Lupus & antiphospholipid syndrome

Posttraumatic Stress Disorder and Risk of Systemic Lupus Erythematosus Among Medicaid Recipients

Arthritis Care Res (Hoboken)Published Case-control study

Main finding · Incident SLE among those with PTSDResult — go to the resultMultivariable-adjusted OR 2.00 95% CI 1.64–2.46

Authors' conclusion

In this large, racially and sociodemographically diverse US population, we found patients with a prior PTSD diagnosis had twice the odds of a subsequent diagnosis of SLE.

Study context

Population
Medicaid enrollees aged 18–65 years, enrolled ≥12 months, 29 most populated US states, 2007–2010matched 1:10
Participants
10,942 vs 109,420
Comparison
Posttraumatic stress disorder (PTSD) vs no PTSD, association with incident systemic lupus erythematosus (SLE)
  • SLE casesn = 10,942
  • Controlsn = 109,420reference
Outcome
Association of PTSD with incident SLE
Methodological detailsmatched 1:10 by age, sex and race, conditional logistic regression
  • Matched 1:10 by age, sex and race
  • Conditional logistic regression

Main finding

Incident SLE among those with PTSD

Multivariable-adjusted OR

2.00

95% CI 1.64–2.46

PTSDvs No PTSD
multivariable-adjusted OR 2.00 (95% CI 1.64–2.46)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Prevalence of PTSD

Original publication

Posttraumatic Stress Disorder and Risk of Systemic Lupus Erythematosus Among Medicaid Recipients. Arthritis Care Res (Hoboken). Published 1 September 2022. doi:10.1002/acr.24758

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