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S188

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.332

EW215

The relationship of perfectionismwith

changes in body dissatisfaction in

eating disorders treatment outcome

T. Rodriguez Cano

1 ,

, L. B

eato Fernandez

1 , B. M

ata Saenz

1 ,

L. Rojo Moreno

2

, F.J. Vaz Leal

3

1

Hospital General Ciudad Real, Psychiatry, Ciudad Real, Spain

2

Professor of Psychiatry. HUiP la Fe, Catedrático de Psiquiatría,

Valencia, Spain

3

University of Extremadura Medical School Head, Mental Health and

Eating Disorder Unit, University Hospital Network Badajoz, Professor

of Psychiatry, Badajoz, Spain

Corresponding author.

Introduction

Body dissatisfaction is one of the core psychopatho-

logical components in Eating Disorders (EDs) and it tends to persist

over time regardless treatment interventions. Perfectionism is con-

sidered as a mediator and moderator between body dissatisfaction

and disordered eating.

Objectives

To study the influence of Perfectionism in EDs out-

come.

Aims

To analyze changes in body dissatisfaction at one year

follow-up in patients with eating disorders and the effect of per-

fectionism over these changes.

Methods

Participants were 151 patients with eating disorders.

DSM-IVTR diagnoses were as follows: 44 (29.1%) Anorexia Nervosa

(AN), 55 (36.4%) Bulimia Nervosa (BN) and 52 (34.4%) Eating Disor-

ders no Otherwise Specified (EDNOS). Perfectionism was assessed

with the Edinburg Investigatory Test (EDI-2). The Body Shape Ques-

tionnaire (BSQ) was also distributed. One year after the beginning

of their treatment, patients were reassessed.

Results

Patients with BN showed significantly higher scores on

BSQ than those with AN. There was a significant improvement in

BSQ after one year of treatment regardless the diagnostic (repeated

measures ANOVA: F 8.4,

P

<.01). Perfectionism was a co-variable

that influenced in those changes.

Conclusions

The results confirm the interaction between perfec-

tionism and body dissatisfaction in the treatment outcome of EDs.

It has been described an interplay between Perfectionism, body dis-

satisfaction and disordered eating attitudes and behaviours, being

Perfectionism a moderator factor. The results highlight the need of

dealing not only with the core symptoms of EDs, but also with the

moderator factors such as Perfectionism to enhance the outcome.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.333

EW216

Perfectionism in eating disorders:

Temperament or character? Does

perfectionism improve on treatment

outcome?

T. Rodriguez Cano

1 ,

, L. Beato Fernandez

1

, B. Mata Saenz

1

,

L. Rojo Moreno

2

, F.J. Vaz Leal

3

1

Hospital General Ciudad Real, Psychiatry, Ciudad Real, Spain

2

Universidad de Valencia, HUiP la Fe, Professor of Psychiatry,

Valencia, Spain

3

University of Extremadura Medical School Head, Mental Health and

Eating Disorder Unit, University Hospital Network Badajoz, Professor

of Psychiatry, Badajoz, Spain

Corresponding author.

Introduction

Perfectionism is considered a risk factor and is very

close related to Eating Disorders (EDs). It estimates heritability of

29-42%. However, it has also been related to psychosocial factors

such as the insecure attachment style.

Objectives

To study the relationship of perfectionism with

personality dimensions, its likelihood of improvement and its treat-

ment.

Aims

To analyze if Perfectionism is associated with dimensions

of Temperament or dimensions of Character and therefore more

psychosocial.

Methods

Participants were 151 female outpatients who consec-

utively started treatment at the Eating Disorders Unit (Ciudad Real

University General Hospital). Personality was assessed by using the

Temperament and Character Inventory (TCI). Perfectionism was

assessed by using the Edinburg Investigatory Test (EDI-2) subscale

(t0). One year later, patients were re-assessed with the EDI-2 (t1).

Results

The scores on Perfectionism significantly improved from

t0 to t1, (repeated measures ANOVA, F = 6.6,

P

< 0.01). At baseline,

Perfectionism was related to any of the Temperament dimensions,

but the Character variable Purposefulness (SD2) ( = .25 95% CI

.17, 98), 2.7% of variance). Responsibility (SD1) and Self-Aceptance

(SD4) were inversely associated with Perfectionism. At t1, Respon-

sibility still was a protective factor for Perfectionism, regardless the

effect of Perfectionism at t0.

Conclusions

Perfectionism is also related to psychosocial and

developmental factors. People with an internal locus of control

tend to take responsibility for their own actions and are resourceful

in solving problems. Thus, Self-directedness, mainly Responsibility

for their own actions, is a protective factor for Perfectionism in EDs.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.334

EW217

Co-occurrence of gender dysphoria

and eating disorders: A systematic

review of the literature

A. Caldarera

1 , P. B

rusti

a 1 , E. G

erino

1 , L. D

imitrios

2 , L. R

ollè

1 ,

1

University of Torino, Psychology, Torino, Italy

2

Filistos Psychosocial Testing and Consulting, Psychology, Athens,

Greece

Corresponding author.

Introduction

According to DSM-5, gender dysphoria (GD) is the

“distress that may accompany the incongruence between one’s

experienced or expressed gender and one’s assigned gender” (p.

451). Research showed that it may be associated with different

social, psychological and psychiatric difficulties. It is clear howbody

is central in GD. Eating Disorders (ED) are strongly related too with

the body, and, although they may co-occur with GD, a systematic

review of the studies about this association is not available.

Objectives and aims

To carry out a reviewof the published studies

about co-occurrence of GD and ED.

Methods

Literature research in 12 databases was performed, and

the papers analyzed.

Results

Nine papers about case studies and four empirical studies

are available. Results of the clinical reports suggest a link between

GD and ED may be the strong body uneasiness perceived by these

people. The empirical studies support this hypothesis, outlining

that usually adolescence, when secondary sexual characteristics

develop, is a crucial phase for the onset of ED. Restrictive eating

behaviors may function as a way of modifying the body shape

and the hormone system. Differences between Female-to Male and

Male-to-Female transsexuals are outlined, as well as persistence of

ED symptomatology after sex reassignment surgery.

Conclusions

Body becomes an expression of the inner conflicts

linked to gender incongruence, shifting the focus of the suffering