Childhood Clinical Features Preceding the Onset of Bipolar Versus Major Depressive Disorders During Adolescence.
J Atten Disord
; 28(5): 648-663, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38327097
ABSTRACT
OBJECTIVE:
To identify childhood psychopathological features that predict the onset of adolescent Bipolar (BD) versus Unipolar Major Depressive Disorder (UD) during adolescence.METHOD:
We analyzed clinical data from 495 juveniles diagnosed with DSM-5 UD (n = 359), and BD (n = 136), using bivariate analysis and multivariate logistic regression model.RESULTS:
BD subjects exhibited earlier onset of any psychiatric feature compared to UD. Antecedents associated with later BD were oppositional defiant > specific phobias > ADHD > obsessive compulsive (OCD). Antecedents selectively associated with later UD were social anxiety and separation anxiety. Factors significantly and independently associated with later BD diagnosis were [a] emotional dysregulation at onset of the mood disorder; [b] first depressive episode with mixed features; [c] antecedent ADHD; [d] antecedent OCD, and [e] antecedent oppositional-defiance.CONCLUSION:
Identifying developmental differences in BD and UD symptoms can aid clinicians in early identification and treatment planning for bipolar disorder in youth.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtorno do Deficit de Atenção com Hiperatividade
/
Transtorno Bipolar
/
Transtorno Depressivo Maior
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
/
Child
/
Humans
Idioma:
En
Revista:
J Atten Disord
Assunto da revista:
PSICOLOGIA
/
PSIQUIATRIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Itália