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

Abstract:

: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.

journal_name

J Trauma Stress

authors

Seng JS,Clark MK,McCarthy AM,Ronis DL

doi

10.1002/jts.20097

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

45-56

issue

1

eissn

0894-9867

issn

1573-6598

journal_volume

19

pub_type

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