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Global Health Economics and
            Sustainability
                                                                            The impact of PTSD on memory and cognition


            highlighting the impact of PTSD on cognitive abilities and   (66.6%) both contained earthquake survivors, and both
            the challenges individuals face in maintaining associations   groups were identical. However, two groups of respondents
            and interactions with people despite their traumatic   were utilized rather than one to account for any variations
            experiences.                                       in the results.
              The extant research endeavors have not attempted to   All  participants belonged to  the same nationality
            control for possible links between PTSD and memory in   (Pakistani) and hailed from low socioeconomic
            adolescent  earthquake  victims  in  Pakistan.  A  gap  exists   environments  with  limited  income.  Elimination  criteria
            in the literature because no published predominance   were restricted to mental disabilities or any form of
            study concerning PTSD and memory in adolescents has   memory loss after the earthquake. Initially, each group was
            been published after the Pakistan earthquake. Therefore,   supposed to include 25 adolescents. However, the study
            this project planned to determine the presence of PTSD   required participants to be able to read and write and 15
            in relation to memory in child victims of the Pakistan   participants were ultimately recruited per group because
            earthquake of October 08, 2005. To this end, it focused   it was impossible to enlist 25 literate adolescents for both
            on adolescents attending schools in the areas of Pakistan   cohorts. In addition, the study required participants to be
            affected by the repercussions of the earthquake. This study   present for a week, and the requisite number of participants
            also proposed to test the impact, strengths, and weaknesses   were unavailable for that duration. Moreover, the male–
            of the Children and War Foundation’s “Writing for   female participant ratio was originally envisaged as equal.
            Recovery” manual to alleviate PTSD in adolescents.  However, males were much more willing to participate
              Hypothesis: It was posited that earthquake victims   in the study and females seemed more hesitant due to
            (participant groups B and C) would exhibit higher levels   the conservative nature and culture of the inhabitants of
            of  PTSD and  reduced  memory  performance compared   Pakistan. Therefore, the ultimate participant distribution
            to non-victims (group  A). The Writing for Recovery   was 66.6% male and 33.3% female.
            intervention was expected to reduce PTSD symptoms and   2.2. Materials
            improve memory in the affected groups.
                                                               Psychologists over  the  centuries have  employed  many
            2. Methods                                         different memory tests. The applications range from
            2.1. Participants                                  model tests of instant and deferred learning, recollection,
                                                               and identification to complex hypotheses through
            All participants of the study were earthquake victims   investigational stimuli to appraise data development
            recruited through the Earthquake Reconstruction and   abilities.
            Rehabilitation Authority (ERRA),  whose operations
            entail preparing, managing, observing, and controlling   Standard tests center on universal learning and memory
            rebuilding and treatment activities in earthquake-effected   abilities, and investigational assessments have probed
            areas in Pakistan.                                 the functions of stress-associated cues and their effects
                                                               on  memory.  Studies  conducted  using  standard  tests  of
              Before the study was initiated, 47 earthquake victims   verbal or visual memory have indicated that patients who
            aged between five and 76 years were casually interviewed.   suffer from PTSD present memory conditions ranging
            This task was undertaken to establish a general idea   from undamaged to placidly damaged memory functions.
            about the incidence of PTSD in the earthquake survivor   However,  more complex memory tests  involving  stimuli
            environment. The interviewed individuals were included   focusing on specific personal experiences  have reported
            in the ERRA efforts. Subsequently, 25 other individuals   modifications in cognitive data processing. The present
            also aged between 5 and 76 years were interviewed in the   study required a memory test that combined everyday
            capital city of Pakistan. These respondents formed the   verbal and visual memory with certain customizable
            control  group  and  were  approached  and  interviewed  at   stimuli attending to the Pakistan earthquake. Therefore,
            random.                                            the Rivermead Behavioral Memory Test was used for
              Three groups of participants were formed during the   this  study.  This  assessment  of  daily  memory  functions
            study. Each group comprised 15 adolescents (ten boys and   is internationally recognized, extremely insightful, and
            five girls) aged between 13 and 15 years. Group A (33.3 %)   short. It comprises 12 components (name recognition,
            encompassed  adolescents  who  were  not  earthquake   image recognition, etc.) that evaluate several of the daily
            victims  and  was  designated  the  reference  group  that   memory problems acknowledged in patients with memory
            would initially reveal whether the memory functions of   difficulties. Most importantly, the test can be used to
            earthquake victims were at all affected. Groups B and C   monitor  change  (Wilson,  2006).  Thus,  the  Rivermead



            Volume 3 Issue 2 (2025)                        126                       https://doi.org/10.36922/ghes.5121
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