[Psychotraumatology in medical practice--a survey]

In a representative national survey, general practitioners and psychiatrists were asked about their experience and knowledge with regard to psychological sequelae of traumatic life events. A questionnaire addressing 10 traumatic stress related issues was mailed to every fifth general practitioner and psychiatrist in private practice in Switzerland (N = 1284). The return rate was 37%. Every second doctor reported having experiences in treating posttraumatic disorders. Sexual abuse and accidents were the mostly mentioned traumas. General practitioners are frequently confronted with acute stress disorders, while psychiatrists more often have to deal with PTSD. Psychiatrists knew more about specific treatment possibilities than general practitioners. Only a minority was satisfied with the existing therapeutic services for trauma victims. Few doctors (more psychiatrists than GPs) had plans for further education. A majority suggested interdisciplinary treatment approaches. When planning further education, preference should be given to interdisciplinary approaches, taking into consideration at the same time the specific needs of different professional groups.