European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S735
scores on the Gm scale than FtMs. This trend is confirmed by the
average scores of BSRI: MtFs are more “feminine”; while the FtMs
are less “masculine”. This denotes an excessive identification by
MtFs with the female gender role. Before initiating the CHT, the
BUT score was indicative of clinically significant distress, which
decreased during the CHT.
In conclusion, CHT reduces evidently body discomfort, due to the
progressive reduction of the discrepancy between biological and
desired gender.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1208
Clinical characteristics of gender
identity disorder
R. Pusceddu , C. Bandecchi , F. Pinna , S. Pintore , E. Corda ,
V. Deiana ∗, A. Oppo , S. Mariotti , A. Argiolas , B. Carpiniello
1 University of Cagliari, Clinica Psichiatrica, Cagliari, Italy
2 AOU Cagliari, Unità Operativa di Endocrinologia, Monserrato, Italy
∗ Corresponding author.
Traditionally, gender identity disorder (GID) is associatedwith high
level of psychiatric comorbidity, particularly psychotic and affec-
tive disorders. The aim of this study is to evaluate clinical aspect of
GID in a sample of patients in charge of the Operative Unit for Diag-
nosis and Therapy of GID, Psychiatric Clinic and the Department of
Endocrinology, University of Cagliari.
Assessment was made by SCID-I, for Axis I comorbidity, GAF,
for global functioning, BUT for body discomfort (BUT-A measures
different aspects of body image, BUT-B looks at worries about par-
ticular body parts).
The sample comprised 14 MtF (56%) and 11 FtM (44%), of
age between 17–49 years; a diagnosed psychiatric disorder was
reported in 32%: 16% mood disorders, 12% anxiety disorders, 4%
psychotic disorders. Among subjectwithGAF < 85, 58.3%were iden-
tify to have a Axis I disorder compare to 7,7% patients with GAF ≥ 85
(P = .011), especially for mood disorders (P = .039). Main score of
Global Severity Index (GSI) for BUT-A was 2.45 ± 883; all subjects
had a score GSI > 1.2 (clinically relevant discomfort index).
Regarding BUT-B, MtF have higher scores in PSDI global scale
(3.37 ± .577;P = 0.019) and subscale VI (4.38 ±1.496 vs. .81 ± 1.864;
P = 0.006): there are not significant gender differences in the oth-
ers subscales, although discomfort regards different aspects of both
sexes.
According to literature, we observed a slightly higher prevalence
of Axis I psychiatric disorders compare to general population, with
functioning level statistically significant.
Generally, GID was not associated with higher level of psy-
chopathology, appearing as specific diagnostic aspect, where the
main origin of discomfort is dissatisfaction toward self-body imag-
ine.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1209
Insights on asexuality – defining the
fourth sexual orientation
D. Durães ∗, J. Martins , R. Borralho
Centro Hospitalar Barreiro-Montijo, Mental Health and Psychiatry
Department, Barreiro, Portugal
∗ Corresponding author.
Introduction Although the phenomenon of asexuality is not new
– it was first mentioned in the 1950s, in the works of Kinsey et al.
– it remained ignored and unstudied by the scientific community
until Bogaert ignited new interest in this topic. In 2004, the author
published his findings regarding the prevalence of asexuality and
reported that 1.05% of the British population was asexual.
Human asexuality is defined as a lack of sexual attraction to anyone
or anything, either hetero or homosexual, although this definition
is not consensual.
Objectives/aims This work aims to review the conceptualization
of human asexuality, and the social, biologic and psychologic fac-
tors associated.
Methods A review of relevant literature was conducted along-
side online database research (PubMed and Medscape), using the
keywords “human” and “asexuality”.
Results Despite the fact that many approaches have been pro-
posed to define asexuality (lack of sexual behavior, lack of sexual
attraction, self-identification as asexual or a combination of the pre-
vious) there is growing evidence supporting the conceptualization
of asexuality as a unique sexual orientation, thus representing a
fourth category.
It appears to bemore frequent inwomen and associated to religios-
ity, lower education level, lower socioeconomic status, and poor
health.
Conclusions Despite the increased interest of the scientific
community in the study of asexuality, many questions remain
unanswered. Additional studies are crucial in order to provide a
clear understanding and acceptance of asexuality in this highly sex-
ualized and voyeuristic society we live in, and also to allow for a
better understanding of the complexity of human sexuality.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1210
Adolescent hypersexuality: Is it a
distinct disorder?
Y. Efrati (Counselor Education) ∗, M. Mikulincer
1 Beit-Berl Academic Collage, Beit-Berl, Israel
2 Interdisciplinary Center IDC Herzliya, Psychology, Herzliya, Israel
∗ Corresponding author.
Adolescent hypersexuality, and its position within personality
dispositions, is the subject of this presentation. The personality dis-
positions examined were attachment style, temperament, gender,
religiosity, and psychopathology. To do so, 311 high school ado-
lescents (184 boys, 127 girls) between the ages 16–18 (M= 16.94,
SD = .65), enrolled in the eleventh (n = 135, 43.4%) and twelfth
(n = 176, 56.6%) grades, most of whom (95.8%) were native Israelis.
By religiosity, 22.2% defined themselves as secular, 77.8% reported
various degrees of religiosity. Five possible empirical models were
examined, all based on current theory and research on hypersex-
uality. The fourth model was found to be compatible with the
data, indicating that psychopathology and hypersexuality are inde-
pendent disorders and are not related by a mediating process. In
addition, religiosity and gender are predictors, but the relationship
between temperament and attachment is independent of them
– the process is identical in religious and non-religious adoles-
cents, both boy and girl. Additionally, the hormone oxytocin may
be related to hypersexuality, with implications that could affect the
therapeutic meaning of understanding the location of adolescent
hypersexuality as a disorder in and of itself.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1211
Military culture and sexual issues: The
sex-stress phenomenon
L. French
Webster, USA