Rojnic Kuzman, MartinaPadberg, FrankAmann, Benedikt LSchouler-Ocak, MeryamBajic, ZarkoMelartin, TarjaJames, AdrianBeezhold, JulianArtigue Gómez, JordiArango, CelsoJendricko, TihanaIsmayilov, JamilaFlannery, WilliamChumakov, EgorBaşar, KorayVahip, SimaviDudek, DominikaSamochowiec, JerzyMihajlovic, GoranRota, FulviaStoppe, GabrielaDom, GeertCatthoor, KirstenChkonia, EkaHeitor Dos Santos, Maria JoãoTelles, DiogoFalkai, PeterCourtet, PhilippePatarák, MichalIzakova, LubomiraSkugarevski, OlegBarjaktarov, StojanBabic, DraganRacetovic, GoranFiorillo, AndreaCarpiniello, BernardoTaube, MārisMelamed, YuvalChihai, JanaCozman, Doina Constanta MariaMohr, PavelSzekeres, GyörgyDelic, MirjanaMazaliauskienė, RamunėTomcuk, AleksandarMaruta, NataliyaGorwood, Philip2024-04-032024-04-032024-03-07Rojnic 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.2024.190924-9338Mendeley: 95383dd9-2b4e-33a1-9f81-4454c32a6d11unpaywall: 10.1192/j.eurpsy.2024.19https://dspace.rsu.lv/jspui/handle/123456789/15416Publisher Copyright: © The Author(s), 2024.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.194021enginfo:eu-repo/semantics/openAccessHumansStress Disorders, Post-Traumatic/drug therapyPsychiatristsEuropeCognitive Behavioral TherapyAntidepressive Agents/therapeutic use3.2 Clinical medicine3.3 Health sciences1.1. Scientific article indexed in Web of Science and/or Scopus database/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article10.1192/j.eurpsy.2024.19http://www.scopus.com/inward/record.url?scp=85187375716&partnerID=8YFLogxK