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

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• dc.contributor.author Rojnic Kuzman, Martina
• dc.contributor.author Amann, Benedikt Lorenz
• dc.contributor.author Gorwood, Philip
• dc.date.accessioned 2025-05-23T05:54:28Z
• dc.date.available 2025-05-23T05:54:28Z
• dc.date.issued 2024
• dc.description.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.
• dc.format.mimetype application/pdf
• dc.identifier.citation Rojnic Kuzman M, Padberg F, Amann BL, Schouler-Ocak M, Bajic Z, Melartin T, et al. Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries. Eur Psychiatry. 2024 Mar 7;67(1):e24. DOI: 10.1192/j.eurpsy.2024.19
• dc.identifier.doi http://dx.doi.org/10.1192/j.eurpsy.2024.19
• dc.identifier.issn 0924-9338
• dc.identifier.uri http://hdl.handle.net/10230/70465
• dc.language.iso eng
• dc.publisher Cambridge University Press
• dc.relation.ispartof Eur Psychiatry. 2024 Mar 7;67(1):e24
• dc.rights © The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0
• dc.subject.keyword Europe
• dc.subject.keyword PTSD
• dc.subject.keyword Guidelines
• dc.subject.keyword Mental health
• dc.subject.keyword Psychiatry
• dc.subject.keyword Psychopharmacology
• dc.title Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion