Tags

Type your tag names separated by a space and hit enter

Psychosocial functioning in a prepubertal and early adolescent bipolar disorder phenotype.
J Am Acad Child Adolesc Psychiatry. 2000 Dec; 39(12):1543-8.JA

Abstract

OBJECTIVE

To compare psychosocial functioning (PF) in a prepubertal and early adolescent bipolar disorder phenotype (PEA-BP) sample to two comparison groups, i.e., attention-deficit/hyperactivity disorder (ADHD) and community controls (CC).

METHOD

There were 93 PEA-BP (with or without comorbid ADHD), 81 ADHD, and 94 CC subjects who were participants in an ongoing study, the Phenomenology and Course of Pediatric Bipolar Disorders. Cases in the PEA-BP and ADHD groups were outpatients obtained by consecutive new case ascertainment, and CC subjects were from a survey conducted by the Research Triangle Institute. To fit the study phenotype, PEA-BP subjects needed to have current DSM-IV mania or hypomania with elation and/or grandiosity as one criterion. Assessments for PF were by experienced research nurses who were blind to group status. Mothers and children were separately interviewed with the Psychosocial Schedule for School Age Children-Revised.

RESULTS

Compared with both ADHD and CC subjects, PEA-BP cases had significantly greater impairment on items that assessed maternal-child warmth, maternal-child and paternal-child tension, and peer relationships.

CONCLUSIONS

Clinicians need to consider PF deficits when planning interventions. In the PEA-BP group, there was a 43% rate of hypersexuality with a <1% rate of sexual abuse, supporting hypersexuality as a manifestation of child mania.

Authors+Show Affiliations

Department of Psychiatry, Washington University School of Medicine, St. Louis 63110, USA. gellerb@medicine.wustl.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11128332

Citation

Geller, B, et al. "Psychosocial Functioning in a Prepubertal and Early Adolescent Bipolar Disorder Phenotype." Journal of the American Academy of Child and Adolescent Psychiatry, vol. 39, no. 12, 2000, pp. 1543-8.
Geller B, Bolhofner K, Craney JL, et al. Psychosocial functioning in a prepubertal and early adolescent bipolar disorder phenotype. J Am Acad Child Adolesc Psychiatry. 2000;39(12):1543-8.
Geller, B., Bolhofner, K., Craney, J. L., Williams, M., DelBello, M. P., & Gundersen, K. (2000). Psychosocial functioning in a prepubertal and early adolescent bipolar disorder phenotype. Journal of the American Academy of Child and Adolescent Psychiatry, 39(12), 1543-8.
Geller B, et al. Psychosocial Functioning in a Prepubertal and Early Adolescent Bipolar Disorder Phenotype. J Am Acad Child Adolesc Psychiatry. 2000;39(12):1543-8. PubMed PMID: 11128332.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychosocial functioning in a prepubertal and early adolescent bipolar disorder phenotype. AU - Geller,B, AU - Bolhofner,K, AU - Craney,J L, AU - Williams,M, AU - DelBello,M P, AU - Gundersen,K, PY - 2000/12/29/pubmed PY - 2001/2/28/medline PY - 2000/12/29/entrez SP - 1543 EP - 8 JF - Journal of the American Academy of Child and Adolescent Psychiatry JO - J Am Acad Child Adolesc Psychiatry VL - 39 IS - 12 N2 - OBJECTIVE: To compare psychosocial functioning (PF) in a prepubertal and early adolescent bipolar disorder phenotype (PEA-BP) sample to two comparison groups, i.e., attention-deficit/hyperactivity disorder (ADHD) and community controls (CC). METHOD: There were 93 PEA-BP (with or without comorbid ADHD), 81 ADHD, and 94 CC subjects who were participants in an ongoing study, the Phenomenology and Course of Pediatric Bipolar Disorders. Cases in the PEA-BP and ADHD groups were outpatients obtained by consecutive new case ascertainment, and CC subjects were from a survey conducted by the Research Triangle Institute. To fit the study phenotype, PEA-BP subjects needed to have current DSM-IV mania or hypomania with elation and/or grandiosity as one criterion. Assessments for PF were by experienced research nurses who were blind to group status. Mothers and children were separately interviewed with the Psychosocial Schedule for School Age Children-Revised. RESULTS: Compared with both ADHD and CC subjects, PEA-BP cases had significantly greater impairment on items that assessed maternal-child warmth, maternal-child and paternal-child tension, and peer relationships. CONCLUSIONS: Clinicians need to consider PF deficits when planning interventions. In the PEA-BP group, there was a 43% rate of hypersexuality with a <1% rate of sexual abuse, supporting hypersexuality as a manifestation of child mania. SN - 0890-8567 UR - https://www.unboundmedicine.com/medline/citation/11128332/Psychosocial_functioning_in_a_prepubertal_and_early_adolescent_bipolar_disorder_phenotype_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0890-8567(09)60423-8 DB - PRIME DP - Unbound Medicine ER -