Community-based care for youths with early and very-early onset bipolar I disorder

Bipolar Disorders
Jeanette M Jerrell, Margaret A Shugart

Abstract

Phenomenological and treatment differences between children and adolescents with bipolar I disorder in a public mental health system were examined. A systematic medical record review was performed on a sample of 83 patients, focusing on documented DSM IV symptoms of mania or depression, attention deficit hyperactivity disorder, conduct disorder, schizophrenia, and post-traumatic stress disorder. Cross-tabulation and logistic regression analyses were performed comparing the presence/absence of symptoms for each disorder and treatments provided for children and adolescents. Prepubertal patients were significantly more likely to be male, easily distracted, inattentive, detached from others, hyper-vigilant, prescribed stimulant medication, and to meet the diagnostic criteria for attention-deficit/hyperactivity disorder or Conduct Disorder than adolescents. Consistent with the published literature, phenomenological differences between children and adolescents are present and being recognized for differential diagnosis and treatment by community practitioners. More attention to documenting some cardinal symptoms of mania, the persistence of bipolar symptoms, and the nature of cycling for those with mixed states is needed.

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Apr 20, 2004·Journal of Affective Disorders·Jeanette M Jerrell, Margaret A Shugart

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Citations

Jul 27, 2007·The Journal of Behavioral Health Services & Research·Jeanette M Jerrell, Ervin D Prewette
Mar 7, 2009·Child and Adolescent Psychiatric Clinics of North America·Allison G Harvey
May 19, 2005·Bipolar Disorders·Dinesh Bhugra, Gene R Flick
Jun 1, 2009·Clinical Psychology : a Publication of the Division of Clinical Psychology of the American Psychological Association·Allison G HarveyAnda Gershon
Jun 12, 2010·Early Intervention in Psychiatry·Jeffrey R StrawnMelissa P DelBello
Jul 30, 2016·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Anda Gershon, Manpreet K Singh
Oct 25, 2007·Human Psychopharmacology·Jeanette M Jerrell
Apr 4, 2017·Human Psychopharmacology·Jeanette M JerrellChelsea B Deroche

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