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Evidence-based interventions tailored to this workforce are limited. We developed and evaluated a telephone-based cognitive therapy coaching intervention targeting PTSD and depression. One hundred three healthcare workers seeking support during the COVID-19 pandemic completed measures at baseline, after three-week symptom monitoring, following six-week coaching, and at three-month follow-up. Sixty-five participants met criteria for probable PTSD (PCL-5\u2009\u2265\u200932) or probable depression (PHQ-9\u2009\u2265\u200910), and 38 experienced subthreshold symptoms. For PTSD (PCL-5) and depression (PHQ-9), reliable recovery rates increased substantially from symptom monitoring (PTSD: 14.6%; depression: 15.8%) to intervention (PTSD: 77.1%; depression: 64.3%), with sustained recovery at three months (68.8% and 52.6%, respectively). Overall, rates of reliable improvement increased from 41.1% to 65.8% for PTSD and from 20.0% to 63.1% for depression during intervention, with gains maintained at follow-up (72.2% and 56.0%, respectively). Mean PTSD, depression and anxiety (GAD-7) scores fell below clinical thresholds post-intervention and remained below at follow-up. Intervention-specific effects were observed for sleep, resilience, and wellbeing, with sustained improvements at follow-up. Cognitive therapy coaching is a promising intervention for healthcare workers with PTSD and depression symptoms. A randomised controlled trial is warranted.<\/jats:p>","DOI":"10.1038\/s41598-026-36057-5","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T06:16:18Z","timestamp":1768630578000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of SHAPE cognitive therapy coaching for PTSD and depression symptoms in healthcare workers repeatedly exposed to trauma"],"prefix":"10.1038","volume":"16","author":[{"given":"Jennifer","family":"Wild","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee","family":"McKinnon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbie","family":"Wilkins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ceri","family":"Storch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haddi","family":"Browne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke","family":"Ehlers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,17]]},"reference":[{"key":"36057_CR2","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1016\/j.chiabu.2009.04.008","volume":"34","author":"RG Maunder","year":"2010","unstructured":"Maunder, R. 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