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


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).

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).

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%and3%). 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 proposedifferent types of medications and cognitive processing therapy. About 50.1% of participants in each region stated they do not adhere to recognized treatment guidelines.

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.






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

Original Work Citation

Kuzman, M. R., Padberg, F., Amann, B. L., Schouler-Ocak, M., Bajic, Z., Melartin, T., James A., ... Gorwood, P.(2024). Clinician treatment choices for post-traumatic  stress disorder:Ambassadors survey of psychiatrists in 39 European countries. European Psychiatry, 67(1), e24, 1–11. doi:10.1192/j.eurpsy.2024.19.



“Clinician treatment choices for post-traumatic stress disorder: Ambassadors survey of psychiatrists in 39 European countries,” Francine Shapiro Library, accessed July 15, 2024,

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