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

European Journal of Psychotraumatology
Katja KoelkebeckDomenico Giacco

Abstract

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. 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. 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. 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 implementa...Continue Reading

References

May 7, 2004·Acta Psychiatrica Scandinavica. Supplementum·J AlonsoUNKNOWN ESEMeD/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project
Feb 11, 2005·Behaviour Research and Therapy·Anke EhlersMelanie Fennell
Oct 29, 2008·Journal of Traumatic Stress·Jean-Michel Darves-BornozUNKNOWN ESEMeD/MHEDEA 2000 Investigators
Jul 23, 2011·Journal of Traumatic Stress·Nozomu AsukaiAzusa Saito
Oct 13, 2011·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Richard A BryantThananet Chantaluckwong
Sep 1, 2011·Psychological Trauma : Theory, Research, Practice and Policy·Joan M CookChristine Courtois
Jun 12, 2013·European Journal of Psychotraumatology·Jonathan I Bisson

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Methods Mentioned

BETA
pharmacotherapy
cognitive-behavioural therapy

Software Mentioned

SPSS

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