Comparison of Symptoms of Pediatric Bipolar Disorder in the Manic Phase and Attention Deficit and Hyperactivity Disorder (original) (raw)
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Bulletin of Clinical Psychopharmacology, 2012
Pediatrik bipolar bozukluk manik dönem belirtilerinin dikkat eksikliği ve hiperaktivite bozukluğu belirtileri ile karşılaştırılması Amaç: Erişkin bipolar bozukluğu çoğunlukla epizodik seyir göstermektedir. Ancak pediatrik bipolar bozuklukta karma epizodlar ve hızlı döngü erişkin bipolar bozukluğa göre daha sık görülen durumlardır ve beraberinde Dikkat Eksikliği ve Hiperaktivite Bozukluğu (DEHB) tanısı sıklıkla bulunmaktadır. Bu çalışmanın amacı pediatrik bipolar bozukluk tanısı almış bir grup hastada bu bozukluğun klinik karakteristik özelliklerini belirlemek ve bu özellikleri DEHB tanısı olan hastalar ile karşılaştırmaktır. Yöntem: Örneklem DSM-IV tanı kritelerine göre pediatrik bipolar bozukluk manik dönem ve DEHB tanıları konulmuş olan 19'ar çocuk veya ergen hastadan oluşmaktadır. Hastalığın başlama yaşı, belirtiler ve eş tanılar analiz edilmiştir. Daha sonra iki grup Child Mania Rating Scale ile belirlenmiş olan hastalık belirtileri bakımından karşılaştırılmıştır. Bulgular: İrritabl duygudurum (%94), hızlı duygudurum dalgalanmaları (%89), sanrılar (%94), işitsel (%63) ve görsel hallusinasyonlar (%43) bipolar bozukluğu olan hastalarda istatistiksel olarak anlamlı olarak daha sık saptanmıştır. Hareketlilik, dikkat eksikliği ve irritabilite oranları bakımından her iki grup arasında anlamlı fark bulunmamıştır. Sonuç: Bipolar bozukluğu olan çocuk ve ergenlerde hızlı döngü, irritabl duygudurum ve psikotik belirtiler sık olarak görülmektedir ancak irritabilite bipolar bozukluk için spesifik bir semptom değildir.
Pediyatrik Bipolar Bozuklukta Fenomenolojik Özellikler ve Psikiyatrik Komorbidite
Anadolu Kliniği Tıp Bilimleri Dergisi, 2016
Aim: We aimed to investigate phenomenology and psychiatric comorbidity in a clinical sample of young patients with bipolar disorder (BD). Materials and Methods: Young patients who had been followed up after diagnosis with BD in a faculty clinic were included in the study. Data regarding phenomenology and clinical characteristics of mood episodes were gathered from medical records of the subjects, clinical interviews with the subjects and parents, and the follow-up data of the subjects. Psychiatric assessment was conducted by using a semi-structured diagnostic instrument. Results: Nineteen males (63%) and eleven females (37%) who were aged between 11 and 18 years (14.87±1.94 years) were included in the study. Their primary diagnoses were BD type I (n=22; 73%), BD type II (n=3; 10%), and BD-Not Otherwise Specified (n=5; 17%). More than half of the subjects (53%) had developed psychotic symptoms (i.e. perceptual and/or thought disturbances) during mood episodes. Nine subjects (30%) had attempted suicide once or twice. The frequency of diagnostic categories from which criteria for at least one disorder met was as follows: anxiety disorders (n=28; 93%), attention deficit hyperactivity disorder (n=23; 77%), depressive disorders (n=16; 53%), tic disorders (n=15; 50%), oppositional defiant disorder (n=8; 27%), and substance use disorders (n=7; 23%) Discussion and Conclusion: Compared to the adult form of the illness, some developmental differences may be observed in pediatric BD. BD in young subjects is highly comorbid with other psychiatric disorders, particularly anxiety, depressive disorders, and attention deficit hyperactivity disorder. Young subjects with BD should carefully be assessed for comorbid psychiatric disorders for differential diagnosis and treatment planning.
Aile Hekimliği ve Palyatif Bakım, 2016
Introduction: This study aims to compare sociodemographic characteristics of the patients with bipolar disorder (BD) with and without comorbid dissociative disorder (DD) and to investigate the eventual effect of the comorbidity on the treatment. Methods: We enrolled a total of 149 patients diagnosed with BD and treated as inpatients consecutively in Şişli Etfal Hospital, Psychiatry Clinic between 2010 and 2011. For the patients who were diagnosed with DD using SCID-D and with BD using SCID-I, sociodemographic characteristics, YMRS, HAM-D, BPRS, DES scores and duration and number of hospital stays were evaluated. Results: 23 patients (15.4%) had dissociative disorder not otherwise specified (DD-NOS), 4 patients (2.6%) had dissociative identity disorder (DID) and 1 patient (0.6%) had dissociative amnesia. BD patients with comorbid DD were found to be predominantly female (p=0.015) and younger (p=0.002) and to have significantly higher DES scores than BD patients without DD (p<0.001). The total score of DES was correlated with duration hospital stay (p=0.001, Spearman r=0.336) in the total sample. Total HAM-D score at the time of admission was significantly higher in the comorbidity group (p=0.027), and suicide item was found to be significantly higher both at admission and at discharge (p<0.001 and p=0.035). Among BPRS scores at admission, hallucinatory behavior item was found to be higher in the comorbidity group (p=0.019). Among YMRS scores both at admission and at discharge, velocity and amount of speech item (p=0.027) and insight item at admission (p=0.006) was found to be significantly higher in the pure bipolar group (p=0.018). Conclusion: In patients with BD, DD comorbidity should be investigated. The BD patients with DD comorbidity tend to be female and younger, and show higher depression scores, leading to a prolonged hospital stay. In the presence of dissociation comorbidity, attempts and number of suicides and hallucinatory behaviors seem to be increased.
Bipolar Bozuklukta Farkındalık Temelli Bilişsel Terapi
Psikiyatride Güncel Yaklaşımlar, 2020
Psikoterapi yaklaşımı olarak bilişsel davranışçı terapinin (BDT) bipolar bozuklukta kullanımı yaygın olsa da ampirik bulgular BDT’nin etkililiğini her zaman desteklememektedir. Bu durum, başka terapi yaklaşımları ile ilgili arayışlara yol açmaktadır. Son dönemlerde ise Farkındalık Temelli Bilişsel Terapinin (FTBT) bipolar bozuklukta etkililiğinin incelenmeye başlandığı görülmektedir. Mevcut gözden geçirme çalışmasında FTBT’nin bipolar bozukluk üzerindeki etkilerini inceleyen çalışmalar bir araya getirilmiştir. Çünkü son yıllarda birçok bozuklukta etkisi incelenen FTBT’nin bipolar bozuklukta etkin olup olmadığını ve nasıl bir etkisi olduğunu inceleyen çalışmalar biraraya getirilerek alanyazına katkı sağlamak amaçlanmıştır. Bu nedenle yapılan incelemeler sonucunda ulaşılan 12 çalışma örneklem özellikleri, yöntemsel arka planları ve sonuçları bakımından incelenmiştir. Bu çalışma kapsamında gözden geçirilen araştırmalarda FTBT’nin bipolar bozukluk tanısı olan kişilerde kaygı, depresyon ...
Encyclopedia of Applied Developmental Science, 2005
Although bipolar disorder historically was thought to only occur rarely in children and adolescents, there has been a significant increase in children and adolescents who are receiving this diagnosis more recently (Carlson, 2005). Nonetheless, the applicability of the current bipolar disorder diagnostic criteria for children, particularly preschool children, remains unclear, even though much work has been focused on this area. As a result, more work needs to be done to further the understanding of bipolar symptoms in children. It is hoped that this paper can assist psychologists and other health service providers in gleaning a snapshot of the literature in this area so that they can gain an understanding of the diagnostic criteria and other behaviors that may be relevant and be informed about potential approaches for assessment and treatment with children who meet bipolar disorder criteria. First, the history of bipolar symptoms and current diagnostic criteria will be discussed. Next, assessment strategies that may prove helpful for identifying bipolar disorder will be discussed. Then, treatments that may have relevance to children and their families will be discussed. Finally, conclusions regarding work with children who may have a bipolar disorder diagnosis will be offered.
Preschool Bipolar Disorder: Brazilian children case reports
Journal of Affective Disorders, 2007
Objective: This study describes the clinical phenomenology and family history of preschool age onset Bipolar Disorder (BD). Methods: Eight children and adolescents out of 118 cases (6.78%), both genders, meeting current DSM-IV criteria diagnosis of BD were described. The clinical assessment, CBCL, DICA-IV and CGAS were performed directly with each patient and their parents. Results: Most (87.5%) presented classical symptoms of mania: euphoria, grandiosity, irritability, psychomotor agitation and agitated sleep or, in the same proportion, sleeplessness. Hyperactivity and increase of energy were found in all eight cases. The clinical course varied from a rapid, ultra-rapid, ultradian cycle to a continued pattern. Five out of eight children (62.5%) presented aggressiveness toward others and one deliberate self-harm. Most (87.5%) had psychiatric family history. The average number of medications used during their life was 4.5 drugs.