Dataset Information

Interventions for posttraumatic stress disorder in psychiatric practice across Europe: a trainees' perspective.

ABSTRACT:

Background

With an annual prevalence of 0.9-2.6%, posttraumatic stress disorder (PTSD) is very common in clinical practice across Europe. Despite the fact that evidence-based interventions have been developed, there is no evidence on their implementation in clinical practice and in national psychiatric training programmes.

Objective and method

The Early Career Psychiatrists Committee of the European Psychiatric Association conducted a survey in 23 European countries to explore implementation of evidence-based interventions for PTSD and training options.

Results

The findings indicate that pharmacotherapy was available in the majority of the participating countries (n=19, 82.8%). However, psychological interventions were much less widespread. For example, psychoeducation was widely available in 52% of the countries (n=12), cognitive-behavioural therapy in 26.2% (n=6), and specific trauma-focused techniques were rarely available. Training on PTSD was part of the official training in 13 countries (56.5%), predominantly in the form of theoretical seminars.

Conclusions

Overall, this survey indicates that the treatment for PTSD is largely focused on pharmacotherapy, with psychological evidence-based interventions poorly available, especially outside specialized centres. Poor implementation is linked to the lack of official training in evidence-based interventions for psychiatric trainees across Europe.

SUBMITTER: Koelkebeck K

PROVIDER: S-EPMC4563100 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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Publications

Interventions for posttraumatic stress disorder in psychiatric practice across Europe: a trainees' perspective.

Koelkebeck Katja K Andlauer Olivier O Jovanovic Nikolina N Giacco Domenico D

European journal of psychotraumatology 20150907

<h4>Background</h4>With an annual prevalence of 0.9-2.6%, posttraumatic stress disorder (PTSD) is very common in clinical practice across Europe. Despite the fact that evidence-based interventions have been developed, there is no evidence on their implementation in clinical practice and in national psychiatric training programmes.<h4>Objective and method</h4>The Early Career Psychiatrists Committee of the European Psychiatric Association conducted a survey in 23 European countries to explore imp ...[more]

PMID: 26350154

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Project description:Background: Posttraumatic stress disorder (PTSD) is a prevalent psychiatric condition that significantly increases the risk of suicide.Objective: This study aimed to assess PTSD and its co-occurring conditions among individuals who attempted suicide and to evaluate the relationship between these disorders and suicide reattempts within six months.Method: This prospective cohort study included 2,441 individuals from the French Vigilans programme who attempted suicide between 2015 and 2020. Data on sociodemographic characteristics and suicide attempt (SA) history were collected at baseline, and lifetime psychiatric conditions were assessed via the Mini-International Neuropsychiatric Interview (MINI) during the six-month follow-up telephone interview. Multivariate logistic and linear regression models were used to measure the impact of PTSD and its comorbidities on suicide reattempts within six months, controlling for sex, age, and prior SAs.Results: In total, 11.8% of the individuals (287/2,441) in the cohort were diagnosed with PTSD. Among these, 71.1% (204/287) had major depressive disorder, 36.2% (104/287) had alcohol use disorder, and 35.9% (103/287) had panic disorder. Within six months, we observed higher rates of suicide reattempt in those with PTSD (p < .01; OR 1.71 95% CI 1.14-2.55), regardless of comorbidities. Even higher rates were found in those with PTSD comorbid with panic disorder (p = .02 OR 1.95 95% CI 1.12-3.39) or substance use disorder (p = .01 OR 2.91 95% CI 1.28-6.62). Additionally, PTSD comorbid with panic disorder (p = .02, β = .10) or eating disorders (p = .04, β = .12) was associated with a greater number of suicide reattempts.Conclusion: Approximately one in ten SA survivors experienced PTSD. Individuals with PTSD and comorbid conditions, such as panic disorder, substance use disorder, and eating disorders, are two to three times more likely to reattempt suicide within six months. Despite ongoing preventive efforts, rates of reattempt remain high, highlighting the urgent need for continuous clinical monitoring and personalized therapeutic interventions.Trial registration: ClinicalTrials.gov identifier: NCT03134885.

Dataset Information

Interventions for posttraumatic stress disorder in psychiatric practice across Europe: a trainees' perspective.

Background

Objective and method

Results

Conclusions

Publications

Interventions for posttraumatic stress disorder in psychiatric practice across Europe: a trainees' perspective.

Similar Datasets

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