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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S733

classifications. Recently, DSM-5 distinguishes between paraphilias

and paraphilic disorders.

Conclusion

A progress in the paraphilic instincts’ acceptance has

occurred. We hypothesize, in the future, paraphilias will follow

homosexuality out of the diseases’ classifications.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2186

EV1202

Socio-demographic features of gender

dysphoria in a Sardinian adult

population

C. Bandecchi

1 ,

, V. Deiana

1

, F. Pinna

1

, E. Corda

1

, R. Pusceddu

1

,

S. Pintore

1

, A. Oppo

2

, S. Mariotti

2

, A. Argiolas

1

, B. Carpiniello

1

1

University of Cagliari, Department of Public Health, Clinical and

Molecular Medicine, Section of Psychiatry, Cagliari, Italy

2

University Hospital of Cagliari, Multispecialty Department of

Endocrinology and Diabetology, Cagliari, Italy

Corresponding author.

Gender dysphoria (GD) is a rare entity in psychiatry; there are a lot

of studies about its clinical aspects, but only few investigations con-

sidering the socio-demographic characteristics of these patients,

especially concerning Italian population.

The aim of this study is to evaluate socio-demographic characteris-

tics of GD individuals seeking assistance for gender transition and

to assess possible differences between MtFs and FtMs.

A consecutive series of 25 patients (56% MtF and 44% FtM), from 17

to 49 years old (mean age: 29.6

±

9.52), were evaluated for gender

dysphoria from June 2011 toMay 2015. All subjects met the criteria

for gender identity disorder (GID), based on DSM-IV-TR.

The results have shown that FtMs refer for psychiatric help in

younger age thanMtFs (21–25 years vs. 36–50 years,

P

= .038); most

of the patients are unemployed (48%;

P

= .014) and live with their

parents (68%;

P

= .001), without statistically significant gender dif-

ferences. Regarding sexual orientation, 84% of the sample report to

feel attracted by individuals of the same-genotypic sex (

P

< .001);

81.8% of FtMs have a stable relationship instead of 21.4% of MtFs

(

P

= .007). Moreover, a significant statistical difference was found

between the two groups in the “real-life experience”; all FtMs live

as males, while only 50% of MtFs show themselves as females in

the daily life and activities (

P

= .008).

This is a preliminary study comparing the socio-demographic fea-

tures of a MtF and FtM GD population in Sardinia. Although the

limitation of a small sample, our results do not differ from the lit-

erature data; in particular, FtMs display significantly better global

functioning and less problems in social integration.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2187

EV1203

Secondary sexual dysfunction as a

result of antihypertensive treatment:

An observational and multi-approach

epidemiological study

B. Buch Vicente

1 , A.L

. Montejo Gonzalez

1 ,

,

M.E. Sánchez Sánchez

1 , P. G

alindo Villardón

2 ,

E. Rodriguez Sánchez

1

, S. González Sánchez

1

, M.A. Puente Rey

1

,

C. Casta˜no Sánchez

1

, A. Juanes de La Pe˜na

3

, J.A. Martín Oterino

4

,

M.C. Alonso Diez

4

1

CS La Alamedilla, Centro De Salud Mental La Alamedilla, Salamanca,

Spain

2

Universidad de Salamanca, Departamento de estadística,

Salamanca, Spain

3

Centro de Salud Santa Marta de Tormes, Atención Primaria,

Salamanca, Spain

4

Hospital Universitario Salamanca, Unidad de Hipertensión,

Salamanca, Spain

Corresponding author.

Background

Hypertension is one of today’s main health prob-

lems around the world. This illness can be prevented and treated

with antihypertensives (AHT) medicines, which, besides helping to

control vascular circulation, can also have other, secondary, non-

beneficial effects.

Objective

To evaluate the frequency and intensity of sexual dys-

function (SD), measured against the PRSexDQ-SALEX scale, in

patients diagnosed with AHT currently undergoing treatment. To

assess differences between the main groups of AHT (mono-therapy

and combined therapy). To determine statistically meaningful dif-

ferences between other significant variables.

Methods

Epidemiological, cross-sectional, multi-centric study of

an exploratory nature. The study interviewed 256 subjects treated

for hypertension (26.6% women and 73.4% men). By clinical inter-

view and through the PRSexDQ-SALSEX, the existence, or not, of SD

caused by the AHT medication was evaluated.

Results/conclusions

SD caused by AHT is a common problem. The

percentage of iatrogenic SD was very high for all groups of antihy-

pertensive medicines/pharmaceuticals, with percentages between

53.3 and 83.9% (measured with PRSexDQ-SALSEX).

The percentage of patients who reported this problem voluntarily

was very low (14.8%).

The treatments most harmful to sexual function were:

diuretic + ARB (83.9% of SD) and ACE inhibitors (77.8% of SD).

According to statistical models, subjects who take diuretic + ARB

have a probability of suffering SD in 83.87% of cases.

Various risk situations might be detected due to the greater

probability of suffering SD: patients with poor general health,

subjects over 60 with coronary disease, mood disorders or

muscular-skeletal disease and patients who take the diuretic + ARB

combination.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2188

EV1204

Challenges faced by gender-variant

people in receiving appropriate care

and ways to improve their care and

lives – A UK study

N. Clementi

1 ,

, E . D

obrzynska

2

1

Royal Cornhill Hospital, General Adult Psychiatry, Aberdeen, United

Kingdom

2

Cygnet Hospital Kewstoke, General Adult Psychiatry, Weston Super

Mare, United Kingdom

Corresponding author.

Introduction

It is only in the last decade that trans people have

been accorded rights and give protection in law from discrimina-

tion. A survey of 10,000 people undertaken by the Equality and

Human Right Commission showed that 1% of the population was

gender-variant to some extent. Gender-variant people continue to

suffer restricted opportunities, discrimination and harassment at

work despite the existence of anti-discrimination and equalities

legislation. It is estimated that up to 40% of people with gender

dysphoria may not be receiving appropriate help.

Objective

Review of UK policies, guidelines, legislation and

research on challenges faced by gender-variant people and ways

to improve their care and lives.

Aims

To improve gender-variant people access to care and ways

to fight inequalities.