ArticleEuropean journal of psychotraumatology2026
Therapeutic alliance in intensive PTSD treatment with a therapist rotation model.
Article in European journal of psychotraumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Intensive trauma-focused treatment for PTSD and Complex PTSD in a public clinic: a feasibility study.Frontiers in psychology · 2026Article
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4 authors.
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Abstract
backgroundTherapeutic alliance is a robust predictor of treatment outcome. However, little is known about its development and relationship with symptom changes in intensive trauma-focused treatment for post-traumatic stress disorder (PTSD) using a therapist rotation model.
objectiveThis study examined (1) how therapeutic alliance develops during intensive trauma-focused treatment with therapist rotation, (2) its bidirectional relationship with PTSD symptom change, and (3) exploratory associations between baseline patient characteristics, preferences, alliance ruptures, and perceived relational fit experiences with outcomes.
methodData were derived from 133 patients (75.8% female, mean age = 41.32 years, SD = 12.59) who received a 4-day intensive trauma-focused treatment combining prolonged exposure and EMDR therapy, delivered by rotating therapists. The PTSD Checklist for DSM-5 (PCL-5; intake, start day 2, mid-, post-treatment) and Working Alliance Inventory-Short Form (WAI-SF; start day 2, mid-, post-treatment) were administered. Linear mixed models and regression analyses were performed.
resultsTherapeutic alliance increased significantly from the start of day 2 to mid-treatment (
conclusionsA therapeutic alliance can be established in rotation-based trauma-focused treatment, with small but consistent links to symptom change. Exploratory findings should be interpreted cautiously, and controlled studies are needed to clarify the specific role of therapist rotation in treatment outcomes and therapeutic alliances.
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