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Article
PTSD and physical comorbidity among women receiving Medicaid: Results from service-use data
Journal of traumatic stress
  • J. S. Seng
  • M. Kathleen Clark, University of Iowa
  • Ann Marie McCarthy, University of Iowa
  • D. L. Ronis
Document Type
Article
Peer Reviewed
1
Publication Date
1-1-2006
NLM Title Abbreviation
J Trauma Stress
PubMed ID
16568470
Abstract

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.

Published Article/Book Citation
Journal of traumatic stress, 19:1 (2006) pp.45-56.
Disciplines
Citation Information
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 Vol. 19 Iss. 1 (2006) p. 45 - 56 ISSN: 0894-9867
Available at: http://works.bepress.com/m_clark/7/