INTRODUCTION: Pakistan's 2005 earthquake claimed almost 87,000 lives and 
displaced millions. The present study sought to assess PTSD prevalence among 
earthquake survivors, to evaluate its determinants, and to identify protective 
factors that suggest future interventions in the aftermath of disasters.
METHODS: In a cross-sectional survey, three districts were selected based on 
their proximity to the epicenter and the presence, accessibility, and security 
of refugees, 300 earthquake survivors were enrolled.
RESULTS: Analysis revealed that after 30months, PTSD prevalence was high. Being 
female, older, unmarried, head of the family, and currently unemployed and 
having low income and living in temporary housing confer higher risks of PTSD. 
Having a high social capital and religious inclination seem to have protective, 
buffer effect and increase resilience against PTSD.
CONCLUSION: This is the first post-quake study in Pakistan that has utilized, 
adapted and validated Davidson Trauma Scale in the local context. Results imply 
the significance of continued psychological support, of drawing on resilience 
factors in PTSD management. Implications and directions for future research are 
discussed.