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Bipolar disorder in youth.

G A Carlson¹, S E Meyer

¹Child and Adolescent Psychiatry, Department of Psychiatry, State University of New York at Stony Brook, Stony Brook, NY 11794-8790, USA. Gcarlson@mail.psychiatry.sunysb.edu

Current Psychiatry Reports

|December 21, 2000

Summary

The existence of prepubertal bipolar illness is debated, with some arguing for an early-onset form characterized by irritability and depression. Others suggest childhood manic symptoms may indicate risk or overlap with other childhood disorders.

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Area of Science:

Child and Adolescent Psychiatry
Developmental Psychology
Behavioral Science

Background:

The diagnosis of prepubertal bipolar illness remains a contentious topic in psychiatric research.
Recent debate centers on whether childhood bipolar disorder is a distinct early-onset entity or if symptoms overlap with other conditions.

Purpose of the Study:

To review evidence from various studies to clarify the nature of manic symptoms in young people.
To explore the etiology, phenomenology, and developmental implications of these symptoms.

Main Methods:

Review of epidemiologic studies.
Analysis of developmental research.
Examination of family studies.
Evaluation of treatment studies.

Main Results:

Findings suggest that childhood manic symptoms may be nonspecific indicators of risk.
Symptom overlap with other childhood psychopathologies is a significant consideration.
Evidence regarding a distinct early-onset bipolar disorder in children is complex and debated.

Conclusions:

Manic symptoms in youth require careful evaluation to differentiate from other disorders.
Further research is needed to understand the developmental trajectory and significance of these symptoms.
The concept of prepubertal bipolar illness necessitates continued scientific inquiry.

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