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

Julia S. Seng · M. Kathleen Clark · Ann Marie McCarthy · David L. Ronis

100 citations0/0 files storedJournal of Traumatic Stress

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Posttraumatic Stress Disorder Research Child Abuse and Trauma Migration, Health and Trauma

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.

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1993Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women.1999The Economic Burden of Anxiety Disorders in the 1990s 1997Psychiatric Sequelae of Posttraumatic Stress Disorder in Women 2000HEALTH CARE FINANCING ADMINISTRATION 2004Trauma and health: Physical health consequences of exposure to extreme stress.2004Understanding relationships among trauma, post-tramatic stress disorder, and health outcomes.2003Health Care Costs Associated With Posttraumatic Stress Disorder Symptoms in Women 2005Posttraumatic Stress Disorder and Physical Comorbidity Among Female Children and Adolescents: Results From Service-Use Data

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