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TITLE OF DOCUMENT:

Distinctions of bipolar disorder symptoms in adolescence

NAME OF AUTHOR(S):

Devika Gudienė, Darius Leskauskas, Aurelija Markevičiūtė,
Dalius Klimavičius, Virginija Adomaitienė

NAME OF PUBLISHER:

Medicina (Kaunas) 2008; 44(7)

LANGUAGE OF DOCUMENT:

English

LANGUAGE OF THE REVIEW:

English

KEYWORDS:

bipolar disorder; adolescents; attention-deficit/hyperactivity disorder; comorbidity.

DOCUMENT TYPOLOGY:

Research

TARGET GROUP OF PUBLICATION:

Parents, Researchers.

SIZE OF THE PUBLICATION:

1 - 20 pages

DESCRIPTION OF CONTENTS:

Bipolar disorder in adolescents is a serious mental illness with problematic diagnosis that adversely affects social, academic, emotional, and family functioning. The objective of this study was to analyze features of premorbid and clinical symptoms, comorbidity, and course of bipolar disorder in adolescence. Data for analysis were collected from all case histories (N=6) of 14–18-year-old patients, hospitalized with diagnosis of bipolar disorder in the Unit of Children’s and Adolescents’ Psychiatry, Department of Psychiatry, Hospital of Kaunas University of Medicine, during the period from 2000 to 2005. Analysis of bipolar disorder course showed that five patients previously had been diagnosed with an episode of depression. The most frequent symptoms typical to bipolar disorder were disobedience and impulsive behavior, rapid changes of mood. The most common premorbid features were frequent changes of mood, being active in communication, hyperactive behavior. Adolescence-onset bipolar disorder was frequently comorbid with emotionally instable personality disorder, borderline type. Findings of the study confirm the notion that oppositional or impulsive behavior, rapid changes of mood without any reason, dysphoric mood and euphoric mood episodes with increased energy were cardinal symptoms of bipolar disorder with mania in adolescents. Most frequent premorbid features of these patients were quite similar to attention-deficit/hyperactivity disorder making differential diagnosis problematic.

REVIEWER’S COMMENTS ON THE DOCUMENT:

This article is relevant because in recent years there is a global tendency of growing number of people, especially the youth, who are suffering from a mental illness called bipolar disorder. These children often do not get the appropriate assistance in time and these children go to school without receiving treatment. Therefore it is very important that every parent, not only the staff of the school, observe their children's behavior, because only parents know their children best and could quickly notice their behavior changes.
Often these students have hyperactivity, manic behavior, so they usually actively involve in school activities and in some way influence their peers. It is important to distinguish these actions that are caused by the disease from school-bullying situations.

NAME OF THE REVIEWING ORGANISATION:

Kaunas University of Technology

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