Title of article :
Parsing pediatric bipolar disorder from its associated comorbidity with the disruptive behavior disorders
Author/Authors :
Thomas J. Spencer، نويسنده , , Joseph Biederman، نويسنده , , Janet Wozniak، نويسنده , , Stephen V. Faraone، نويسنده , , Timothy E. Wilens، نويسنده , , Eric Mick، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2001
Abstract :
The unique pattern of comorbidity found in pediatric mania greatly complicates accurate diagnosis, the course of the disorder, and its treatment. The pattern of comorbidity is unique by adult standards, especially its overlap with attention-deficit/hyperactivity disorder (ADHD), aggression, and conduct disorder. Clinically, symptoms of mania have been discounted as severe ADHD or ignored in the context of aggressive conduct disorder. This atypicality may lead to neglect of the mood component. The addition of high rates of additional disorders contributes to the severe morbidity, dysfunction, and incapacitation frequently observed in these children. A comprehensive approach to diagnostic evaluation is the keystone to establishing an effective treatment program because response to treatment differs with individual disorders. Recognition of the multiplicity of disorders guides therapeutic options in these often refractory conditions. What was previously considered refractory ADHD, oppositionality, aggression, and conduct disorder may respond after mood stabilization. We review these issues in this article.
Keywords :
bipolar disorder , child , comorbidity
Journal title :
Biological Psychiatry
Journal title :
Biological Psychiatry