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Adverse life events and pediatric bipolar disorder in a community mental health setting
William R Marchand1, Laurel Wirth, Cindy Simon
1University of Utah, 50 North Medical Drive, Salt Lake City, Utah 84132, USA. wmarchand@aol.com
Objective:
To determine the frequency and effects of exposure to adverse events in pediatric bipolar disorder.
Method:
Charts of youths with bipolar disorder were retrospectively reviewed.
Results:
Thirty-five of 66 (53%) had experienced maltreatment. Most (90.9%) had divorced or separated parents and 31.8% were adopted or in foster care. Exposure to adverse events was associated with delay of diagnosis (p = .010), psychiatric hospitalization (p = .035), residential treatment (p = .003) and a decreased response to treatment (p = .006).
Conclusions:
Exposure to adverse events may be common among pediatric bipolar patients and have a negative impact on prognosis.
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