PTSD and physical comorbidity among women receiving Medicaid: results from service-use data.
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.
Department of Obstetrics and Gynecology, School of Nursing, University of Michigan Institute for Research on Women and Gender, Ann Arbor, 48109-1290, USA. jseng@umich.edu
Julia S
JS
Seng
M Kathleen
MK
Clark
Ann Marie
AM
McCarthy
David L
DL
Ronis
D000293:Adolescent; D000328:Adult; D001883:Borderline Personality Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D016022:Case-Control Studies; D002908:Chronic Disease; D015897:Comorbidity; D019548:Crime Victims / Q000523:psychology* / Q000706:statistics & numerical data*; D003710:Demography; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D004213:Dissociative Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008484:Medicaid / Q000706:statistics & numerical data*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000523:psychology*