Introduction Women were considered to be affectionate, real household asset and the most important part of every society. Females were key role players in carrying out family and daily living activities and were at greater risk of a burn injury. Study of the health-related quality of life (HRQOL) of females indicates a high rate of injuries compared to males, and females also demonstrated high rates of mental illness compared to male burn survivors. 1 Burn injury treatment till recovery is quite a difficult and tiring procedure because burn injury leads to a number of problems. Women burn injury survivors are at the greatest risk of psychological, emotional, physical and social hazards, which increases their dependency level. Literature has confirmed that almost 1/3 of burn injury victims are exposed to moderate to severe levels of psychological and social issues. 2 Further, it is also important to note that only a small number of acute burn survivors get psychiatric help after having the injury. 3 Mostly they suffer from psychological issues, including acute stress disorder, depression, suicidal ideation and post- traumatic stress disorder (PTSD). 4 Thus, it is evident that PTSD is the ultimate effect of burn injury. Further, the Diagnostic and Statistical Manual of Mental Disorders - V (DSM-V) defines PTSD as a disorder resulting from a traumatic event. Apart from direct experience of trauma, even witnessing traumatic events, especially among family and friends can lead to trauma. 5 A review of studies about the prevalence of PTSD in adult burn victims noted PTSD prevalence from 3% to 35% for the first month. In 3-6 months, the prevalence was 2-40%. After 9 months, the prevalence was 45%, and for more than 2 years, the prevalence ranged 7-25%. Threat to life, acute intrusive symptoms and pain were the strongest predictors for PTSD. 6 Women burn survivors sometime had problems of cognitive impairment and adjustment problems due to PTSD. Cognition may be defined as a process in which individual identify, select, interpret, store and use information to give meaning to their social and physical environment. 7 The cognitive process or functioning may include complex attention, executive functioning, learning and memory, language expression, perceptual- motor function and social cognitions. 5 Moreover, cognition issues have psychological basis, and literature has confirmed the notion that PTSD may trigger cognitive dysfunction in survivors. 8 A study established the fact that trauma can induced problems in cognitions of memory, especially related to the traumatic event. 9 J Pak Med Assoc 2102 ORIGINAL ARTICLE Post-traumatic stress disorder, cognitive function and adjustment problems in women burn survivors: A multi-center study Zakia Bano, Iram Naz Abstract Objective: To investigate the relationship of post-traumatic stress disorder, cognitive function and adjustment problems in women burn survivors. Methods: The analytical cross-sectional study was conducted at the Department of Psychology, University of Gujrat, Pakistan, from November 15, 2017, to July 25, 2018, and comprised women burn survivors at different burn centres of hospitals, household bases and non-governmental organisations of Lahore, Gujrat, Rawalpindi and Islamabad, Pakistan. Data was collected using the civilian version of the standardised Post-Traumatic Stress Disorder Checklist, the Montreal Cognitive Assessment and the Adjustment Problem Scale for Adults. Data was analysed using Analysis of a Moment Structures software version 21. Results: Of the 200 women, 100(50%) each were living in nuclear and joint family systems. The maximum number of women 74(37%) were aged 15-25 years; 93(46.5%) were married; and 82(41%) were employed. Post-traumatic stress disorder affected cognitive issues and adjustment of women burn survivors (p=0.000). Conclusion: Post-traumatic stress disorder significantly affected cognitive issues and adjustment problems of women burn survivors. Keywords: Post-traumatic stress disorder, Cognitive, Women burn survivors, Burn centres, Cross-sectional study, Multivariate Analysis. (JPMA 70: 2102; 2020) DOI: https://doi.org/10.47391/JPMA.1260 Department of Psychology, University of Gujrat, Gujrat, Pakistan. Correspondence: Zakia Bano. Email: zaqia.bano@uog.edu.pk