Evidence map›Paper›PMID 41593574›Full record

Trial reportBMC psychiatry2026

Feasibility of intensive prolonged exposure for PTSD: a pragmatic pilot study in Swedish public outpatient psychiatry.

Sim Jamil, Christian Rück, Maria Bragesjö

Registry-linked trialAbstract readPragmatic Clinical Trial
In one paragraph

Trial report in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05207462 (A Feasibility Study of Intensive Treatment With Prolonged Exposure for Patients With Post-traumatic Stress Disorder), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05207462 nacompletednot on this map

A Feasibility Study of Intensive Treatment With Prolonged Exposure for Patients With Post-traumatic Stress Disorder (PTSD) in a Regular Health Care Setting

TypeinterventionalSponsorKarolinska InstitutetRan2022 to 2023Enrolled33ConditionsPost Traumatic Stress DisorderArmsIntensive treatment with prolonged exposure
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sim JamilCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Hälsovägen 13, Region Stockholm, Stockholm, 141 86, Sweden. sim.jamil@ki.se.
Christian RückCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Hälsovägen 13, Region Stockholm, Stockholm, 141 86, Sweden.
Maria BragesjöCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Hälsovägen 13, Region Stockholm, Stockholm, 141 86, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProlonged exposure (PE) is an established treatment for PTSD, but outcomes are often limited by dropout and delivery constraints. This study evaluated the feasibility, acceptability, and preliminary effectiveness of intensive-format PE (I-PE) delivered as a pragmatic intervention in a Swedish psychiatric outpatient setting.

methodsThirty-three adults meeting the diagnostic criteria for PTSD were enrolled in a single-center, uncontrolled pragmatic feasibility trial embedded in routine outpatient care in Sweden. I-PE comprised five consecutive days of therapist-guided treatment, followed by three individual booster sessions at weeks 2, 4, and 8. The primary objectives were to assess feasibility through reach, retention, treatment adherence, satisfaction, and safety. Clinical outcomes included clinician-rated PTSD severity with the Clinician-Administered PTSD Scale for DSM-5 at baseline and 6-month follow-up; self-reported PTSD with the PTSD Checklist for DSM-5 at baseline, posttreatment, and 6-month follow-up; complex PTSD symptoms with the International Trauma Questionnaire at baseline and posttreatment; and depression with the Patient Health Questionnaire-9 and quality of life with the EuroQol 5-Dimension at baseline, posttreatment, and 6-month follow-up. Analyses were conducted using mixed-effects linear models under an intention-to-treat framework.

resultsI-PE proved both feasible and acceptable within routine care; 97% (32/33) completed the full protocol, and no serious adverse events were reported. Treatment satisfaction was high, with 90% of participants indicating that they would recommend I-PE to a friend in need of similar help. Substantial reductions in PTSD symptoms were observed on both clinician- and self-rated measures from baseline to the 6-month follow-up. The within-group effect sizes were large for clinician-rated symptoms (Cohen’s d = 2.05 at 6-month follow-up) and self-reported symptoms (Cohen’s d = 1.05 posttreatment; d = 1.24 at 6-month follow up).

conclusionsPragmatically delivered, I-PE shows promise as a time-efficient alternative to weekly care, with low dropout rates, and warrants fully powered controlled trials to establish efficacy, durability, and cost-effectiveness.

trial registrationClinicalTrials.gov (registration ID: NCT05207462) on December 22, 2021.

Indexed as

Implosive TherapyStress Disorders, Post-TraumaticAdultAmbulatory CareFeasibility StudiesFemaleHumansMaleMiddle AgedOutpatientsPatient SatisfactionPilot ProjectsQuality of LifeSwedenTreatment OutcomeIntensive prolonged exposureIntensive treatmentPosttraumatic stress disorderProlonged exposureTrauma-focused cognitive behavior therapy

Identifiers

PMID41593574
PMCPMC12918110

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.