European Psychiatry - Volume 33 - March 2016

743 / 812

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S739
EV1221
From hero to zero: The manifestation
of addictive problematic sexual
behaviour
R. Vella Baldacchino ∗, J. Vella Baldacchino
Mount Carmel Hospital, Psychiatry, Attard, Malta
∗ Corresponding author.
Introduction Addiction refers to a pattern of:
– loss of control, as shown by unsuccessful efforts to stop the
behaviour;
– continuation of the behaviour despite adverse consequences –
such as marriage breakdown;
– an obsession with obtaining, using or recovering from the
behaviour.
To date, DSM-5 does not recognize sex addiction as a disorder, how-
ever when problematic sexual behaviours fulfil these same three
criteria, the process is considered to be an addiction.
This case report describes the development of problematic addic-
tive sexual behaviour, possibly as a result of other psychiatric
comorbidities including obsessive-compulsive disorder (OCD),
alvinophilia, and obsessional fetishism. The presence of the
Madonna-Puttana syndrome is also explored.
Aims To use the biopsychosocial model to investigate the aetiol-
ogy of addictive problematic sexual behaviour. To explore the role
of psychiatric comorbidities in the expression of such behaviour. To
examine the holistic impact of sexual addictions. To examine the
treatment modalities of addictive problematic sexual behaviour.
Methods A 25 year old happily-married nurse who confessed to
serial extramarital affairs was interviewed. Underlying psychiatric
comorbidities were identified. Family members were also inter-
viewed for a collateral history. The above objectives were explored
and the response to various treatment modalities were evaluated.
Literature reviews were carried out.
Conclusions This case illustrates a form of OCDwhich manifested
as addictive problematic sexual behaviour. The message portrayed
is that hope exists for such couples once various treatment modal-
ities are put into action.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Sexual medicine and mental health
EV1222
Sexual dysfunction as a side effect of
psychopharmacology: What to do
now?
A. Hugo ∗, J. Gomes , G. Lima
Centro Hospitalar Barreiro-Montijo, Psychiatry and Mental Health,
Barreiro, Portugal
∗ Corresponding author.
Introduction Sexual dysfunction is a side effect caused by many
of the psychiatric drugs commonly used in clinical practice. Both
antidepressants and antipsychotics have the potential to cause this
side effect, which can lead to therapeutic nonadherence. Consider-
ing this problem and their adverse consequences to the patient and
the treatment adherence, we can conclude that it is important to
better understand this problem and the ways to deal with it.
Aims and objectives The objective of this work was to better com-
prehend this problem, it’s consequences and the ways to avoid,
minimize and revert it.
Methods We reviewed the literature related to this theme
through a search for papers indexed in PubMed and Science direct.
Results Both antidepressants and antipsychotics have the poten-
tial to induce sexual side effects although this potential seems to
differ from drug to drug. In order to avoid or minimize this, some
management options are described in literature. Nevertheless, this
problem still seems to be neglected by doctors and under-reported
by patients and, because there is still a lack of knowledge about
which is the best management option when the problem appears,
the decision about what to do when it appears is still left to the
doctors.
Conclusions Sexual dysfunction caused by psychiatric drugs is a
real problem, still under-reported, and affects in a hazardous way
our patients lives and possibly leading to therapeutic nonadher-
ence.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1223
Sexuality in mental health: Brazilian
science production review
(2001–2014)
R. Boaes ∗, M.B.B. Silva , J.A. Russi
1 Federal University of Rio de Janeiro, Health Sciences Centre, Rio de
Janeiro, Brazil
2 Rio de Janeiro State University, Institute of Social Medicine, Rio de
Janeiro, Brazil
∗ Corresponding author.
Aiming at analyzing mental health and sexuality studies, specifi-
cally in papers published in Brazil, this dissertation brings a review
of the literature carried out in two databases. It can be noticed that
studies on sex, gender and sexuality show the complexity of the
understanding of human sexual life going from essentialist to con-
structivist perspectives, conceiving sexuality in several manners.
However, studies onmadness, mental health and psychosocial care
point to different conceptions of mental sickening process, mental
health being at the same time a science field and a psychological
well-being value to be achieved. Surveys in nursery homes show
that institution agents represent the sexuality of a mentally suf-
fering person (MSP) as abnormal or non-existing. The review of
academic production on the subject, has put together 685 publi-
cations, 43 of them in both, with only 109 from Brazil, these ones
having been systematized by title and abstract, only eleven were
selected and studied thoroughly. Results show that the analyzed
science production is scarce, being the theme just at its beginning in
collective health, with the predominance of biomedical approaches
focusing in on sexual behavior, with special attention to the vulner-
ability to IST/HIV/AIDS, the absence of sexual education and gaps in
the training to work with sexuality. The conclusion is that the stud-
ied Brazilian science production on sexuality in the field of mental
health is not centered on sexual and reproductive rights of MSP,
while user sexual practices and the representations of professionals
come to the fore in the analyses.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.