{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:49:11Z","timestamp":1786978151454,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Written exposure therapy (WET) is a brief, evidence\u2010based treatment for posttraumatic stress disorder (PTSD) that has demonstrated effectiveness in a variety of settings, mostly within the United States. The pilot study described here examined the feasibility, acceptability, and effectiveness of WET in Azerbaijan, where access to evidence\u2010based trauma\u2010focused treatments is limited. Patients diagnosed with PTSD (\n                    <jats:italic>N<\/jats:italic>\n                    = 62) received five weekly sessions of WET delivered by trained clinicians. Self\u2010report measures were used to assess PTSD and depressive symptoms, as well as maladaptive beliefs, at pre\u2010 and posttreatment. Working alliance was also assessed using the patient version of the Brief Revised Working Alliance Inventory (BR\u2010WAI). Treatment dropout was low, with only four participants (6.4%) dropping out. Treatment outcome findings indicated that there were significant decreases in PTSD symptoms,\n                    <jats:italic>d<\/jats:italic>\n                    = 1.84; depressive symptoms,\n                    <jats:italic>d<\/jats:italic>\n                    = 1.43; and maladaptive beliefs,\n                    <jats:italic>d<\/jats:italic>\n                    = 0.85. At posttreatment, most (87.1%) participants showed a reliable reduction in PTSD symptoms, and 71.0% met the criteria for clinical recovery. Working alliance moderated PTSD symptom reductions, with stronger agreement on goals and tasks associated with larger reductions in PTSD symptoms,\n                    <jats:italic>B<\/jats:italic>\n                    = \u20100.18,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.049. Exploratory analyses revealed that reductions in maladaptive trauma\u2010related beliefs were significantly associated with reductions in PTSD symptoms,\n                    <jats:italic>B<\/jats:italic>\n                    = \u20100.46,\n                    <jats:italic>p<\/jats:italic>\n                    &lt;\u00a0.001. Overall, the findings suggest that WET is both feasible and acceptable to implement in Azerbaijan. Moreover, WET was effective, with large treatment effects observed. These findings support the broader implementation of WET in low\u2010resource settings.\n                  <\/jats:p>","DOI":"10.1002\/jts.70027","type":"journal-article","created":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T04:15:46Z","timestamp":1764389746000},"page":"202-212","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Examining written exposure therapy for the treatment of posttraumatic stress disorder in Azerbaijan: A pilot study"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8418-4692","authenticated-orcid":false,"given":"Jamila","family":"Ismayilova","sequence":"first","affiliation":[{"name":"National Mental Health Center of the Ministry of Health  Baku Azerbaijan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise M.","family":"Sloan","sequence":"additional","affiliation":[{"name":"National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8988-1796","authenticated-orcid":false,"given":"Brian P.","family":"Marx","sequence":"additional","affiliation":[{"name":"National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuad","family":"Ismayilov","sequence":"additional","affiliation":[{"name":"National Mental Health Center of the Ministry of Health  Baku Azerbaijan"},{"name":"Department of Psychiatry Azerbaijan Medical University  Baku Azerbaijan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunel","family":"Muradova","sequence":"additional","affiliation":[{"name":"National Mental Health Center of the Ministry of Health  Baku Azerbaijan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aygun","family":"Sultanova","sequence":"additional","affiliation":[{"name":"National Mental Health Center of the Ministry of Health  Baku Azerbaijan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigar","family":"Mammadli","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Azerbaijan Medical University  Baku Azerbaijan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gulsabah","family":"Guliyeva","sequence":"additional","affiliation":[{"name":"National Mental Health Center of the Ministry of Health  Baku Azerbaijan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josef I.","family":"Ruzek","sequence":"additional","affiliation":[{"name":"Lyda Hill Institute for Human Resilience University of Colorado  Colorado Springs Colorado USA"},{"name":"Center for m2Health Palo Alto University  Palo Alto California USA"},{"name":"Department of Psychiatry and Behavioral Sciences Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000831"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2022.09.002"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2023.102300"},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. 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