Table 2.
Characteristics of Patients Who Newly Engaged in PTSD Treatment in the VA Healthcare System, Carried a Comorbid Diagnosis of Opioid Use Disorder and Received MAT
% (n) | |
---|---|
Total population | 100.0 (5,901) |
Baseline characteristics | |
Malea | 93.4 (5,507) |
Age, Mean (SD) | 43.3 (13.8) |
Demographicsa | |
Black | 22.9 (1,339) |
Hispanic | 6.1 (361) |
Marital status | |
Married | 26.0 (1536) |
Divorced/separated | 43.3 (2554) |
Other (never/widow/unknown) | 30.7 (1811) |
Psychiatric comorbiditiesb | |
Anxiety Disorders | 69.0 (4,072) |
Mood Disorders | 50.8 (3,000) |
Alcohol Dependence/Abuse | 38.7 (2,285) |
Medical comorbiditiesc | |
Hepatitis | 22.9 (1,349) |
Diabetes | 10.5 (2,093) |
COPD | 5.9 (351) |
Cancer | 0.7 (133) |
Treatment in the first year following index date | |
MATd Buprenorphine | 48.0 (2,833) |
Methadone | 55.9 (3,299) |
Naltrexone | 16.8 (994) |
Days of MAT | |
1–7 days | 9.4 (555) |
8–30 days | 14.6 (863) |
31–100 days | 19.0 (1,120) |
>100 days | 57.0 (3,363) |
Days of general substance abuse treatment visits | |
None | 9.5 (563) |
1–7 days | 17.6 (1,036) |
8–30 days | 32.6 (1,924) |
31–100 days | 36.0 (2,127) |
>100 days | 4.3 (251) |
Days of general substance abuse treatment & methadone maintenance visits | |
None | 3.1 (181) |
1–7 | 7.9 (464) |
8–30 | 22.6 (1,332) |
31–100 | 34.7 (2,046) |
>100 days | 31.8 (1,878) |
Overall one-year crude mortality rate | 1.4 (81) |
One-year crude mortality rate due to external cause | 0.8 (50) |
One-year crude mortality rate due to overdose or suicide | 0.5 (31) |
Note. MAT: medication-assisted therapy; PSTD: posttraumatic stress disorder; COPD: chronic obstructive pulmonary disease.
There was <1% missing data for each demographic characteristic.
Results shown for psychiatric comorbidities that are commonly observed in patients with PTSD (Brady, Killeen, Brewerton, & Lucerini, 2000).
Results shown for medical comorbidities that have been shown to be common causes of death in patients with PTSD (Forehand et al., 2019).
While patients could have been trialed on several different types of MAT during the follow-up period, it was uncommon that a patient was on more than one type of MAT at any given time.