کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4186155 | 1277563 | 2013 | 8 صفحه PDF | دانلود رایگان |
BackgroundTo facilitate early intervention, there is a need to distinguish unipolar versus bipolar illness trajectories in adolescents and young adults with adult-type mood disorders.MethodsDetailed clinical and neuropsychological evaluation of 308 young persons (aged 12 to 30 years) with moderately severe unipolar and bipolar affective disorders.ResultsAlmost 30% (90/308) of young people (mean age=19.4±4.4 yr) presenting for care with affective disorders met criteria for a bipolar-type syndrome (26% with bipolar I). Subjects with bipolar- and unipolar-type syndromes were of similar age (19.8 vs. 19.2 yr) and reported comparable ages of onset (14.5 vs. 14.3 yr). Clinically, those subjects with unipolar and bipolar-type disorders reported similar levels of psychological distress, depressive symptoms, current role impairment, neuropsychological dysfunction and alcohol or other substance misuse. Subjects with unipolar disorders reported more social anxiety (p<0.01). Subjects with bipolar disorders were more likely to report a family history of bipolar (21% vs. 11%; [χ2=4.0, p<.05]) or psychotic (19% vs. 9%; [χ2=5.5, p<.05]), or substance misuse (35% vs. 23%; [χ2=3.9, p<.05]), but not depressive (48% vs. 53%; χ2=0.3, p=.582]) disorders.ConclusionsYoung subjects with bipolar disorders were best discriminated by a family history of bipolar, psychotic or substance use disorders. Early in the course of illness, clinical features of depression, or neuropsychological function, do not readily differentiate the two illness trajectories.
Journal: Journal of Affective Disorders - Volume 144, Issue 3, 25 January 2013, Pages 208–215