Mania-like symptoms suggestive of childhood-onset bipolar disorder in clinically referred children.

摘要: ABSTRACT Objective To examine the prevalence, characteristics, and correlates of mania among referred children aged 12 or younger. Many case reports challenge widely accepted belief that childhood-onset is rare. Sources diagnostic confusion include variable developmental expression its symptomatic overlap with attention-deficit hyperactivity disorder (ADHD). Method The authors compared 43 years younger who satisfied criteria for mania, 164 ADHD without 84 non-ADHD control children. Results clinical picture was fully compatible DSM-III-R diagnosis in 16% ( n = 43) All but one meeting also met ADHD. Compared manic had significantly higher rates major depression, psychosis, multiple anxiety disorders, conduct disorder, oppositional defiant as well evidence more impaired psychosocial functioning. In addition, 21% 9) at least previous psychiatric hospitalization. Conclusions Mania may be relatively common psychiatrically very severe frequently comorbid other disorders. Because high comorbidity ADHD, work needed to clarify whether these have bipolar both. J. Am. Acad. Child Adolesc. Psychiatry , 1995, 34, 7:867–876.