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Page Background

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S741

Result

The activities of sexual behavior are pleasurable due to the

release of endorphins and enkephalins, and the receptors in the

brain that bind these neuropeptides are the same ones that bind

exogenous chemicals that produce the euphoric feelings described

in addiction. Some proponents of sex addiction have even advised

a 12-step treatment program because it is an addiction charac-

terized by patterns of compulsive sexual behavior despite adverse

consequences-relationship difficulties, neglect of work obligations

and social/family responsibilities to pursue or participate in sexual

behaviors, and excessive amounts of time seeking these opportu-

nities.

Conclusion

Despite standard and even increasing use of the term

“sex addiction” in media and popular culture, mental health pro-

fessionals remain divided in regards to this subject. The notion of

hypersexual behavior as an addiction warrants further exploration,

especially since how it is defined may dictate treatment modality.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2212

EV1228

Post menopausal women’s sexual

satisfaction: Effect of oral capsule of

mixed Tribulus Terrestris, Zingiber

Officinale, Crocus Sativus and

Cinnamomum Verum: A randomized

controlled clinical trial

S. Taavoni (Ph.D.)

1 ,

, N. Nazem Ekbatani

2

, S.A. Gooshegir

3

,

H. Haghani

4

1

Iran University of Medical Sciences (IUMS) & Tehran University of

Medical Sciences (TUMS), Research Institute for Islamic &

Complementary Medicine (RICM), Faculty of Medicine, Tehran, Iran

2

Tehran University of Medical Sciences, Nursing & Midwifery

Faculty, Reproductive Group, Tehran, Iran

3

Iran University of Medical Sciences IUMS, Faculty of Medicine,

Tehran, Iran

4

Iran University of Medical Sciences IUMS, Faculty of Management,

Tehran, Iran

Corresponding author.

Sexual satisfaction decreases during postmenopause life and may

improve by variousmethods of complementary therapy such as use

of herbal medicine.

Aim

To asses the effect of oral capsule of mixed Tribulus

Terrestris, Zingiber Officinale, Crocus Sativus and Cinnamomum

Verum on postmenopausal women’s sexual satisfaction.

Methods

In this triple blind randomized control clinical trial, 80

healthy volunteer postmenopause women with age 50–60 years

old in one of clinics of west of Tehran had been involved (year

2013–2014). Participants were randomly assigned to intervention

and placebo group and received one month same shape capsules

two times in a day. Tools of this study had two main parts of per-

sonal characteristics and sexual satisfaction. All ethical points were

considered and approved by Ethics committee of Research Institute

for Islamic & Complementary Medicine (RICM, IUMS).

Results

After amonth intervention, there is significant increase in

themean score of sexual satisfaction between two groups (

P

= 0.01),

but when sexual satisfaction compared with pre-menopausal time

in two groups,

t

-test results showed no significant difference

(

P

= 0.16).

Conclusions

Use of oral capsule of mixed Tribulus Terrestris,

Zingiber Officinale, Crocus Sativus and Cinnamomum Verum two

times a day for a month could improve sexual satisfaction in

postmenopausal women. Referring to no significant change with

comparing premenopause time, it sounds they have same satis-

faction as premenopause time. There were no side effects during

study and one month follow-up. It is suggested to do same

research on sexual satisfaction and function with more month

intervention.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2213

EV1229

About an exhibitionism clinical case:

Entity’s review and state of the art

exposure

M.I. Varregoso

1 ,

, S. C

oelho

1 , G.

Borges

1 , R. X

avier

2

1

Hospital Garcia de Orta, Psychiatry, Almada, Portugal

2

Hospital Santa Maria, Psychiatry, Lisboa, Portugal

Corresponding author.

Introduction

Exhibitionistic disorder may be present when there

is sexual arousal from the exposure of one’s genitals to an unsus-

pecting and nonconsenting person. This disorder prevalence is

unknown but we know it is highly unusual in females. It gener-

ally starts at adolescence and its course is likely to vary with age.

There are temperamental and environmental risk factors.

Most of what we know about exhibitionistic disorder is largely

based on research with individuals convicted for criminal acts

involving genital exposure, and this may represent an important

bias. From a clinical case of exhibitionism, the authors intend to

review this type of paraphilia from an historical, conceptual and

etiologic point of view.

Objective

To review the concept behind this diagnosis and its

evolution, the comprehensive theories that attempt to justify and

frame it, as well as the type of intervention currently considered to

be the state of the art.

Methods

Patient’s observation and assessment, along with an

extensive review of the relevant literature.

Conclusions

Starting from a real clinical case, the authors present

a general theoretical review on the subject.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2214

Sleep disorders and stress

EV1230

Emerging treatments options for

narcolepsy throughout a case

A. Alvarez Astorga

, L. Gallardo Borge , H. de la Red Gallego ,

A. Alonso Sánchez , S. Gómez Sánchez , C. Noval Canga ,

E. Mayor Toranzo , S. Cepedello Pérez , L. Rodriguez Andrés ,

T. Ballesta Casanova

HCU Valladolid, Psychiatry, Valladolid, Spain

Corresponding author.

Background

Narcolepsy is a neurological disorder characterized

by disturbances in REM sleep. The symptoms that the patient could

present are excessive daytime sleepiness, cataplexy, sleep paral-

ysis, hypnagogic hallucinations and disrupted nocturnal sleep. Its

etiology is unknown. Currently, there is established pharmacother-

apy for symptomatic treatment, which are often unsatisfactory.

Objective

Review of new treatments for narcolepsy based on

recent advances about its ethiopathogenesis.

Method

Seventy-five year-old female with a personal history

of arterial hypertension and obstructive sleep apnea syndrome.

The patient presented several episodes of abrupt muscular weak-

ness, nightmares, sleep paralysis and excessive daytime sleepiness.