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

Martina Rojnic Kuzman; Frank Padberg; Benedikt L. Amann; Meryam Schouler-Ocak; Zarko Bajic; Tarja Melartin; Adrian James; Julian Beezhold; Jordi Artigue Gomez; Celso Arango; Tihana Jendricko; Jamila Ismayilov; William Flannery; Egor Chumakov; Koray Basar; Simavi Vahip; Dominika Dudek; Jerzy Samochowiec; Goran Mihajlovic; Fulvia Rota; Gabriela Stoppe; Geert Dom; Kirsten Catthoor; Eka Chkonia; Maria Joao Heitor Dos Santos; Diogo Telles; Peter Falkai; Philippe Courtet; Michal Patarak; Lubomira Izakova; Oleg Skugarevski; Stojan Barjaktarov; Dragan Babic; Goran Racetovic; Andrea Fiorillo; Bernardo Carpiniello; Maris Taube; Yuval Melamed; Jana Chihai; Doina Constanta Maria Cozman; Pavel Mohr; Gyoergy Szekeres; Mirjana Delic; Ramune Mazaliauskiene; Aleksandar Tomcuk; Nataliya Maruta; Philip Gorwood

doi:10.1192/j.eurpsy.2024.19

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

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

Martina Rojnic Kuzman, Frank Padberg, Benedikt L. Amann, Meryam Schouler-Ocak, Zarko Bajic, Tarja Melartin, Adrian James, Julian Beezhold, Jordi Artigue Gomez, Celso Arango, …

European psychiatry, Vol.67(1), p.e24

2024

DOI: https://doi.org/10.1192/j.eurpsy.2024.19

PMID: 38450651

Résumé

Life Sciences & Biomedicine

Psychiatry

Science & Technology

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.

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Titre: Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries
Créateurs - sans rôle: Martina Rojnic Kuzman - Univ Zagreb, Univ Hosp Ctr Zagreb, Sch Med, Dept Psychiat & Psychol Med, Zagreb, Croatia
Frank Padberg - Ludwig Maximilian Univ LMU, Univ Hosp, Dept Psychiat & Psychotherapy, Munich, Germany
Benedikt L. Amann - Ludwig Maximilian Univ LMU, Univ Hosp, Dept Psychiat & Psychotherapy, Munich, Germany
Meryam Schouler-Ocak - Charite, Psychiat Univ Clin, St Hedwig Hosp, Berlin, Germany
Zarko Bajic - Psychiat Clinic Sveti Ivan, Res Unit Dr Mirko Grmek, Zagreb, Croatia
Tarja Melartin - Helsinki Univ Cent Hosp, Dept Psychiat, Helsinki, Finland
Adrian James - Royal Coll Psychiatrists, London, England
Julian Beezhold - Northgate Hosp, Norfolk & Suffolk NHS Fdn Trust, Great Yarmouth Acute Serv, Great Yarmouth, Norfolk, England
Jordi Artigue Gomez - Univ Barcelona, Fac Psychol, Barcelona, Spain
Celso Arango - Univ Complutense, Hosp Gen Univ Gregorio Maranon, Inst Psychiat & Mental Hlth, Sch Med,Dept Child & Adolescent Psychiat,Inst Inve, Madrid, Spain
Tihana Jendricko - Vrapce Psychiat Univ Clin, Zagreb, Croatia
Jamila Ismayilov - Natl Mental Hlth Ctr, Baku, Azerbaijan
William Flannery - Mater Misericordiae Univ Hosp, Dept Adult Psychiat, Dublin, Ireland
Egor Chumakov - St Petersburg State Univ, Dept Psychiat & Addict, St Petersburg, Russia
Koray Basar - Hacettepe Univ, Fac Med, Dept Psychiat, Ankara, Turkiye
Simavi Vahip - Ege Univ, Dept Psychiat, Affect Disorders Unit, Izmir, Turkiye
Dominika Dudek - Jagiellonian University
Jerzy Samochowiec - Pomeranian Med Univ, Szczecin, Poland
Goran Mihajlovic - Univ Kragujevac, Clin Psychiat, Kragujevac, Serbia
Fulvia Rota - Swiss Soc Psychiat & Psychotherapy, Geneva, Switzerland
Gabriela Stoppe - MentAge Counsil Practice Res, Basel, Switzerland
Geert Dom - Univ Antwerp UAntwerp, Collaborat Antwerp Psychiat Res Inst CAPRI, Antwerp, Belgium
Kirsten Catthoor - Univ Antwerp UAntwerp, Collaborat Antwerp Psychiat Res Inst CAPRI, Antwerp, Belgium
Eka Chkonia - Tbilisi State Med Univ, Dept Psychiat, Tbilisi, Georgia
Maria Joao Heitor Dos Santos - Hosp Beatriz Angelo, Psychiat & Mental Hlth Dept, Loures, Portugal
Diogo Telles - Univ Lisbon, Fac Med, Lisbon, Portugal
Peter Falkai - Ludwig Maximilian Univ LMU, Univ Hosp, Dept Psychiat & Psychotherapy, Munich, Germany
Philippe Courtet - CHU Montpellier, Hosp Lapeyronie, Dept Emergency Psychiat & Post Acute Care, Montpellier, France
Michal Patarak - Slovak Med Univ, Dept Psychiat, Bratislava, Slovakia
Lubomira Izakova - Comenius Univ, Fac Med, Dept Psychiat, Bratislava, Slovakia
Oleg Skugarevski - Belarusian State Med Univ, Dept Psychiat & Med Psychol, Minsk, BELARUS
Stojan Barjaktarov - Ss Cyril & Methodius Univ Skopje, Univ Clin Psychiat, Fac Med, Skopje, North Macedonia
Dragan Babic - Univ Clin Hosp Mostar, Psychiat Clin, Mostar, Bosnia & Herceg
Goran Racetovic - Community Mental Hlth Ctr, Hlth Ctr Prijedor, Prijedor, Bosnia & Herceg
Andrea Fiorillo - Univ Campania L Vanvitelli, Dept Psychiat, Naples, Italy
Bernardo Carpiniello - Univ Cagliari, Univ Hosp, Dept Med Sci & Publ Hlth, Psychiat Unit, Cagliari, Italy
Maris Taube - Riga Ctr Psychiat & Narcol, Riga, Latvia
Yuval Melamed - Abarbanel Mental Hlth Ctr, Tel Aviv, Israel
Jana Chihai - Nicolae Testemitanu State Univ Med & Pharm Republ, Dept Mental Hlth Med Psychol & Psychotherapy, Kishinev, Moldova
Doina Constanta Maria Cozman - Iuliu Hatieganu Univ Med & Pharm, Cluj Napoca, Romania
Pavel Mohr - Natl Inst Mental Hlth, Clin Dept, Klecany, Czech Republic
Gyoergy Szekeres - Semmelweis Univ, Budapest, Hungary
Mirjana Delic - Univ Psychiat Clin, Ljubljana, Slovenia
Ramune Mazaliauskiene - Lithuanian Hlth Sci Univ, Kaunas Hosp, Psychiat Clin, Kaunas, Lithuania
Aleksandar Tomcuk - Special Psychiat Hosp Kotor, Kotor, Montenegro
Nataliya Maruta - Natl Acad Med Sci Ukraine, Inst Neurol Psychiat & Narcol, Kharkiv, Ukraine
Philip Gorwood - Univ Paris Cite, INSERM, UMR1266, Paris, France
Détails de publication: European psychiatry, Vol.67(1), p.e24
Éditeur: Cambridge Univ Press
Nombre de pages: 11
Note de subvention: European Psychiatric Association (EPA)
Identifiants: 99139610609311
Unité académique: Institut de Génomique Fonctionnelle - IGF
Langue: English
Type de ressource: Journal article