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



            Table 1. Group A (control) participants            Table 3. Group C (earthquake survivors) participants
            Participant ID   PTSD I            PTSD II         Participant ID     PTSD I           PTSD II
                          (pre‑intervention)  (post‑intervention)             (pre‑intervention)  (post‑intervention)
            1                   5                5             1                   20                16
            2                   6                6             2                   22                20
            3                   3                3             3                   22                12
            4                   2                2             4                   17                15
            5                   1                0             5                   15                10
            6                   5                5             6                   20                19
            7                   7                7             7                    7                 8
            8                   4                4             8                   24                18
            9                   8                8             9                   18                 2
            10                  6                6             10                  14                 3
            11                  9                9             11                  10                 3
            12                  5                5             12                   7                 4
            13                  7                7             13                  14                 8
            14                  8                8             14                  16                19
            15                  2                2             15                  18                 2
            Total              78                71            Total               244               159
            Notes: Score indicates PTSD symptom severity. The score ranges from   Notes: Score indicates PTSD symptom severity. The score ranges from
            0 to 24, with higher scores indicating greater symptom severity.  0 to 24, with higher scores indicating greater symptom severity.
            Abbreviation: PTSD: Posttraumatic stress disorder.  Abbreviation: PTSD: Post-traumatic stress disorder.

            Table 2. Group B (earthquake survivors) participants  Table 4. Rivermead behavioral memory test in group A (control)
            Participant ID    PTSD I           PTSD II         Participant ID   Memory I         Memory II
                          (pre‑intervention)  (post‑intervention)            (pre‑intervention)  (post‑intervention)
            1                   22                18           1                   67               73
            2                   22                14           2                   43               96
            3                   13                12           3                   30               32
            4                   19                19           4                   12               25
            5                   21                15           5                   76               78
            6                   15                14           6                   50               82
            7                   11                2            7                   82               81
            8                   20                18           8                   85               90
            9                   24                4            9                   52               62
            10                  16                19           10                  41               54
            11                  9                 4            11                  92               95
            12                  5                 6            12                  45               60
            13                  10                7            13                  39               50
            14                  20                11           14                  56               80
            15                  13                1            15                  81               92
            Total              240               164           Total              851              1050
            Notes: Score indicates PTSD symptom severity. The score ranges from   Notes: Score indicates memory performance. The score ranges from 0
            0 to 24, with higher scores indicating greater symptom severity.  to 100, with higher scores indicating better memory performance.
            Abbreviation: PTSD: Posttraumatic stress disorder.  Abbreviation: PTSD: Post-traumatic stress disorder.

              The results suggest that all three groups performed   applied. Figure 1 shows the percentage changes between
            better in the memory test after the writing manual was   the results obtained by the three groups on the rivermead


            Volume 3 Issue 2 (2025)                        129                       https://doi.org/10.36922/ghes.5121
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