Therapeutic intensification in post-traumatic stress disorder worldwide: where do we stand?

European Journal of Psychotraumatology · Available online 24 Jul 2026 · In press · DOI 10.1080/20008066.2026.2697553

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Authors (6)

Arnaud Leroy, Eric Bui, Emmanuelle Verkest, Frédérique Warembourg, Ad de Jongh, Guillaume Vaiva

Abstract

Background: First-line treatments for post-traumatic stress disorder (PTSD) are trauma-focused psychotherapies. To overcome the limitations of these approaches, intensive and massed programmes have shown promising outcomes.Objective: To provide a structured narrative literature review on recent advances in intensive and massed programmes for psychological trauma over the past five years.Methods: All clinical studies investigating massed or intensive therapies were included, including qualitative research.Results: Two main approaches of intensive or massed programmes have emerged, mainly in North America and Europe. These two models differ in their modalities (individual vs. group-based interventions) and in the extent of validation across diverse populations. Across the two approaches, both therapeutic alliance and trauma-related negative cognitions predict treatment response.Conclusion: Current evidence supports the continued use of intensive and massed programmes and underscores the need to further develop and refine them to address existing limitations.

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Publication details

Year
2026

Citation

Leroy, A., Bui, E., Verkest, E., et al. (2026). Therapeutic intensification in post-traumatic stress disorder worldwide: where do we stand?. European Journal of Psychotraumatology. https://doi.org/10.1080/20008066.2026.2697553

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