European Psychiatry - Volume 41 - April 2017

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S852 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910
important for people with relatively rare sexual preference such as
paraphilia.
Objectives To (1) allow for conceptualization and improvedman-
agement of zoophilic patients in clinical practice or forensic
examinations, (2) analyze how zoophiles network using online dis-
cussion forums, and (3) describe main goals of digital networking.
Methods A qualitative observational study of user activity
(n = 958) on discussion forums, combined with brief demographic
survey. Data were analyzed according to principles of grounded
theory. Next, surveys of own design (demographic, discreet + open
ended questions) were answered by 350 participants. Presented
data show aggregate conclusions from mixed methods qualitative
and quantitative analysis.
Results Zoophiles (or, zoos) use Internet to connect with other
zoophiles (26.6% to have casual sex, 17.7% for dating, and 17% to
exchange pornography). Connections are easiest to be established
in countryside, where zoophilia clusters. In fact, there are village
communities of zoos where explicit sharing of animal sexual part-
ner(s) (28%) and/or voyeurism (30%) serve as bonding ritual. Over
40% of zoophiles are reluctant to meet other zoos in person, since
they view them as “weird”, pointing to phenomenon of internal-
ized stigmatization due to having non-normative sexuality. Online
forums are also used by zoophiles to exchange information about
which districts are at risk of becoming a target of social ostracism.
Conclusions People with zoophilia use digital communities to
network, meet for sex, find dating partners and for own safety
reasons.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1362
Motivation of sexual relationship with
animal–Study of a multinational
group of 345 zoophiles
D. Sendler ∗ Lew-Starowicz
1 University of Lublin Medical School, Department of Psychiatry and
Sexual Consultation Clinic, Lublin, Poland
2 Institute of Psychiatry and Neurology, III Department of Psychiatry,
Warsaw, Poland
∗ Corresponding author.
Introduction We explore relationship-seeking behaviour of
zoophiles (zoos), using Francoeur’s (1991) definition of sexual
orientation (as consisting of affection orientation, sexual fantasy
orientation, and erotic orientation).
Objectives This study intends to be the largest in recent decades’
comprehensive analysis of self-identified zoophiles, living on all
five continents. It describes similarities and differences between
normative sexual orientations (hetero- and homo-) and zoophilic
sexuality, using Francoeur’s (1991) framework.
Method A qualitative observational study of user activity
(n = 958) on discussion forums, combined with brief demographic
survey. Data were analyzed according to principles of grounded
theory. Next, surveys of own design (demographic, discreet + open
ended questions) were received by n = 350 participants. Presented
data show aggregate conclusions from mixed methods qualitative
and quantitative analysis.
Results Trend analysis yielded four main discussions among
zoophiles – worldview, personal space, sex life, and online space.
Within worldview category, zoos overwhelmingly discuss bad
press (55%), as well as social (41%) and legal (22%) ostracism.
In personal space, the primary concern is coming at easy with
own sexuality (>60%) and forming lasting relationship with either
human, animal, or bothpartners simultaneously. In terms of sex life,
zoos are concernedwith improving sex play (>40%) and figuring out
legality of sexual encounterswith animals (22%). Concerning online
space, the biggest concern here is networking (40%) and meeting
other zoos for dating (15%).
Conclusions Modern zoophiles have a wide array of personal,
social, legal, and sex life challenges that can be approximated using
qualitative studies.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1363
Sexual and mental health of patients
with cardiovascular disease: A review
A.R. Szczegielniak ∗, M. Krzystanek
Medical University of Silesia, Department of Psychiatry and
Psychotherapy, Katowice, Poland
∗ Corresponding author.
More than 4,000,000 people die from cardiovascular diseases in
Europe every year. Even though a significant reduction in mor-
tality of patients suffering from heart and blood vessels disorders
can be observed across the continent, a number of hospitalizations
in this group constantly increase. Large disparities in the assess-
ment of population’s health awareness, prevention activities and
the availability of specialized treatment between different regions
of Europe are still recognized with the highest incidence rates in
Central Europe, Eastern Europe and the countries of the former
Soviet Union. Both researchers and clinicians pay increasinglymore
attention to the cardiac patients’ quality of life. It determines not
only the daily physical, mental and social functioning, but also
a general response to the further treatment conducted in outpa-
tients clinic. Sexuality is an integral part of the human personality.
Disorders appearing in the area make it difficult to fully achieve
the comprehensive well-being from the individual, interpersonal
and social dimension. Reduction of satisfaction and decrease in
sexual activity are commonly observed in cardiac patients and fre-
quently associated with depression and anxiety disorders. Older
age, pharmacological treatment, and variety of cardiovascular risk
factors (diabetes, hypertension, dyslipidemia, physical inactivity,
smoking) also negatively influence sexual functioning. Thus, car-
diac rehabilitation programs must be designed in a way to include
recommendations regarding clinical management of sexual dys-
function, improving functional capacity, quality of life, morbidity
and mortality of the patients with cardiovascular disease across
Europe. Psychiatric assessment and general psychological well-
being appraisal seem to be inseparable in these regards.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1364
Evaluation of self-esteem and
childhood trauma in patients with
sexual disorders
G. Teksin Unal ∗, O. Sahmelikoglu Onur , C. Karsidag ,
M.G. Teksin Bakir
1 Psychiatry, Prof. Dr. Mazhar Osman Psychiatric and Neurological
Diseases Training and Research Hospital 3, Clinic, ˙Istanbul, Turkey
2 Psychiatry, Gazi University Faculty of Medicine, Department of
Psychiatry, Ankara, Turkey
∗ Corresponding author.
Introduction Sexual dysfunction (SD) is defined as the deteriora-
tion of sexual response cycles caused by anatomic, physiologic or
psychologic reasons.
Objectives We believe that SD is closely related to self-esteem
and childhood trauma (CT).