Book of Abstracts of the 16th World Congress of the IACAPAP Book of Abstracts of the 16th World Congress of the International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP) 22-26 August 2004, Berlin, Germany Edited by Helmut Remschmidt, MD, PhD, Congress President Myron Belfer, MD, MPA, Chair Program Committee Prof Helmut Remschmidt, MD, PhD Department of Child and Adolescent Psychiatry Philipps University Hans-Sachs-Str. 6 35033 Marburg, Germany E-Mail: [email protected] Prof Myron L. Belfer, MD, MPH Harvard Medical School Department of Social Medicine 541 Huntington Avenue Boston, MA 02115, USA E-Mail: [email protected] ISBN 978-3-7985-1472-0 ISBN 978-3-662-21595-1 (eBook) DOI 10.1007/978-3-662-21595-1 Bibliographic information published by Die Deutsche Bibliothek Die Deutsche Bibliothek lists this publication in the Deutsche Nationalbibliografie; detailed bibliographic data is available in the Internet at <http://dnb.ddb.de>. 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Production: Heinz J. Schafer Typesetter: K+V Fotosatz GmbH, Beerfelden SPIN 11014416 85/7231 - Printed on acid-free paper Foreword This book contains all of the abstracts of the 16th World Congress of the Interna tional Association for Child and Adolescent Psychiatry and Allied Professions (IA CAPAP) held in Berlin, Aug 22-26, 2004. The abstracts are arranged according to the type of session (main lecture, state of the art lecture, symposium, workshop, course, or poster exhibition) and the day of the conference. The abstracts of the industry-sponsored sessions are also in cluded. A subject index is provided to help track themes of special interest. The author index allows you to find the abstract authors and the address of the first author for direct contact. The general theme of the congress "Facilitating Pathways: Care, Treatment and Prevention in Child and Adolescent Mental Health" is quite inclusive and the contri butions to the Congress, as reflected in the abstracts, cover the whole range of child and adolescent mental health endeavour, including all modern methods and trends in research and clinical application. The ways we understand and treat our patients are changing rapidly, and this too is reflected in the contributions to this volume, which give state-of-the-art information that should allow us to provide better care, treatment and prevention to children, adolescents and their care-givers everywhere in the world. In spite of remarkable progress during recent years, there are still areas of major concern such as: • magnitude of the burden of child and adolescent mental disorders • advances made in treatment and diagnosis • barriers to treatment • trends in care for children and adolescents with mental disorders. The Congress has recognized these areas of concern and given them special atten tion where possible. The concern for international issues, the uniquely important role of IACAPAP, is expressed by the breadth of the contributions coming from more than 70 countries. The cultural dimension is often emphasized both in terms of differences, but im portantly in an understanding of commonalities across cultures. The editors of this volume wish to thank the members of the IACAPAP Executive Committee for continuous help and support. They thank all the authors for their valuable contributions and their excellent cooperation. They express their thanks and appreciation to the German Society for Child and Adolescent Psychiatry, Psy chosomatics and Psychotherapy for the invitation to Germany and for substantial support. Further, they would like to offer their most sincere thanks to the program committee and especially to the reviewers who did an excellent job in reviewing more than 1200 submissions with remarkable results. Some compromises regarding format and the language of abstracts had to be made in order to maintain and pro mote a degree of uniformity and the international character of this Congress. VI I Foreword Finally, we thank very cordially the team of the congress orgamzmg company CPO-Hanser and the members of the publishing company Steinkopff. Last, but not least, we wish to thank the staff members of the Marburg Department for Child and Adolescent Psychiatry for their immense engagement, untiring effort, and highly competent work. Helmut Remschmidt, MD, PhD (Marburg/Germany) Congress President Myron 1. Belfer, MD, MPA (Boston/USA) Chair, Program Committee Committees Congress President Professor Helmut Remschmidt, Marburg National Scientific Committee (Directors and professors of child and adolescent departments at German universities) Chairman: Martin H. Schmidt, Mannheim Vice-Chairmen: Bernd Blanz, Jena Andreas Warnke, Wurzburg Members: Christine Ettrich, Leipzig Jarg M. Fegert, Ulm Tilman Furniss, Munster Alexander von Gontard, Homburg Frank Hassler, Rostock Johannes Hebebrand, Essen Beate Herpertz-Dahlmann, Aachen Emil Kammerer, Munster Gunther Klosinski, Tiibingen Ulrich Knalker, LUbeck Ulrike Lehmkuhl, Berlin Gerd Lehmkuhl, Kaln Joest Martinius, Munchen Gunther Moll, Erlangen Klaus-Jurgen Neumarker, Berlin Fritz Poustka, Frankfurt Franz Resch, Heidelberg Peter Riedesser, Hamburg Aribert Rothenberger, G6ttingen Michael Scholz, Dresden Eberhard Schulz, Freiburg Michael Schulte-Markwort, Hamburg Gerd Schutze, Kiel Scientific Secretaries Gerd Schulte-Karne, Marburg Johannes Hebebrand, Essen Klaus Hennighausen, Freiburg Fritz Mattejat, Marburg VIII I Committees Local Organizing Committee Chairperson: Ulrike Lehmkuhl, Berlin Members: Michael Huss, Berlin Ernst Pfeiffer, Berlin Harriet Salbach, Berlin International Advisory Board IACAPAP Executive Committee (1998-2004) The IACAPAP Executive Committee has served as the International Advisory Board. President: Helmut Remschmidt, Germany Secretary-General: Ian M. Goodyer, UK Treasurer: Myron L. Belfer, USA Honorary Presidents: James E. Anthony, USA Gerald Caplan, Israel Colette Chiland, France Vice-Presidents: Ernesto Caffo, Italy Miguel Cherro-Aguerre, Uruguay Pierre Ferrari, France Per-Anders Rydelius, Sweden Herman van Engeland, Netherlands Kosuke Yamazaki, Japan Assistant Secretaries: Peter Jensen, USA General: Savita Malhotra, India Samuel Tyano, Israel Adjunct Secretaries: Amira Seif El Din, Egypt Bernard Golse, France Michael Hong, Korea Patricia Howlin, UK Barry Nurcombe, Australia John Sikorski, USA Andreas Warnke, Germany Counselors: Salvador Celia, Brazil Ronald Feldman, USA Philippe Jeammet, France Kari Schleimer, Sweden Martin H. Schmidt, Germany Monograph Editors: J. Gerald Young, USA Pierre Ferrari, France Newsletter Editors: Cynthia Pfeffer, USA Jocelyn Hattab, Israel Editor Emeritus: Colette Chiland, France IACAPAP Nominating Committee Chairperson: Kari Schleimer, Malmo/Sweden Members: Salvador Celia, Porto Alegre/Brazil Barry Nurcombe, Brisbane/Australia Committees I IX Program Committee Chairman: Myron L. Belfer, USA Members: Boris Birmaher, USA Ernesto Caffo, Italy John Fayyad, Lebanon Martine Flament, Canada Ian M. Goodyer, UK Philip Graham, UK Arturo Grau, Chile Late Richard Harrington, UK Luis Diego Herrera, Costa Rica Members: Michael Hong, Korea Shuji Honjo, Nagoya/Japan Philippe Jeammet, France Barry Nurcombe, Australia Brian Robertson, South Africa Luis Rohde, Brazil Per-Anders Rydelius, Sweden Martin H. Schmidt, Germany Fred Volkmar, USA Andreas Warnke, Germany Kosuke Yamazaki, Japan Host Organization GERMAN SOCIETY FOR CHILD AND ADOLESCENT PSYCHIATRY, PSYCHOSOMATICS, AND PSYCHOTHERAPY President: Beate Herpertz-Dahlmann, Aachen Vice Presidents: Franz Resch, Heidelberg Peter Riedesser, Hamburg Secretary-General: Alexander von Gontard, Hornburg Treasurer: Ulrike Lehmkuhl, Berlin Members: Fritz Mattejat, Marburg Helmut Remschmidt, Marburg (Honorary President) Martin H. Schmidt, Mannheim (Honorary President) Renate Schepker, Hamm (Chairperson of the Board of Directors of Child and Adolescent Psychiatric Hospitals in Germany) Christa Schaff, Weil der Stadt (Chairperson of the professional organization of German Child and Adolescent Psychiatrists) Format Descriptions of the Scientific Program Main Lectures will be held every day by leading child psychiatrists and other mental health pro fessionals and will cover major topics of the program. State of the art Lectures will present the recent development in a certain area with special focus on the con gress theme. Symposia Symposia sessions last 120 minutes and focus on a specific topic, representing sev eral points of view. There are Invited Symposia and Proposed Symposia. The orga nizer of the symposium chairs the session, which includes a maximum of six pa pers and time for discussion. Workshops Workshop sessions last 120 minutes. They deal with topics of special interest to child and adolescent mental health, using multiple, brief presentations of not more than 60 minutes, followed by approximately 60 minutes of discussion. IACAPAP Courses devoted to topics of practical relevance and given by distinguished experts are part of the educational program and will give an excellent opportunity for learning new facts and treatment procedures. Fees are charged separately for the courses: EUR 50.00 per course. Five courses are scheduled for Sunday, Aug 22, from 9 AM to 1 PM, five on Thursday, Aug 26, from 2 PM to 6 PM. This offers the opportunity to participate in two courses. Poster Exhibition The Poster Exhibition will be open from Monday, Aug 23, 11 AM - Thursday, Aug 26, 4 PM. The posters can stay for the whole time of the congress. Each poster author is requested to be at his or her poster from Monday - Thursday, between l.30 and 2.30 PM. As the posters will be displayed for the whole time of the con gress, this gives ample opportunities to repeatedly visit the posters and to discuss with the poster authors.