Affective Disorders in Referred Children and Younger Siblings of Manic-Depressives
- 1 October 1985
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of General Psychiatry
- Vol. 42 (10), 996-1003
- https://doi.org/10.1001/archpsyc.1985.01790330076009
Abstract
• We studied 68 referred juvenile offspring or siblings of adult bipolar patients. Mean age at onset of affective and related disturbances was 15.9 years (range, 6 to 24 years). Although four of the ten prepubertal children had hypomanic features, full-blown manic psychosis did not appear before puberty. In the sample at large, 12 were classified as dysthymic and ten as cyclothymic. Eleven additional subjects with polysubstance abuse, who at onset did not meet criteria for affective disorder, were reclassified as having either a dysthymic or a cyclothymic disorder during follow-up. Of the remaining patients—24 depressive, eight manic, and three mixed state—71% experienced recurrences; mood-incongruent features, present in four cases at onset, recurred in only one patient during subsequent episodes. Overall, half the sample evidenced signs of bipolarity during a mean prospective follow-up period of three years.This publication has 35 references indexed in Scilit:
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