Please use this identifier to cite or link to this item:
10.1192/j.eurpsy.2024.19
Title: | Clinician treatment choices for post-traumatic stress disorder : ambassadors survey of psychiatrists in 39 European countries |
Authors: | Rojnic Kuzman, Martina Padberg, Frank Amann, Benedikt L Schouler-Ocak, Meryam Bajic, Zarko Melartin, Tarja James, Adrian Beezhold, Julian Artigue Gómez, Jordi Arango, Celso Jendricko, Tihana Ismayilov, Jamila Flannery, William Chumakov, Egor Başar, Koray Vahip, Simavi Dudek, Dominika Samochowiec, Jerzy Mihajlovic, Goran Rota, Fulvia Stoppe, Gabriela Dom, Geert Catthoor, Kirsten Chkonia, Eka Heitor Dos Santos, Maria João Telles, Diogo Falkai, Peter Courtet, Philippe Patarák, Michal Izakova, Lubomira Skugarevski, Oleg Barjaktarov, Stojan Babic, Dragan Racetovic, Goran Fiorillo, Andrea Carpiniello, Bernardo Taube, Maris Melamed, Yuval Chihai, Jana Cozman, Doina Constanta Maria Mohr, Pavel Szekeres, György Delic, Mirjana Mazaliauskienė, Ramunė Tomcuk, Aleksandar Maruta, Nataliya Gorwood, Philip Department of Psychiatry and Narcology |
Keywords: | Humans;Stress Disorders, Post-Traumatic/drug therapy;Psychiatrists;Europe;Cognitive Behavioral Therapy;Antidepressive Agents/therapeutic use;3.2 Clinical medicine;3.3 Health sciences;1.1. Scientific article indexed in Web of Science and/or Scopus database |
Issue Date: | 7-Mar-2024 |
Citation: | Rojnic 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 |
Abstract: | BACKGROUND: 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. |
Description: | Publisher Copyright: © The Author(s), 2024. |
DOI: | 10.1192/j.eurpsy.2024.19 |
ISSN: | 0924-9338 |
Appears in Collections: | Research outputs from Pure / Zinātniskās darbības rezultāti no ZDIS Pure |
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