Comorbidity and Phenomenology of Bipolar Disorder in Children With ADHD

被引：12

作者：

Serrano, Eduardo ^{[1
]}

Ezpeleta, Lourdes ^{[2
]}

Castro-Fornieles, Josefina ^{[3
,4
]}

机构：

[1] Hosp St Joan de Deu, Dept Child & Adolescent Psychiat & Psychol, ADHD Unit, Barcelona 08950, Spain

[2] Univ Autonoma Barcelona, Unit Epidemiol & Diagnost Dev Psychopathol, Barcelona, Spain

[3] Hosp Clin Barcelona, Red Salud Mental Res Network, Dept Child & Adolescent Psychiat & Psychol, Barcelona, Spain

[4] Univ Barcelona, E-08007 Barcelona, Spain

来源：

JOURNAL OF ATTENTION DISORDERS | 2013年 / 17卷 / 04期

关键词：

ADHD; bipolar disorder; bipolar spectrum disorder; children and adolescents; comorbidity; MANIA RATING-SCALE; PROSPECTIVE FOLLOW-UP; BEHAVIOR CHECKLIST; DIAGNOSTIC INTERVIEW; CO-MORBIDITY; ADOLESCENTS; RELIABILITY; PHENOTYPE; SYMPTOMS; PATTERNS;

D O I：

10.1177/1087054711427553

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Objective: To assess the comorbidity of bipolar disorder (BPD) in children with ADHD and to study the psychopathological profile of ADHD children with and without mania. Method: A total of 100 children with ADHD were assessed with a semistructured diagnostic interview and questionnaires of mania, ADHD, and general psychopathology. Results: 8% of children met criteria for BPD and 6% for BPD-not specified. ADHD children with bipolar spectrum disorder had greater comorbidity with disruptive behavior disorders and scored higher on the Young Mania Rating Scales and on the Child Behavior Checklist (CBCL) Scales of rule-breaking behavior, externalizing problems, and total problems; however, significance on the CBCL Scales was lost when controlling for disruptive behavior disorders. Conclusion: BPD is frequently associated with ADHD; it has important implications for prognosis and choice of treatment. Differences on the CBCL Scales could be explained by the comorbidity with disruptive behavior disorders rather than by a specific manic profile. (J. of Att. Dis. 2013; 17(4) 330-338)

引用

页码：330 / 338

页数：9

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