European Psychiatry - Volume 33 - March 2016

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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.
EV1202
Socio-demographic features of gender
dysphoria in a Sardinian adult
population
C. Bandecchi ∗, V. Deiana , F. Pinna , E. Corda , R. Pusceddu ,
S. Pintore , A. Oppo , S. Mariotti , A. Argiolas , B. Carpiniello
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.
EV1203
Secondary sexual dysfunction as a
result of antihypertensive treatment:
An observational and multi-approach
epidemiological study
B. Buch Vicente . Montejo Gonzalez ∗
M.E. Sánchez Sánchez alindo Villardón
E. Rodriguez Sánchez , S. González Sánchez , M.A. Puente Rey ,
C. Casta˜no Sánchez , A. Juanes de La Pe˜na , J.A. Martín Oterino ,
M.C. Alonso Diez
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.
EV1204
Challenges faced by gender-variant
people in receiving appropriate care
and ways to improve their care and
lives – A UK study
N. Clementi ∗ obrzynska
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.