrum. is
Objectives: 1) Compare behaviour problem scores (BPS) between
Icelandic child/adolescent psychiatric patients and a population
sample utilising the Child Behaviour Checklist (CBCL). 2) Indicate
the diagnostic/treatment modalities in use in Iceland at the time.
Methods: Subjects were 329 outpatients ages 4-16 evaluated at the
Landspitali University Hospital, Child Psychiatric Clinic. Each
70 LÆKNABLAÐIÐ / FYLGIRIT 48 2003/89