Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries
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 parti...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2024-01-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933824000191/type/journal_article |
| _version_ | 1827313402190495744 |
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| author | Martina Rojnic Kuzman Frank Padberg Benedikt L. Amann Meryam Schouler-Ocak Zarko Bajic Tarja Melartin Adrian James Julian Beezhold Jordi Artigue Gómez Celso Arango Tihana Jendricko Jamila Ismayilov William Flannery Egor Chumakov Koray Başar Simavi Vahip Dominika Dudek Jerzy Samochowiec Goran Mihajlovic Fulvia Rota Gabriela Stoppe Geert Dom Kirsten Catthoor Eka Chkonia Maria João Heitor Dos Santos Diogo Telles Peter Falkai Philippe Courtet Michal Patarák 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 György Szekeres Mirjana Delic Ramunė Mazaliauskienė Aleksandar Tomcuk Nataliya Maruta Philip Gorwood |
| author_facet | Martina Rojnic Kuzman Frank Padberg Benedikt L. Amann Meryam Schouler-Ocak Zarko Bajic Tarja Melartin Adrian James Julian Beezhold Jordi Artigue Gómez Celso Arango Tihana Jendricko Jamila Ismayilov William Flannery Egor Chumakov Koray Başar Simavi Vahip Dominika Dudek Jerzy Samochowiec Goran Mihajlovic Fulvia Rota Gabriela Stoppe Geert Dom Kirsten Catthoor Eka Chkonia Maria João Heitor Dos Santos Diogo Telles Peter Falkai Philippe Courtet Michal Patarák 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 György Szekeres Mirjana Delic Ramunė Mazaliauskienė Aleksandar Tomcuk Nataliya Maruta Philip Gorwood |
| author_sort | Martina Rojnic Kuzman |
| collection | DOAJ |
| 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.
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| first_indexed | 2024-04-24T22:07:54Z |
| format | Article |
| id | doaj.art-3b95e5f77f31470190743c99763d28c4 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-04-24T22:07:54Z |
| publishDate | 2024-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-3b95e5f77f31470190743c99763d28c42024-03-20T10:22:00ZengCambridge University PressEuropean Psychiatry0924-93381778-35852024-01-016710.1192/j.eurpsy.2024.19Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countriesMartina Rojnic Kuzman0https://orcid.org/0000-0001-9646-0594Frank Padberg1Benedikt L. Amann2https://orcid.org/0000-0002-4407-1519Meryam Schouler-Ocak3https://orcid.org/0000-0002-1846-3500Zarko Bajic4https://orcid.org/0000-0002-7983-6892Tarja Melartin5Adrian James6Julian Beezhold7https://orcid.org/0000-0001-9857-1669Jordi Artigue Gómez8https://orcid.org/0000-0002-9549-4087Celso Arango9https://orcid.org/0000-0003-3382-4754Tihana Jendricko10Jamila Ismayilov11William Flannery12Egor Chumakov13https://orcid.org/0000-0002-0429-8460Koray Başar14https://orcid.org/0000-0003-4798-5305Simavi Vahip15https://orcid.org/0000-0003-0645-7098Dominika Dudek16https://orcid.org/0000-0001-6120-0506Jerzy Samochowiec17https://orcid.org/0000-0003-1438-583XGoran Mihajlovic18Fulvia Rota19Gabriela Stoppe20https://orcid.org/0009-0004-7801-109XGeert Dom21https://orcid.org/0000-0001-6492-0429Kirsten Catthoor22Eka Chkonia23https://orcid.org/0000-0002-8817-9679Maria João Heitor Dos Santos24Diogo Telles25Peter Falkai26Philippe Courtet27https://orcid.org/0000-0002-6519-8586Michal Patarák28https://orcid.org/0000-0002-1036-4903Lubomira Izakova29Oleg Skugarevski30https://orcid.org/0000-0002-4439-5046Stojan Barjaktarov31https://orcid.org/0000-0002-2554-4691Dragan Babic32https://orcid.org/0000-0002-0269-2413Goran Racetovic33Andrea Fiorillo34https://orcid.org/0000-0002-6926-0762Bernardo Carpiniello35https://orcid.org/0000-0002-5385-7871Maris Taube36https://orcid.org/0000-0002-1144-8586Yuval Melamed37Jana Chihai38https://orcid.org/0000-0002-7720-5544Doina Constanta Maria Cozman39https://orcid.org/0000-0001-7102-2432Pavel Mohr40https://orcid.org/0000-0002-9851-3271György Szekeres41https://orcid.org/0000-0003-1053-7592Mirjana Delic42https://orcid.org/0000-0003-3374-704XRamunė Mazaliauskienė43https://orcid.org/0000-0003-4212-8283Aleksandar Tomcuk44https://orcid.org/0000-0003-4927-606XNataliya Maruta45https://orcid.org/0000-0002-6619-9150Philip Gorwood46https://orcid.org/0000-0003-1845-3676Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb and School of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilian University (LMU), Munich, GermanyDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilian University (LMU), Munich, Germany Mental Health Institute Hospital del Mar and Hospital del Mar Research Institute, Barcelona, CIBERSAM, Barcelona, Spain Universitat Pompeu Fabra, Barcelona, SpainPsychiatric University Clinic of Charité at St. Hedwig Hospital Berlin, Berlin, GermanyResearch Unit “Dr. Mirko Grmek”, Psychiatric Clinic “Sveti Ivan”, Zagreb, CroatiaDepartment of Psychiatry, Helsinki University Central Hospital, Helsinki, FinlandRoyal College of Psychiatrists, London, UKGreat Yarmouth Acute Service, Northgate Hospital/Norfolk & Suffolk NHS Foundation Trust, Great Yarmouth, UKFaculty of Psychology, University of Barcelona, Barcelona, SpainDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), CIBERSAM, ISCIII, School of Medicine, Universidad Complutense, Madrid, SpainVrapče Psychiatric University Clinic, Zagreb, CroatiaThe National Mental Health Center, Baku, AzerbaijanDepartment of Adult Psychiatry, Mater Misericordiae University Hospital, Dublin, IrelandDepartment of Psychiatry and Addiction, Saint-Petersburg State University, Saint-Petersburg, RussiaDepartment of Psychiatry, Hacettepe University Faculty of Medicine, Ankara, TurkeyAffective Disorders Unit, Department of Psychiatry, Ege University Medicine Faculty, Izmir, TurkeyPsychiatry and Department of Adult Psychiatry, Collegium Medicum Jagiellonian University, Cracow, PolandPomeranian Medical University in Szczecin, Szczecin, PolandClinic for Psychiatry, University of Kragujevac, Kragujevac, SerbiaSwiss Society for Psychiatry and Psychotherapy, SwitzerlandMentAge – Counsil-Practice-Research, Basel, SwitzerlandCollaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp (UAntwerp), Antwerp, BelgiumCollaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp (UAntwerp), Antwerp, BelgiumDepartment of Psychiatry, Tbilisi State Medical University, Tbilisi, GeorgiaPsychiatry and Mental Health Department, Hospital Beatriz Ângelo, Loures, Portugal Centro de Investigação Interdisciplinar em Saúde (CIIS), Universidade Católica Portuguesa, Lisbon, Portugal Faculdade de Medicina, Universidade Católica Portuguesa, Lisbon, Portugal Faculdade de Medicina, Universidade de Lisboa, Lisbon, PortugalFaculdade de Medicina, Universidade de Lisboa, Lisbon, PortugalDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilian University (LMU), Munich, GermanyDepartment of Emergency Psychiatry and Post Acute Care, Hôspital Lapeyronie, CHU Montpellier, Montpellier, FranceDepartment of Psychiatry, Slovak Medical University, Bratislava, Slovakia Roosevelt Teaching Hospital, Banská Bystrica, SlovakiaDepartment of Psychiatry, Faculty of Medicine, Comenius University Bratislava, Bratislava, SlovakiaDepartment of Psychiatry and Medical Psychology, Belarusian State Medical University, Minsk, BelarusUniversity Clinic of Psychiatry, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North MacedoniaPsychiatry Clinic, University Clinical Hospital Mostar, Mostar, Bosnia and HerzegovinaCommunity Mental Health Center, Health Center Prijedor, Prijedor, Bosnia and HerzegovinaDepartment of Psychiatry, University of Campania “L. Vanvitelli”, Naples, ItalyUniversity of Cagliari and Psychiatry Unit, Section of Psychiatry, Department of Medical Sciences and Public Health, University Hospital, Cagliari, ItalyDepartment of Psychiatry and Narcology, Riga Stradiņš University, Riga Centre of Psychiatry and Narcology, Riga, LatviaAbarbanel Mental Health Center, Tel Aviv, IsraelDepartment of Mental Health, Medical Psychology and Psychotherapy, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova, Kishinev, MoldovaIuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, RomaniaClinical Department, National Institute of Mental Health, Klecany, Czechia Third School of Medicine, Charles University, Prague, Czech RepublicSemmelweis University, Budapest, HungaryUniversity Psychiatric Clinic, Ljubljana, SloveniaPsychiatric Clinic, Lithuanian Health Sciences University Kaunas Hospital, Kaunas, LithuaniaSpecial Psychiatric Hospital Kotor, Kotor, MontenegroInstitute of Neurology, Psychiatry and Narcology, National Academy of Medical Sciences of Ukraine, Kharkiv, UkraineUniversité Paris Cité, INSERM UMR1266, Paris, France CMME, GHU Paris Psychiatrie et Neurosciences, Hôpital Sainte-Anne, Paris, France 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. https://www.cambridge.org/core/product/identifier/S0924933824000191/type/journal_articleEuropeguidelinesmental healthpsychiatrypsychopharmacologyPTSD |
| spellingShingle | Martina Rojnic Kuzman Frank Padberg Benedikt L. Amann Meryam Schouler-Ocak Zarko Bajic Tarja Melartin Adrian James Julian Beezhold Jordi Artigue Gómez Celso Arango Tihana Jendricko Jamila Ismayilov William Flannery Egor Chumakov Koray Başar Simavi Vahip Dominika Dudek Jerzy Samochowiec Goran Mihajlovic Fulvia Rota Gabriela Stoppe Geert Dom Kirsten Catthoor Eka Chkonia Maria João Heitor Dos Santos Diogo Telles Peter Falkai Philippe Courtet Michal Patarák 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 György Szekeres Mirjana Delic Ramunė Mazaliauskienė Aleksandar Tomcuk Nataliya Maruta Philip Gorwood Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries European Psychiatry Europe guidelines mental health psychiatry psychopharmacology PTSD |
| title | Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries |
| title_full | Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries |
| title_fullStr | Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries |
| title_full_unstemmed | Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries |
| title_short | Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries |
| title_sort | clinician treatment choices for post traumatic stress disorder ambassadors survey of psychiatrists in 39 european countries |
| topic | Europe guidelines mental health psychiatry psychopharmacology PTSD |
| url | https://www.cambridge.org/core/product/identifier/S0924933824000191/type/journal_article |
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