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Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European countries
M. Rojnic Kuzman, F. Padberg, BL. Amann, M. Schouler-Ocak, Z. Bajic, T. Melartin, A. James, J. Beezhold, J. Artigue Gómez, C. Arango, T. Jendricko, J. Ismayilov, W. Flannery, E. Chumakov, K. Başar, S. Vahip, D. Dudek, J. Samochowiec, G....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu kazuistiky, časopisecké články, přehledy
NLK
Directory of Open Access Journals
od 1991
PubMed Central
od 2020
ProQuest Central
od 2020-01-01 do Před 1 rokem
Psychology Database (ProQuest)
od 2020-01-01 do Před 1 rokem
ROAD: Directory of Open Access Scholarly Resources
od 1991
PubMed
38450651
DOI
10.1192/j.eurpsy.2024.19
Knihovny.cz E-zdroje
- MeSH
- antidepresiva terapeutické užití MeSH
- kognitivně behaviorální terapie * MeSH
- lidé MeSH
- posttraumatická stresová porucha * farmakoterapie psychologie MeSH
- psychiatři MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- přehledy MeSH
- Geografické názvy
- Evropa MeSH
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.
3rd School of Medicine Charles University Prague Czech Republic
Abarbanel Mental Health Center Tel Aviv Israel
Affective Disorders Unit Department of Psychiatry Ege University Medicine Faculty Izmir Turkey
Centro de Investigação Interdisciplinar em Saúde Universidade Católica Portuguesa Lisbon Portugal
Clinic for Psychiatry University of Kragujevac Kragujevac Serbia
Clinical Department National Institute of Mental Health Klecany Czechia
CMME GHU Paris Psychiatrie et Neurosciences Hôpital Sainte Anne Paris France
Collaborative Antwerp Psychiatric Research Institute Antwerp Belgium
Community Mental Health Center Health Center Prijedor Prijedor Bosnia and Herzegovina
Department of Adult Psychiatry Mater Misericordiae University Hospital Dublin Ireland
Department of Psychiatry and Addiction Saint Petersburg State University Saint Petersburg Russia
Department of Psychiatry and Medical Psychology Belarusian State Medical University Minsk Belarus
Department of Psychiatry Faculty of Medicine Comenius University Bratislava Bratislava Slovakia
Department of Psychiatry Hacettepe University Faculty of Medicine Ankara Turkey
Department of Psychiatry Helsinki University Central Hospital Helsinki Finland
Department of Psychiatry Slovak Medical University Bratislava Slovakia
Department of Psychiatry Tbilisi State Medical University Tbilisi Georgia
Department of Psychiatry University of Campania L Vanvitelli Naples Italy
Faculdade de Medicina Universidade Católica Portuguesa Lisbon Portugal
Faculdade de Medicina Universidade de Lisboa Lisbon Portugal
Faculty of Psychology University of Barcelona Barcelona Spain
Iuliu Hatieganu University of Medicine and Pharmacy Cluj Napoca Romania
MentAge Counsil Practice Research Basel Switzerland
Pomeranian Medical University in Szczecin Szczecin Poland
Psychiatric Clinic Lithuanian Health Sciences University Kaunas Hospital Kaunas Lithuania
Psychiatric University Clinic of Charité at St Hedwig Hospital Berlin Berlin Germany
Psychiatry and Mental Health Department Hospital Beatriz Ângelo Loures Portugal
Psychiatry Clinic University Clinical Hospital Mostar Mostar Bosnia and Herzegovina
Research Unit Dr Mirko Grmek Psychiatric Clinic Sveti Ivan Zagreb Croatia
Roosevelt Teaching Hospital Banská Bystrica Slovakia
Royal College of Psychiatrists London UK
Semmelweis University Budapest Hungary
Special Psychiatric Hospital Kotor Kotor Montenegro
Swiss Society for Psychiatry and Psychotherapy Switzerland
The National Mental Health Center Baku Azerbaijan
Universitat Pompeu Fabra Barcelona Spain
Université Paris Cité INSERM UMR1266 Paris France
Citace poskytuje Crossref.org
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