PTSD and physical comorbidity among women receiving Medicaid: Results from service-use data
Patterns of physicalcomorbidiry 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.
J. S. Seng, M. Kathleen Clark, Ann Marie McCarthy, and D. L. Ronis. "PTSD and physical comorbidity among women receiving Medicaid: Results from service-use data" Journal of Traumatic Stress 19.1 (2006): 45-56.
Available at: http://works.bepress.com/m_clark/7
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