dc.contributor.author | Brunelle, Julie | de |
dc.contributor.author | Consoli, Angèle | de |
dc.contributor.author | Tanguy, Marie-Laure | de |
dc.contributor.author | Huynh, Christophe | de |
dc.contributor.author | Perisse, Didier | de |
dc.contributor.author | Deniau, Emmanuelle | de |
dc.contributor.author | Guilé, Jean-Marc | de |
dc.contributor.author | Gérardin, Priscille | de |
dc.contributor.author | Cohen, David | de |
dc.date.accessioned | 2010-07-15T13:56:00Z | de |
dc.date.accessioned | 2012-08-29T23:04:14Z | |
dc.date.available | 2012-08-29T23:04:14Z | |
dc.date.issued | 2009 | de |
dc.identifier.uri | http://www.ssoar.info/ssoar/handle/document/12293 | |
dc.description.abstract | Background: The existence of bipolar disorder type I (BD-I) during adolescence is now clearly established whereas there are still some controversies on BD-II and BD-NOS diagnosis, mainly in Europe (O'Dowd in Br Med J 29, 2006). Little is known on the phenomenology and potential short-term prognosis factors of bipolar episodes in this age population. In particular, very few studies examine this issue on inpatients in the European context of free access to care. Objective: To describe the phenomenology of acute manic and mixed episodes in hospitalized adolescents and to analyse potential predictive factors associated with clinical improvement at discharge and length of hospitalization. Methods: A total of 80 subjects, aged 12–20 years, consecutively hospitalized for a manic or mixed episode. Socio-demographic and clinical data were extracted by reviewing patients' charts. We used a multivariate analysis to evaluate short-term outcome predictors. Results: The sample was characterized by severe impairment, high rates of psychotic features (N = 50, 62.5%), a long duration of stay (mean 80.4 days), and an overall good improvement (86% very much or much improved). Thirty-three (41.3 %) patients had a history of depressive episodes, 13 (16.3%) had manic or brief psychotic episodes but only 3 (3.7%) had a history of attention deficit/ hyperactivity disorders. More manic episodes than mixed episodes were identified in subjects with mental retardation (MR) and in subjects from migrant and/or low socio-economic families. Overall severity and female gender predicted better improvement in GAF scores. Poor insight and the existence of psychotic features predicted longer duration of stay. Conclusion: These results suggest that severe manic and mixed episodes in adolescents with BD-I need prolonged inpatient care to improve and that socio-cultural factors and MR should be examined more closely in youth with BD. | en |
dc.language | en | de |
dc.subject.ddc | Psychology | en |
dc.subject.ddc | Psychologie | de |
dc.subject.other | bipolar disorder type I; acute episode; adolescent; prognosis; socio-cultural factors | |
dc.title | Phenomenology, socio-demographic factors and outcome upon discharge of manic and mixed episodes in hospitalized adolescents | en |
dc.description.review | begutachtet (peer reviewed) | de |
dc.description.review | peer reviewed | en |
dc.source.journal | European Child & Adolescent Psychiatry | de |
dc.source.volume | 18 | de |
dc.publisher.country | DEU | |
dc.source.issue | 3 | de |
dc.subject.classoz | Psychological Disorders, Mental Health Treatment and Prevention | en |
dc.subject.classoz | psychische Störungen, Behandlung und Prävention | de |
dc.identifier.urn | urn:nbn:de:0168-ssoar-122937 | de |
dc.date.modified | 2010-07-22T12:01:00Z | de |
dc.rights.licence | PEER Licence Agreement (applicable only to documents from PEER project) | de |
dc.rights.licence | PEER Licence Agreement (applicable only to documents from PEER project) | en |
ssoar.gesis.collection | SOLIS;ADIS | de |
ssoar.contributor.institution | http://www.peerproject.eu/ | de |
internal.status | 3 | de |
dc.type.stock | article | de |
dc.type.document | journal article | en |
dc.type.document | Zeitschriftenartikel | de |
dc.rights.copyright | f | de |
dc.source.pageinfo | 185-193 | |
internal.identifier.classoz | 10708 | |
internal.identifier.journal | 111 | de |
internal.identifier.document | 32 | |
internal.identifier.ddc | 150 | |
dc.identifier.doi | https://doi.org/10.1007/s00787-008-0715-7 | de |
dc.description.pubstatus | Postprint | en |
dc.description.pubstatus | Postprint | de |
internal.identifier.licence | 7 | |
internal.identifier.pubstatus | 2 | |
internal.identifier.review | 1 | |
internal.check.abstractlanguageharmonizer | CERTAIN | |
internal.check.languageharmonizer | CERTAIN_RETAINED | |