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PTSD and physical comorbidity among women receiving Medicaid: Results from service‐use data *
Author(s) -
Seng Julia S.,
Clark M. Kathleen,
McCarthy Ann Marie,
Ronis David L.
Publication year - 2006
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1002/jts.20097
Subject(s) - comorbidity , fibromyalgia , psychiatry , medicaid , national comorbidity survey , medicine , depression (economics) , irritable bowel syndrome , mental health , clinical psychology , borderline personality disorder , health care , economics , macroeconomics , economic growth
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.