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Pharmaceutical industry interactions of psychiatric trainees from 20 European countries

Published online by Cambridge University Press:  15 April 2020

F. Riese ,
S. Guloksuz ,
C. Roventa ,
J.D. Fair ,
H. Haravuori ,
T. Rolko ,
D. Flynn ,
D. Giacco ,
V. Banjac  and
N. Jovanovic
...Show all authors
F. Riese*
Affiliation:
Psychiatric University Hospital Zurich, Division of Psychiatry Research and Psychogeriatric Medicine, Lenggstr. 31, 8032Zurich, Switzerland
S. Guloksuz
Affiliation:
Department of Psychiatry and Psychology, Maastricht University Medical Centre, EURON, Maastricht, The Netherlands Department of Psychiatry, Yale University, New Haven, CT, USA
C. Roventa
Affiliation:
University Psychiatry Hospital Pr. Dr. Al. Obregia, Bucharest, Romania
J.D. Fair
Affiliation:
Kershaw Unit, Gartnavel Royal Hospital, Glasgow, United Kingdom
H. Haravuori
Affiliation:
Hospital District of Helsinki and Uusimaa, Kellokoski Hospital and National Institute for Health and Welfare, Helsinki, Finland
T. Rolko
Affiliation:
Psychiatric Clinic, Tartu University Hospital, Tartu, Estonia
D. Flynn
Affiliation:
Department of Psychiatry, St. Lukes Hospital, Kilkenny, Ireland
D. Giacco
Affiliation:
Unit for Social and Community Psychiatry, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
V. Banjac
Affiliation:
Clinic for Psychiatry, University Clinical Center Banjaluka, Banjaluka, Bosnia-Herzegovina
N. Jovanovic
Affiliation:
Department of Psychiatry, University Hospital Center Zagreb, Zagreb, Croatia
N. Bayat
Affiliation:
Arkin Psychiatric Institution, Amsterdam, The Netherlands
C. Palumbo
Affiliation:
Department of Neuroscience and Sense Organ, University of Bari, Bari, Italy
M. Rusaka
Affiliation:
Riga Stradins University, Riga, Latvia
O. Kilic
Affiliation:
Department of Psychiatry, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
J. Augėnaitė
Affiliation:
Vilnius University Psychiatric Clinic, Vilnius, Lithuania
A. Nawka
Affiliation:
Department of Psychiatry, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
M. Zenger
Affiliation:
Central Ostrobothnia Hospital District, Kokkola Central Hospital, Kokkola, Finland
I. Kekin
Affiliation:
Department of Psychiatry, University Hospital Center Zagreb, Zagreb, Croatia
P. Wuyts
Affiliation:
UPC KU Leuven, Leuven, Belgium
E. Barrett
Affiliation:
Our Lady's Hospital for Children, Crumlin, Dublin, Ireland
N. Bausch-Becker
Affiliation:
Psychiatric University Hospital Zurich, Division of Psychiatry Research and Psychogeriatric Medicine, Lenggstr. 31, 8032Zurich, Switzerland
J. Mikaliūnas
Affiliation:
Vilnius University Psychiatric Clinic, Vilnius, Lithuania
E. del Valle
Affiliation:
Centre Hospitalier Universitaire de La Tronche, 38700Grenoble, France
K. Feffer
Affiliation:
Shalvata Mental Health Center, Hod Hashron, Israel
G.A. Lomax
Affiliation:
South West London and St George's Mental Health Trust, London, United Kingdom
J.G. Marques
Affiliation:
Centro Hospitalar Psiquiatrico de Lisboa, Lisbon, Portugal
S. Jauhar
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, King's College, London, United Kingdom
*
*Corresponding author. E-mail address:florian.riese@bli.uzh.ch (F. Riese).
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Abstract

Background:

Interactions between the pharmaceutical industry (PI) and psychiatrists have been under scrutiny recently, though there is little empirical evidence on the nature of the relationship and its intensity at psychiatry trainee level. We therefore studied the level of PI interactions and the underlying beliefs and attitudes in a large sample of European psychiatric trainees.

Methods:

One thousand four hundred and forty-four psychiatric trainees in 20 European countries were assessed cross-sectionally, with a 62-item questionnaire.

Results:

The total number of PI interactions in the preceding two months varied between countries, with least interactions in The Netherlands (M (Mean) = 0.92, SD = 1.44, range = 0–12) and most in Portugal (M = 19.06, SD = 17.44, range = 0–100). Trainees were more likely to believe that PI interactions have no impact on their own prescribing behaviour than that of other physicians (M = 3.30, SD = 1.26 vs. M = 2.39, SD = 1.06 on a 5-point Likert scale: 1 “completely disagree” to 5 “completely agree”). Assigning an educational role to the pharmaceutical industry was associated with more interactions and higher gift value (IRR (incidence rate ratio) = 1.21, 95%CI = 1.12–1.30 and OR = 1.18, 95%CI = 1.02–1.37).

Conclusions:

There are frequent interactions between European psychiatric trainees and the PI, with significant variation between countries. We identified several factors affecting this interaction, including attribution of an educational role to the PI. Creating alternative educational opportunities and specific training dedicated to PI interactions may therefore help to reduce the impact of the PI on psychiatric training.

Keywords

Psychiatric trainingPharmaceutical industryConflict of interestIndustry interactionsEuropean Federation of Psychiatric TraineesEFPT
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 2 , February 2015 , pp. 284 - 290
Copyright
Copyright © Elsevier Masson SAS 2014

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