European Psychiatry - Volume 33 - March 2016

192 / 812

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.
EW215
The relationship of perfectionismwith
changes in body dissatisfaction in
eating disorders treatment outcome
T. Rodriguez Cano ∗ eato Fernandez ata Saenz
L. Rojo Moreno , F.J. Vaz Leal
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.
EW216
Perfectionism in eating disorders:
Temperament or character? Does
perfectionism improve on treatment
outcome?
T. Rodriguez Cano ∗, L. Beato Fernandez , B. Mata Saenz ,
L. Rojo Moreno , F.J. Vaz Leal
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.
EW217
Co-occurrence of gender dysphoria
and eating disorders: A systematic
review of the literature
A. Caldarera rusti erino imitrios ollè ∗
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