Clinician treatment choices for post-traumatic stress disorder : ambassadors survey of psychiatrists in 39 European countries

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dc.contributor.authorRojnic Kuzman, Martina
dc.contributor.authorPadberg, Frank
dc.contributor.authorAmann, Benedikt L
dc.contributor.authorSchouler-Ocak, Meryam
dc.contributor.authorBajic, Zarko
dc.contributor.authorMelartin, Tarja
dc.contributor.authorJames, Adrian
dc.contributor.authorBeezhold, Julian
dc.contributor.authorArtigue Gómez, Jordi
dc.contributor.authorArango, Celso
dc.contributor.authorJendricko, Tihana
dc.contributor.authorIsmayilov, Jamila
dc.contributor.authorFlannery, William
dc.contributor.authorChumakov, Egor
dc.contributor.authorBaşar, Koray
dc.contributor.authorVahip, Simavi
dc.contributor.authorDudek, Dominika
dc.contributor.authorSamochowiec, Jerzy
dc.contributor.authorMihajlovic, Goran
dc.contributor.authorRota, Fulvia
dc.contributor.authorStoppe, Gabriela
dc.contributor.authorDom, Geert
dc.contributor.authorCatthoor, Kirsten
dc.contributor.authorChkonia, Eka
dc.contributor.authorHeitor Dos Santos, Maria João
dc.contributor.authorTelles, Diogo
dc.contributor.authorFalkai, Peter
dc.contributor.authorCourtet, Philippe
dc.contributor.authorPatarák, Michal
dc.contributor.authorIzakova, Lubomira
dc.contributor.authorSkugarevski, Oleg
dc.contributor.authorBarjaktarov, Stojan
dc.contributor.authorBabic, Dragan
dc.contributor.authorRacetovic, Goran
dc.contributor.authorFiorillo, Andrea
dc.contributor.authorCarpiniello, Bernardo
dc.contributor.authorTaube, Māris
dc.contributor.authorMelamed, Yuval
dc.contributor.authorChihai, Jana
dc.contributor.authorCozman, Doina Constanta Maria
dc.contributor.authorMohr, Pavel
dc.contributor.authorSzekeres, György
dc.contributor.authorDelic, Mirjana
dc.contributor.authorMazaliauskienė, Ramunė
dc.contributor.authorTomcuk, Aleksandar
dc.contributor.authorMaruta, Nataliya
dc.contributor.authorGorwood, Philip
dc.contributor.institutionDepartment of Psychiatry and Narcology
dc.date.accessioned2024-04-03T09:10:04Z
dc.date.available2024-04-03T09:10:04Z
dc.date.issued2024-03-07
dc.descriptionPublisher Copyright: © The Author(s), 2024.
dc.description.abstractBACKGROUND: Considering the recently growing number of potentially traumatic events in Europe, the European Psychiatric Association undertook a study to investigate clinicians' treatment choices for post-traumatic stress disorder (PTSD). METHODS: The case-based analysis included 611 participants, who correctly classified the vignette as a case of PTSD, from Central/ Eastern Europe (CEE) (n = 279), Southern Europe (SE) (n = 92), Northern Europe (NE) (n = 92), and Western Europe (WE) (N = 148). RESULTS: About 82% woulduse antidepressants (sertraline being the most preferred one). Benzodiazepines and antipsychotics were significantly more frequently recommended by participants from CEE (33 and 4%, respectively), compared to participants from NE (11 and 0%) and SE (9% and 3%). About 52% of clinicians recommended trauma-focused cognitive behavior therapy and 35% psychoeducation, irrespective of their origin. In the latent class analysis, we identified four distinct "profiles" of clinicians. In Class 1 (N = 367), psychiatrists would less often recommend any antidepressants. In Class 2 (N = 51), clinicians would recommend trazodone and prolonged exposure therapy. In Class 3 (N = 65), they propose mirtazapine and eye movement desensitization reprocessing therapy. In Class 4 (N = 128), clinicians propose different types of medications and cognitive processing therapy. About 50.1% of participants in each region stated they do not adhere to recognized treatment guidelines. CONCLUSIONS: Clinicians' decisions for PTSD are broadly similar among European psychiatrists, but regional differences suggest the need for more dialogue and education to harmonize practice across Europe and promote the use of guidelines.en
dc.description.statusPeer reviewed
dc.format.extent194021
dc.identifier.citationRojnic Kuzman, M, Padberg, F, Amann, B L, Schouler-Ocak, M, Bajic, Z, Melartin, T, James, A, Beezhold, J, Artigue Gómez, J, Arango, C, Jendricko, T, Ismayilov, J, Flannery, W, Chumakov, E, Başar, K, Vahip, S, Dudek, D, Samochowiec, J, Mihajlovic, G, Rota, F, Stoppe, G, Dom, G, Catthoor, K, Chkonia, E, Heitor Dos Santos, M J, Telles, D, Falkai, P, Courtet, P, Patarák, M, Izakova, L, Skugarevski, O, Barjaktarov, S, Babic, D, Racetovic, G, Fiorillo, A, Carpiniello, B, Taube, M, Melamed, Y, Chihai, J, Cozman, D C M, Mohr, P, Szekeres, G, Delic, M, Mazaliauskienė, R, Tomcuk, A, Maruta, N & Gorwood, P 2024, 'Clinician treatment choices for post-traumatic stress disorder : ambassadors survey of psychiatrists in 39 European countries', European psychiatry : the journal of the Association of European Psychiatrists, vol. 67, no. 1, pp. e24. https://doi.org/10.1192/j.eurpsy.2024.19
dc.identifier.doi10.1192/j.eurpsy.2024.19
dc.identifier.issn0924-9338
dc.identifier.otherMendeley: 95383dd9-2b4e-33a1-9f81-4454c32a6d11
dc.identifier.otherunpaywall: 10.1192/j.eurpsy.2024.19
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/15416
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85187375716&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofEuropean psychiatry : the journal of the Association of European Psychiatrists
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHumans
dc.subjectStress Disorders, Post-Traumatic/drug therapy
dc.subjectPsychiatrists
dc.subjectEurope
dc.subjectCognitive Behavioral Therapy
dc.subjectAntidepressive Agents/therapeutic use
dc.subject3.2 Clinical medicine
dc.subject3.3 Health sciences
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.titleClinician treatment choices for post-traumatic stress disorder : ambassadors survey of psychiatrists in 39 European countriesen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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