{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T18:52:46Z","timestamp":1792608766903,"version":"4.5.0"},"reference-count":29,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"content-version":"unspecified","delay-in-days":66,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. Psychiatr."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S0924933824000191_sec1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Considering the recently growing number of potentially traumatic events in Europe, the European Psychiatric Association undertook a study to investigate clinicians\u2019 treatment choices for post-traumatic stress disorder (PTSD).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933824000191_sec02\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>The case-based analysis included 611 participants, who correctly classified the vignette as a case of PTSD, from Central\/ Eastern Europe (CEE) (<jats:italic>n<\/jats:italic> = 279), Southern Europe (SE) (<jats:italic>n<\/jats:italic> = 92), Northern Europe (NE) (<jats:italic>n<\/jats:italic> = 92), and Western Europe (WE) (<jats:italic>N<\/jats:italic> = 148).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933824000191_sec2\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>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 \u201cprofiles\u201d of clinicians. In Class 1 (<jats:italic>N<\/jats:italic> = 367), psychiatrists would less often recommend any antidepressants. In Class 2 (<jats:italic>N<\/jats:italic> = 51), clinicians would recommend trazodone and prolonged exposure therapy. In Class 3 (<jats:italic>N<\/jats:italic> = 65), they propose mirtazapine and eye movement desensitization reprocessing therapy. In Class 4 (<jats:italic>N<\/jats:italic> = 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.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933824000191_sec3\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Clinicians\u2019 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.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2024.19","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T11:04:22Z","timestamp":1709809462000},"source":"Crossref","is-referenced-by-count":8,"title":["Clinician treatment choices for post-traumatic stress disorder: ambassadors survey of psychiatrists in 39 European 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