期刊名称：Journal of Indian Association for Child and Adolescent Mental Health
电子版ISSN：0973-1342
出版年度：2012
卷号：8
期号：1
页码：12-19
出版社：Indian Association for Child and Adolescent Mental Health
摘要：Background:Considerable controversy exists regarding clinical presentation, diagnosis,and comorbidities especially with Attention Deficit Hyperactivity Disorder (ADHD), inpaediatric Bipolar Disorder (BPD). Aims and objectives:To describe phenomenology and comorbidities of paediatric BPD. Method:78 Subjects (6-16 years) attending child and adolescent psychiatry services ofC.S.M.M.U. Lucknow, who fulfilled DSM-IV-TR 2000 criteria for BPD were assessedusing K-SADS-PL, child mania rating scale (CMRS),child depression rating scale(CDRS), Attention Deficit Hyperactivity Disorder rating scale (ADHD-RS) and ClinicalGlobal Assessment Scale (C-GAS). Results:All the subjects were diagnosed as BPD-I. There mean chronological age was13.4±2.1 years. The mean age at onset of BPD was 12.2 ± 2.3 years. The most commonsymptoms found in manic subjects were increased goal directed activities (100%),distractibility (100%), elation (98.7%), grandiosity (90.5%), physical restlessness(82.4%), poor judgment (82.4%) and decreased need for sleep (81.1%). 19 (24.3%) casesof BPD had other current comorbid disorders. The common comorbidities were MentalRetardation (10.26%), ADHD (10.26%), oppositional defiant disorder (6.41%), andsubstance abuse (3.85%).Conclusions:In children and adolescents elation/grandiosity was more commonpresentation than Irritability. Comorbidities were seen in 24.3% children in paediatricBPD. Differentiation of comorbid disruptive behaviour disorders especially ADHD fromBPD is possible with respect to age of onset, quality of the disturbed mood, and thecourse of each disorder
