PTSD and physical comorbidity among women receiving Medicaid: Results from service-use data

Patterns of physical comorbidity among women with posttraumatic stress disorder (PTSD) were explored using Michigan Medicaid claims data. PTSD‐diagnosed women (n = 2,133) were compared with 14,948 randomly selected women in three health outcome areas: ICD‐9 categories of disease, chronic conditions...

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Bibliographic Details
Published in:Journal of traumatic stress 2006-02, Vol.19 (1), p.45-56
Main Authors: Seng, Julia S., Clark, M. Kathleen, McCarthy, Ann Marie, Ronis, David L.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Anxiety disorders. Neuroses
Biological and medical sciences
Borderline Personality Disorder - diagnosis
Borderline Personality Disorder - epidemiology
Borderline Personality Disorder - psychology
Case-Control Studies
Chronic Disease
Comorbidity
Crime Victims - psychology
Crime Victims - statistics & numerical data
Demography
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - epidemiology
Depressive Disorder, Major - psychology
Dissociative Disorders - diagnosis
Dissociative Disorders - epidemiology
Dissociative Disorders - psychology
Female
Humans
Medicaid - utilization
Medical sciences
Mental Health Services - utilization
Middle Aged
Post-traumatic stress disorder
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Stress Disorders, Post-Traumatic - epidemiology
Stress Disorders, Post-Traumatic - psychology
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Summary:Patterns of physical comorbidity among women with posttraumatic stress disorder (PTSD) were explored using Michigan Medicaid claims data. PTSD‐diagnosed women (n = 2,133) were compared with 14,948 randomly selected women in three health outcome areas: ICD‐9 categories of disease, chronic conditions associated with sexual assault history in previous research, and reproductive health conditions. PTSD was associated with increased risk of all categories of diseases (OR range = 1.3–4.8), endometriosis (OR = 2.7), and dyspareunia (OR = 3.4). When PTSD was not complicated by other mental health conditions, odds ratios for chronic conditions ranged from 1.9 for fibromyalgia to 4.3 for irritable bowel. Comorbidity with depression or a dissociative or borderline personality disorder raised risk in a dose–response pattern.
ISSN:0894-9867
1573-6598
DOI:10.1002/jts.20097