Evidence map›Paper›PMID 42230403›Full record

ReviewHealth economics review2026

Economic and health-related quality of life impacts of posttraumatic stress disorder: a systematic review.

Tran Hoang Tien, Tran Thu Ngan, Mai Xuan Thu, Meenakshi Sharma, Grainne Crealey, Ciaran O'Neill

Abstract readReview
In one paragraph

Review in Health economics review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tran Hoang TienSchool of Pharmacy, University of Maryland, Baltimore, USA.
Tran Thu NganCentre for Public Health, Queen's University Belfast, Belfast, BT12 6BA, UK. n.t.tran@qub.ac.uk.ORCID http://orcid.org/0000-0003-2771-9878
Mai Xuan ThuHealth Strategy and Policy Institute, Hanoi, Vietnam.
Meenakshi SharmaCentre for Public Health, Queen's University Belfast, Belfast, BT12 6BA, UK.
Grainne Crealey, Belfast, UK.
Ciaran O'NeillCentre for Public Health, Queen's University Belfast, Belfast, BT12 6BA, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-traumatic stress disorder (PTSD) is a severe psychiatric condition associated with long-term mental health impairment, high healthcare utilization, and substantial societal costs. Despite growing recognition of its burden, few reviews integrate economic and health-related quality of life (HRQoL) impacts. This systematic review synthesizes global evidence on the economic and HRQoL consequences of PTSD to inform policy decision-making.

methodsA systematic search of six databases (Web of Science, EMBASE, MEDLINE, PsycINFO, PubMed, and EconLit) was conducted in April 2024 and updated in April 2025. Studies reporting real-world costs or HRQoL outcomes in PTSD populations were included. Quality was assessed using the Joanna Briggs Institute critical appraisal tools. Data were synthesized narratively due to heterogeneity in study design, populations, and outcome measures.

resultsTwenty studies met inclusion criteria, spanning 2000-2024 and representing diverse settings including the US, Europe, South Korea, and Australia. However, most were from high-income countries, with limited representation from low- and middle-income countries (LMICs). PTSD was associated with high direct healthcare costs (e.g., $66.0 billion in US civilians) and substantial indirect costs from lost productivity, disability, caregiving, and premature mortality. Veterans and conflict-affected populations bore particularly high economic burdens. HRQoL was markedly reduced across all populations studied, with EQ-5D, AQoL, and MANSA scores indicating significant functional and psychosocial impairment. Co-occurring conditions (e.g., depression, anxiety), trauma severity, and sleep disturbances were key drivers of reduced HRQoL.

conclusionsPTSD imposes a substantial economic and quality of life burden globally. Findings provide evidence supporting the need for comprehensive treatment approaches, long-term support systems, and policies that address both economic and psychosocial outcomes in PTSD care.

Identifiers

PMID42230403
PMCPMC13463949

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.