Research output: Contribution to journal › Review article › peer-review
Clinician treatment choices for post-traumatic stress disorder (PTSD) - Ambassadors survey of psychiatrists in 39 European countries : ambassadors survey of psychiatrists in 39 European countries. / Kuzman, Martina Rojnic; Padberg, Frank; Amann, Benedikt L.; Schouler-Ocak, Meryam; Bajic, Zarko; Melartin, Tarja; James, Adrian; Beezhold, Julian; Gómez, Jordi Artigue; Arango, Celso; Jendričko, Tihana; Ismayilova, Jamila; Flannery, William; Чумаков, Егор Максимович; Başar, Koray; Vahip, Simavi; Dudek, Dominika; Samochowiec, Jerzy; Mihajlović, Goran; Rota, Fulvia; Stoppe, Gabriela; Dom, Geert; Catthoor, Kirsten; Chkonia, Eka; Dos Santos, Maria João Heitor; Telles, Diogo; Falkai, Peter; Courtet, Philippe; Patarák, Michal; Izakova, Lubomira; Skugarevski, Oleg; Barjaktarov, Stojan; Babić, Dragan; Račetović, 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.
In: European Psychiatry, Vol. 67, No. 1, e24, 07.03.2024.Research output: Contribution to journal › Review article › peer-review
}
TY - JOUR
T1 - Clinician treatment choices for post-traumatic stress disorder (PTSD) - Ambassadors survey of psychiatrists in 39 European countries
T2 - ambassadors survey of psychiatrists in 39 European countries
AU - Kuzman, Martina Rojnic
AU - Padberg, Frank
AU - Amann, Benedikt L.
AU - Schouler-Ocak, Meryam
AU - Bajic, Zarko
AU - Melartin, Tarja
AU - James, Adrian
AU - Beezhold, Julian
AU - Gómez, Jordi Artigue
AU - Arango, Celso
AU - Jendričko, Tihana
AU - Ismayilova, Jamila
AU - Flannery, William
AU - Чумаков, Егор Максимович
AU - Başar, Koray
AU - Vahip, Simavi
AU - Dudek, Dominika
AU - Samochowiec, Jerzy
AU - Mihajlović, Goran
AU - Rota, Fulvia
AU - Stoppe, Gabriela
AU - Dom, Geert
AU - Catthoor, Kirsten
AU - Chkonia, Eka
AU - Dos Santos, Maria João Heitor
AU - Telles, Diogo
AU - Falkai, Peter
AU - Courtet, Philippe
AU - Patarák, Michal
AU - Izakova, Lubomira
AU - Skugarevski, Oleg
AU - Barjaktarov, Stojan
AU - Babić, Dragan
AU - Račetović, Goran
AU - Fiorillo, Andrea
AU - Carpiniello, Bernardo
AU - Taube, Maris
AU - Melamed, Yuval
AU - Chihai, Jana
AU - Cozman, Doina Constanta Maria
AU - Mohr, Pavel
AU - Szekeres, György
AU - Delic, Mirjana
AU - Mazaliauskienė, Ramunė
AU - Tomcuk, Aleksandar
AU - Maruta, Nataliya
AU - Gorwood, Philip
PY - 2024/3/7
Y1 - 2024/3/7
N2 - 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.
AB - 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.
KW - Antidepressive Agents/therapeutic use
KW - Cognitive Behavioral Therapy
KW - Europe
KW - Humans
KW - Psychiatrists
KW - Stress Disorders, Post-Traumatic/drug therapy
UR - https://www.mendeley.com/catalogue/95383dd9-2b4e-33a1-9f81-4454c32a6d11/
U2 - 10.1192/j.eurpsy.2024.19
DO - 10.1192/j.eurpsy.2024.19
M3 - Review article
C2 - 38450651
VL - 67
JO - European Psychiatry
JF - European Psychiatry
SN - 0924-9338
IS - 1
M1 - e24
ER -
ID: 117451005