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Titolo:
Rapid, continuous cycling and psychiatric co-morbidity in pediatric bipolar I disorder
Autore:
Findling, RL; Gracious, BL; McNamara, NK; Youngstrom, EA; Demeter, CA; Branicky, LA; Calabrese, JR;
Indirizzi:
Case Western Reserve Univ, Univ Hosp Cleveland, Sch Med, Dept Psychiat, Cleveland, OH 44106 USA Case Western Reserve Univ Cleveland OH USA 44106 Cleveland, OH 44106 USA Case Western Reserve Univ, Dept Psychol, Cleveland, OH 44106 USA Case Western Reserve Univ Cleveland OH USA 44106 Cleveland, OH 44106 USA
Titolo Testata:
BIPOLAR DISORDERS
fascicolo: 4, volume: 3, anno: 2001,
pagine: 202 - 210
SICI:
1398-5647(200108)3:4<202:RCCAPC>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
DEFICIT HYPERACTIVITY DISORDER; ADOLESCENT PATIENTS; CONDUCT DISORDER; JUVENILE MANIA; EARLY-ONSET; CHILDREN; SCHIZOPHRENIA; COMORBIDITY; VALIDITY; ADHD;
Keywords:
adolescents; bipolar disorder; children; family history; life charting;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
50
Recensione:
Indirizzi per estratti:
Indirizzo: Findling, RL Case Western Reserve Univ, Univ Hosp Cleveland, Sch Med, DeptPsychiat, 11100 Euclid Ave, Cleveland, OH 44106 USA Case Western Reserve Univ 11100 Euclid Ave Cleveland OH USA 44106
Citazione:
R.L. Findling et al., "Rapid, continuous cycling and psychiatric co-morbidity in pediatric bipolar I disorder", BIPOL DIS, 3(4), 2001, pp. 202-210

Abstract

Objectives: The primary purpose of this study was to describe the clinicalpresentation of bipolar I disorder (BP-I) as it occurs in children and adolescents and to assess whether the manifestations of BP-I were similar in both age groups. Method: Ninety youths between the ages of 5 and 17 years meeting full diagnostic symptom criteria for BP-I were included in this study. The diagnosisof BP-I was established for these youths based on the results of a semi-structured diagnostic interview and a clinical assessment by a child and adolescent psychiatrist. The course of a subset of these youngsters' illnesses was assessed using the Life Charting Method (LCM). Data regarding the clinical presentation, longitudinal history, psychiatric co-morbidities and parental psychopathology were also obtained. Results: The clinical presentation of BP-I was similar in children and adolescents. Youths meeting diagnostic criteria for BP-I developed an average of approximately 5.8 of the 7 symptoms of mania during periods of elevated or irritable mood. BP-I was found to be a cyclic disorder characterized by high rates of rapid cycling (50%) with almost no inter-episode recovery. Almost 75% of these subjects also met diagnostic symptom criteria for a disruptive behavior disorder. High rates of mood disorders were found in fathers. Conclusions: These data suggest that the presentation of juvenile BP-I is a cyclic and valid clinical condition with manifestations on a continuum with the later-onset forms of this illness.

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Documento generato il 23/01/20 alle ore 06:22:39