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Clinician treatment choices for post-traumatic stress disorder (PTSD) - Ambassadors survey of psychiatrists in 39 European countries

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dc.contributor.authorKuzman, Martina Rojnic
dc.contributor.authorPadberg, Frank
dc.contributor.authorAmann, Benedikt L.
dc.contributor.authorSchouler-Ocak, Meryam
dc.contributor.authorBajic, Zarko
dc.contributor.authorMelartin, Tarja
dc.contributor.authorJames, Adrian
dc.contributor.authorBeezhold, Julian
dc.contributor.authorGómez, Jordi Artigue
dc.contributor.authorArango, Celso
dc.contributor.authorJendričko, Tihana
dc.contributor.authorIsmayilov, Jamila
dc.contributor.authorFlannery, William
dc.contributor.authorChumakov, Egor
dc.contributor.authorBaşar, Koray
dc.contributor.authorVahip, Simavi
dc.contributor.authorDudek, Dominika
dc.contributor.authorSamochowiec, Jerzy
dc.contributor.authorMihajlović, Goran
dc.contributor.authorRota, Fulvia
dc.contributor.authorStoppe, Gabriela
dc.contributor.authorDom, Geert
dc.contributor.authorCatthoor, Kirsten
dc.contributor.authorChkonia, Eka
dc.contributor.authorSantos, Maria João Heitor Dos
dc.contributor.authorTelles, Diogo
dc.contributor.authorFalkai, Peter
dc.contributor.authorCourtet, Philippe
dc.contributor.authorPatarák, Michal
dc.contributor.authorIzakova, Lubomira
dc.contributor.authorSkugarevski, Oleg
dc.contributor.authorBarjaktarov, Stojan
dc.contributor.authorBabić, Dragan
dc.contributor.authorRačetović, Goran
dc.contributor.authorFiorillo, Andrea
dc.contributor.authorCarpiniello, Bernardo
dc.contributor.authorTaube, Maris
dc.contributor.authorMelamed, Yuval
dc.contributor.authorChihai, Jana
dc.contributor.authorCozman, Doina Constanta Maria
dc.contributor.authorMohr, Pavel
dc.contributor.authorSzekeres, György
dc.contributor.authorDelic, Mirjana
dc.contributor.authorMazaliauskienė, Ramunė
dc.contributor.authorTomcuk, Aleksandar
dc.contributor.authorMaruta, Nataliya
dc.contributor.authorGorwood, Philip
dc.date.accessioned2024-03-27T11:39:52Z
dc.date.available2024-03-27T11:39:52Z
dc.date.issued2024
dc.description.abstractBackground: Considering the recently growing number of potentially traumatic events and stressors in Europe (i.e. war in Ukraine, COVID-19 pandemic, refugee waves), the European Psychiatric Association (EPA) undertook a study to investigate clinicians' treatment choices for Post-Traumatic Stress Disorder (PTSD). Results: The case-based analysis included 611 participants, who correctly classified the vignette as a case of PTSD, from Central and Eastern Europe, CEE (n=279), Southern Europe, SE (n=92), Northern Europe, NE (n=92) and Western Europe, WE (N=148). The majority would use antidepressants (82%), with 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%). A narrow majority (52%) of clinicians recommended trauma-focused CBT and 35% psychoeducation, irrespective of their origin. In the latent class analysis, we identified four distinct „profiles“of clinicians. In class 1 (N=367, 60.1%) psychiatrists would less often recommended any antidepressants. In Class 2 (N=65, 10.6%) clinicians would recommend trazodone and prolonged exposure therapy. In Class 3 (N=128, 21.0%) they more frequently propose mirtazapine and Eye Movemente Desensitization Reprocessing (EMDR) therapy. In Class 4 (N=, %), clinicians propose different antidepressants, benzodiazepines, anticonvulsants and cognitive processing therapy. Half of all participants in each region (50.1 %) stated they do not adhere to recognized treatment guidelines. Conclusions: Clinicians' decisions for PTSD are broadly similar among European psychiatrists, but do not fully comply with current clinical guidelines. Regional differences suggest the need for more dialogue and educational efforts to harmonize practice across Europe and promote the use of guidelines.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1192/j.eurpsy.2024.19pt_PT
dc.identifier.eid85187375716
dc.identifier.issn0924-9338
dc.identifier.pmid38450651
dc.identifier.urihttp://hdl.handle.net/10400.14/44420
dc.identifier.wos001192466300001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectEuropept_PT
dc.subjectGuidelinespt_PT
dc.subjectMental healthpt_PT
dc.subjectPsychiatrypt_PT
dc.subjectPsychopharmacologypt_PT
dc.subjectPTSDpt_PT
dc.titleClinician treatment choices for post-traumatic stress disorder (PTSD) - Ambassadors survey of psychiatrists in 39 European countriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.titleEuropean Psychiatrypt_PT
oaire.citation.volume67pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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