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| Title: | PTSD and physical comorbidity among women receiving Medicaid: Results from service-use data |
| Authors: | Seng, Julia S.
Clark, M. Kathleen
McCarthy, Ann Marie
Ronis, David L. |
| Issue Date: | Feb-2006 |
| Publisher: | Wiley Subscription Services, Inc., A Wiley Company |
| Citation: | Seng, Julia S.; Clark, M. Kathleen; McCarthy, Ann Marie; Ronis, David L. (2006). "PTSD and physical comorbidity among women receiving Medicaid: Results from service-use data * This article was edited by the journal's previous editor, Dean G. Kilpatrick The authors acknowledge Sara Nichols, Ph.D., for her work on the early analytic decisions in this project and Rafatjan Abdul-Rasoul, M.S., for her assistance creating analytic files from the raw data. The Michigan Medicaid data were made available by Health Management Associates, Inc., Lansing, MI, where we acknowledge the expert support of Dennis Roberts, Ph.D. This project was completed while Dr. Julia S. Seng was a Pfizer Postdoctoral Fellow ." Journal of Traumatic Stress 19(1): 45-56. <http://hdl.handle.net/2027.42/50659> |
| 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. |
| URI: | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db
=pubmed&list_uids=16568470&dopt=citation |
| ISSN: | 0894-9867
1573-6598 |
| DOI: | 10.1002/jts.20097 |
| PMID: | 16568470 |
| Appears in Collections: | Interdisciplinary and Peer-Reviewed
Nursing, School of
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| 20097_ftp.pdf | | 133Kb | Adobe PDF | View/Open |
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