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Journals / Nöropsikiyatri Arşivi / 2009 / Cilt: 46 - Sayı: 1

Bipolar bozukluğu olan çocuk ve ergenlerde ilk ataktan önce atipik belirtiler

Atypical symptoms before the first episode in bipolar children and adolescents

Ayşegül Yolga TAHİROĞLU
Gonca Gül ÇELİK
Ayşe AVCI
Pages
34–36
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

BPD should be considered in the differential diagnosis in child and adolescent cases with atypical symptomatology and treatment resistance.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In this study, atypical symptomatology and difficulties concerning the differential diagnosis of bipolar disorder (BPD) in children and adolescents before the first episode are discussed through 4 cases aged 5, 13, 14 and 16 years.
📊
Key Findings & Data:Although all cases were treated and followed for months/years with diagnoses such as conduct disorder, attention deficit hyperactivity disorder, borderline disorder, dissociation, and psychosis, their diagnoses were considered as BPD after months or years.
💡
Conclusion & Impact:BPD should be considered in the differential diagnosis in child and adolescent cases with atypical symptomatology and treatment resistance.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Tanı · ayırıcı · İki uçlu duygu durum bozukluğu

Abstract

In this study, atypical symptomatology and difficulties concerning the differential diagnosis of bipolar disorder (BPD) in children and adolescents before the first episode are discussed through 4 cases aged 5, 13, 14 and 16 years. Although all cases were treated and followed for months/years with diagnoses such as conduct disorder, attention deficit hyperactivity disorder, borderline disorder, dissociation, and psychosis, their diagnoses were considered as BPD after months or years. Misdiagnosis and/or delayed diagnosis of BPD are common among children and adolescents. Use of stimulant or antidepressant agents provoked manic symptoms, while antipsychotics (risperidone and aripiprazole) and mood stabilizers (valproic acid and lithium) were useful as combined and/or mono therapy for these cases. BPD should be considered in the differential diagnosis in child and adolescent cases with atypical symptomatology and treatment resistance.

Özet

Bu çalışmada 5, 13, 14 ve 16 yaşlarında 4 olgu sunumu aracılığı ile çocuk ve ergenlerde bipolar bozukluğun (BPB) ilk atağından önceki tipik olmayan belirti dağılımı ve ayırıcı tanı güçlükleri tartışılmıştır. Tüm olgular başlangıçta davranım bozukluğu, dikkat eksikliği hiperaktivite bozukluğu, sınırda bozukluk, disosiyatif bozukluk, psikoz gibi farklı tanılarla aylar/yıllar boyunca izlenmiş olmalarına rağmen, daha sonra tanıları BPB olarak değiştirilmiştir. Çocuk ve ergenlerde BPB’nin yanlış ve/veya geç tanısı sık rastlanan bir durumdur. Olgularımızda stimülan ya da antidepresanların kullanımı manik belirtilerde artışla sonuçlanmış; antipsikotiklerin (risperidon, aripiprazol) ve duygudurum düzenleyicilerin (valproik asit ve lityum) tek tek ya da birlikte kullanılmaları ise fayda sağlamıştır. Ruh sağlığı uzmanları tipik olmayan ve tedaviye dirençli belirtileri olan çocuk ve ergenlerin ayırıcı tanısında BPB’yi göz önünde bulundurmalıdırlar.

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Cite This Article

TAHİROĞLU, A. Y., ÇELİK, G. G., AVCI, A. (2009). Bipolar bozukluğu olan çocuk ve ergenlerde ilk ataktan önce atipik belirtiler. Nöropsikiyatri Arşivi, Cilt: 46 - Sayı: 1, 34–36. https://ajindex.com/articles/287256

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References (13)

  1. Johnson JG, Cohen P, Brook JS. Associations between bipolar disorder and other psychiatric disorders during adolescence and early adulthood: a community-based longitudinal investigation. Am J Psychiatry 2000; 157: 1679-81
  2. Lish JD, Dime-Meenan S, Whybrow PC et al. The National Depressive and Manic-Depressive Association (DMDA) survey of bipolar members. J Affect Disord 1994; 31: 281-94
  3. Perlis RH, Miyahara S, Marangell LB et al. STEP-BD Investigators. Long-term implications of early onset in bipolar disorder: data from the first 1000 participants in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). Biol Psychiatry 2004; 55: 875-81
  4. Suominen K, Mantere O, Valtonen H et al. Early age at onset of bipolar disorder is associated with more severe clinical features but delayed treatment seeking. Bipolar Disord 2007; 9: 698-705
  5. Axelson D, Birmaher B, Strober M et al. Phenomenology of Children and Adolescents With Bipolar Spectrum disorders. Arch Gen Psychiatry 2006; 63: 1139-48
  6. Birmaher B, Axelson D, Strober M et al. Clinical Course of Children and Adolescents With Bipolar Spectrum Disorders. Arch Gen Psychiatry 2006; 63: 175-83
  7. Biederman J, Faraone SV, Wozniak J et al. Further evidence of unique developmental phenotypic correlates of pediatric bipolar disorder: findings from a large sample of clinically referred preadolescent children assessed over the last 7 years. J Affect Disord 2004; 82: 45-58
  8. Kowatch RA, Fristad MA, Birmaher B et al. Child Psychiatric Workgroup Members. Treatment guidelines for children and adolescents with bipolar disorder: Child Psychiatric Workgroup on Bipolar Disorder. J Am Acad Child Adolesc Psychiatry 2005; 44: 213-35
  9. Faedda GL, Baldessarini RJ, Glovinsky IP et al. Pediatric bipolar disorder: phenomenology and course of illness. Bipolar Disord 2004; 6: 305-13
  10. Frazier JA, Hodge SM, Breeze JL et al. Diagnostic and Sex Effects on Limbic Volumes in Early-Onset Bipolar Disorder and Schizophrenia. Schizophr Bull 2008; 34: 37-46
  11. Aichhorn W, Stuppack C, Kralovec K et al. Child and adolescent bipolar disorder. Neuropsychiatr 2007; 21: 84-92
  12. Hlastala SA, McClellan J. Phenomenology and diagnostic stability of youths with atypical psychotic symptoms. J Child Adolesc Psychopharmacol 2005; 15: 497-509
  13. Ulloa RE, Birmaher B, Axelson D et al. Psychosis in a pediatric mood and anxiety disorders clinic: phenomenology and correlates. J Am Acad Child Adolesc Psychiatry 2000; 39: