European Psychiatry - Volume 33 - March 2016

742 / 812

S738 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
They were given the test of self-compliance statement (Haynes-
Sackett), with a result of four non-compliant (44.4%). The most
frequently involved drugs were fluoxetine (n = 5, 10% of the sample
total) and paroxetine (n = 4, 8%).
Conclusions The high impact of sexual side effects with a low rate
of spontaneous communication coincides with previous existent
studies.
Limitation when estimating adhesion due to methodological dif-
ficulties in the design of the study. However, high impression by
using the selected method of determination.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1218
Paraphilic disorder in the 21st century
A.R. Caldeano ∗, J. Nunes , P. da Costa
Hospital Sousa Martins, Department of Psychiatry and Mental Health
of Sousa Martins Hospital, ULS Guarda, Guarda, Portugal
∗ Corresponding author.
The term paraphilia refers to the sexual preferences and conducts
that divert fromwhat is generally accepted for a certain society in a
givenhistoric and cultural period. It demonstrates the practices that
involve the use of non-human objects, mandatory humiliation and
sexual suffering or non-consensual involvement of sexual partners.
A paraphilic disorder is a paraphilia, which, presently, causes
uneasiness and damages not only the patient but also others,
as these behaviours exclude or damage the other affecting the
patient’s social relationships.
Paraphilias are only practiced by a small percentage of the world’s
population. However, the causes are only reported if there is a
search for treatment or if there are any legal complications. By
which is believed that the prevalence is higher than the number
of diagnosed cases.
Although there are already a few paraphilia types registered, new
forms of practice of this disturbance are emerging, mainly associ-
ated to the use of new technologies, as the Internet.
The authors propose to produce a bibliographic review concern-
ing the concept of paraphilic disorders and its exhibition forms;
identify therapeutic strategies; perform a time frame regarding
paraphilias and analyze the influence that the new technologies
have in paraphilic disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1219
Controversy diagnosing sex addition
M. Palomo Monge ∗, G.M. David , D.D. Arántzazu ,
D.C. Sandra , T.G. María Fernanda , S.D.L.P. Silvia ,
A.L. Maria Fernanda , O.B. Rubén
1 Hospital Nuestra Se˜nora del Prado, Psychiatry, 45600, Spain
2 Hospital General de Avila, Psychiatry, Avila, Spain
3 Centro de Rehabilitación Psicosocial y Laboral, Psychology, Talavera
de la Reina, Spain
4 Hospital Nuestra Se˜nora del Prado, Family Medicine, 45600, Spain
∗ Corresponding author.
Introduction The sexual compulsive behavior also known as sex
addition is the repetitive and intense sexual behavior of the indi-
vidual. Although the few studies carried out, the prevailing rates
vary between the 2% and the 20%.
Objectives We present the case of a 46-year-old male with psy-
chiatric treatment records since he was 17 and a personality
disorder group B diagnosis and depressive reactions reactive to
environmental frustrations. Several short-,medium- and long-term
hospitalizations. Currently he is admitted after having expressed
some autolytic ideas.
Methodology The patient started a treatment in the Unit of Addic-
tive Behaviors. He says he started to frequent the brothels 10 years
ago to satisfy his sexual needs, but gradually increased the fre-
quency. Later, he started to have sex online, also in fee-paying web
pages. This has had a negative influence in the different aspects of
his life, leading him to economic stress and endless debts.
Results Borderline personality disorder. 301.83 (F60.3).
Other specified disruptive, impulse-control, and conduct disorder
(sex). 312.89 (F91.8).
Pathological gambling. 312.31 (F63.0).
Persistent depressive disorder. 300.4 (F34.1).
Conclusions It is clear that the compulsive sexual behavior is a
disorder that includes repetitive, intrusive and distressing thoughts
and leads to behaviors that affect negatively several aspects of the
lives of people suffering such disorder, so that is why it is asso-
ciated with other psychiatric disorders. Even though it has been
described and discussed for years in literature, it is difficult to clas-
sify within psychiatric nosology and nowadays its categorization is
still a challenge within the mental health.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1220
Sexology population characterization
– a two years’ experience at a Lisbon
specialized centre
M.I. Varregoso ∗, G. Borges , R. Xavier
1 Hospital Garcia de Orta, Psychiatry, Almada, Portugal
2 Hospital Santa Maria, Psychiatry, Lisbon, Portugal
∗ Corresponding author.
Introduction Within psychiatry, sexology is a very particular area
of expertise both by the nature and specificity of its diagnosis, as by
the various difficulties and challenges their patients place. Sexology
is a sub-specialty niche, but also a vast universe that covers such
diverse conditions as paraphilia, gender dysphoria or sexual dys-
function. The sexology consultation of Santa Maria Hospital (HSM)
is one of the biggest centers specialized in sexual disorders in the
country. Consultations depend on the collaboration of a sexolo-
gist psychiatrist and psychiatry residents in close connection with
endocrinology, urology and plastic surgery services.
Objective We intend to conduct a characterization of the popu-
lation observed in the HSM sexology consultation, in a period of 2
years, from the analyses of different general and diagnosis-specific
relevant variables.
Methods We intent to make a descriptive analysis of the popula-
tion that attended the sexology consultation over the last 2 years.
The sample study refers to all patients who have been specifically
referred to sexology department or that directly requested access
to this consultation. Data will be collected from medical computer
records.
Results Through systematic evaluation of different variables we
can possibly conclude by some putative associations. A compre-
hensive characterization of this particular population is a possible
method for a better and deeper insight on the diagnosis itself.
Conclusions The purpose of this work is to increase peers’ sensi-
tivity both to sexology and to the patients sexology serves.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.