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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2206

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2207

EV1223

Sexuality in mental health: Brazilian

science production review

(2001–2014)

R. Boaes

1 ,

, M.B.B. Silva

2

, J.A. Russi

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2208