European Psychiatry - Volume 33 - March 2016

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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.
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.) ∗, N. Nazem Ekbatani , S.A. Gooshegir ,
H. Haghani
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.
EV1229
About an exhibitionism clinical case:
Entity’s review and state of the art
exposure
M.I. Varregoso ∗ oelho Borges avier
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.
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.