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What is the prevalence of comorbid medical and psychiatric conditions in children and adolescents with bipolar disorder?
The South Carolina Medicaid Program from the Office of Research and Statistics was used to identify 1841 children and adolescents (aged 17 and below) who received a DSM-IV-TR (Diagnostic and Statistical Manual, Fourth Edition, Text Revision) diagnosis of bipolar disorder on at least one service visit between January 1996 and December 2005. Medical claims data were used to randomly select a control cohort of 4500 children who had contact with a service provider in the same time period but had received no prescription for any psychotropic medication. 62.5% of those with bipolar disorder were male, 58.9% were White and 27.2% were of African American ethnicity. Mean age at bipolar diagnosis was 11.9 years. The average age of the control group was 7.3 years although data were compiled for the cases at least 2 years …
Sources of funding State Mental Health Data Infrastructure, Department of Medicine and University of South Carolina School of Medicine. Dr McIntyre received research funding from Stanley Medical Research Institute, National Alliance for Research on Schizophrenia and Depression, Eli Lilly, Merck, Servier and Wyeth.
Competing interests None.
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