OSU Navigation Bar

The Ohio State University University Libraries Knowledge Bank

The Knowledge Bank is scheduled for regular maintenance on Sunday, April 20th, 8:00 am to 12:00 pm EDT. During this time users will not be able to register, login, or submit content.

Early-Onset Bipolar Spectrum Disorders: Diagnostic Issues

Please use this identifier to cite or link to this item: http://hdl.handle.net/1811/51561

Show full item record

Files Size Format View
fac_ArnoldE_ClinChildFamPsycholRev_2009_12_3.pdf 249.7Kb PDF View/Open

Title: Early-Onset Bipolar Spectrum Disorders: Diagnostic Issues
Creators: Danner, Stephanie; Fristad, Mary A.; Arnold, L. Eugene; Youngstrom, Eric A.; Birmaher, Boris; Horwitz, Sarah M.; Demeter, Christine; Findling, Robert L.; Kowatch, Robert A.
Issue Date: 2009
Publisher: Springer Science + Bussiness Media, LLC
Citation: Stephanie Danner et al, "Early-Onset Bipolar Spectrum Disorders: Diagnostic Issues," Clinical Child and Family Psychology Review 12, no. 3 (2009), doi:10.1007/s10567-009-0055-2
DOI: 10.1007/s10567-009-0055-2
Abstract: Since the mid 1990s, early-onset bipolar spectrum disorders (BPSDs) have received increased attention in both the popular press and scholarly press. Rates of diagnosis of BPSD in children and adolescents have increased in inpatient, outpatient, and primary care settings. BPSDs remain difficult to diagnose, particularly in youth. The current diagnostic system makes few modifications to accommodate children and adolescents. Researchers in this area have developed specific BPSD definitions that affect the generalizability of their findings to all youth with BPSD. Despite knowledge gains from the research, BPSDs are still difficult to diagnose because clinicians must: (1) consider the impact of the child’s developmental level on symptom presentation (e.g., normative behavior prevalence, environmental limitations on youth behavior, pubertal status, irritability, symptom duration); (2) weigh associated impairment and course of illness (e.g., neurocognitive functioning, failing to meet full DSM criteria, future impairment); and (3) make decisions about appropriate assessment (differentiating BPSD from medical illnesses, medications, drug use, or other psychiatric diagnoses that might better account for symptoms; comorbid disorders; informant characteristics and assessment measures to use). Research findings concerning these challenges and relevant recommendations are offered. Areas for further research to guide clinicians’ assessment of children with early-onset BPSD are highlighted.
ISSN: 1573-2827
URI: http://hdl.handle.net/1811/51561
Rights: © Springer Science + Bussiness Media, LLC 2009
Bookmark and Share