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QUESTION
Question:
Does child bipolar I disorder continue into adulthood and what are the characteristics of subsequent episodes?
Population:
115 consecutively ascertained children (7–16 years old) with first episode DSM-IV bipolar I disorder (mixed or manic phase) of duration ⩾2 weeks, displaying elation and/or grandiosity; and Children’s Global Assessment Scale (CGAS) score ⩽60. Exclusion criteria: IQ ⩽70; major medical or neurological disorder; pervasive developmental disorder; schizophrenia; pregnant or substance use disorder at baseline; adopted.
Setting:
University medical school research unit, USA; enrolment September 1995 to December 1998.
Prognostic factors:
Age, gender, illness characteristics and comorbidity (age at onset, CGAS score, psychosis, grandiose delusions, daily cycling, major depressive disorder, dysthymia, attention deficit/hyperactivity disorder, conduct disorder), referring centre (paediatric or psychiatric), parental warmth and tension/hostility (Psychosocial Schedule for School Age Children-Revised) and select mental health diagnoses in first degree relatives.
Outcomes:
Manic episodes and substance use disorder during adulthood, recovery (8 consecutive weeks without meeting DSM-IV mania criteria), remission (2–7 weeks without meeting DSM-IV mania criteria), relapse after recovery (2 consecutive weeks of meeting DSM-IV mania criteria …
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