Do child psychiatrists in Germany diagnose bipolar disorders in children and adolescents? Results from a survey

Bipolar Disorders
Thomas D MeyerPeter F Schlottke

Abstract

There is a controversy about the prevalence of childhood bipolar disorders (BD). Based on discrepant results, we studied if German psychiatrists in outpatient settings diagnose BD in children and adolescents at all, and if there are possible correlates of the diagnoses of pediatric BD. We also asked how often typical manic symptoms (e.g. elated mood) are actually seen in attention deficit hyperactivity disorder (ADHD) patients. Provided by the medical register we had a complete list of all 251 psychiatrists in the area. Using a questionnaire we asked if and how often they diagnose BD among children and adolescents and how often they observe manic-like symptoms in children with ADHD (response rate 61%). While 63% of all psychiatrists have diagnosed BD in adolescents, only 7.8% did so in children. Age and therapeutic approach of the psychiatrists were associated with the likelihood of having diagnosed BD in children. Furthermore some typical bipolar symptoms were also present in ADHD patients. Our study only relied on self-reports of the psychiatrists about the diagnoses and number of cases, but BD in children seems to be rarely diagnosed in outpatient settings in Germany. The design of our study, however, cannot resolve the ques...Continue Reading

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Citations

Jan 4, 2012·Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)·Peter I Parry, Edmund C Levin
Dec 29, 2009·Journal of Child and Adolescent Psychopharmacology·Cathryn A GalanterPeter S Jensen
Apr 11, 2009·Child and Adolescent Psychiatry and Mental Health·Claudia Mehler-WexManfred Gerlach
Sep 12, 2007·European Child & Adolescent Psychiatry·Luisa LázaroMontserrat Pàmias
Feb 8, 2011·Comprehensive Psychiatry·Thomas D MeyerAngelika A Schlarb
Mar 31, 2009·Journal of Adolescence·Martin HoltmannGerd Lehmkuhl
Dec 24, 2008·Journal of Affective Disorders·Katrin Bruchmüller, Thomas D Meyer
May 6, 2009·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Martin Holtmann
Jan 21, 2010·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Joan L Luby, Neha Navsaria
Dec 30, 2014·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Joana StraubPaul L Plener
Nov 26, 2010·Journal of Affective Disorders·Larissa WolkensteinThomas D Meyer
Nov 13, 2007·Journal of Neural Transmission·M HoltmannS Bölte
May 1, 2011·Child and Adolescent Mental Health·Judy ChanTamsin Ford

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