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Published on: December 2, 2015
[Description of Clinical and Neurocognitive Profiles in Offspring of Bipolar-Type-I Parents From a Multimodal
Juan David Palacio-Ortíz1, Esteban Uribe-Villa2, Paula Duque-Ríos2
1Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Hospital San Vicente Fundación, Medellín, Colombia; Grupo de Investigación en Psiquiatría, Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
Insights
Children of parents with bipolar disorder have high rates of mental health issues and cognitive problems. Early intervention is crucial for this high-risk group.
Area of Science:
- Child and Adolescent Psychiatry
- Neurodevelopmental Disorders
- Genetics of Mental Illness
Background:
- Offspring of bipolar parents represent a high-risk group for developing mental illnesses.
- Studying this population aids in understanding genetic risk, early symptoms, and psychopathology of bipolar disorder.
Purpose of the Study:
- To characterize the psychopathological and neurocognitive profiles of offspring from bipolar type I parents.
- To identify sub-syndromal symptoms across all domains in this population.
Main Methods:
- A descriptive, cross-sectional study involved 110 offspring aged 6–30 years.
- Semi-structured diagnostic interviews and intellectual quotient assessments were conducted.
- Neuropsychological assessments were performed on 89 participants.
Main Results:
- Attention-deficit/hyperactivity disorder (ADHD) was the most prevalent disorder (27.6%), followed by major depression (15.5%) and separation anxiety (14.1%).
- Sub-syndromal symptoms were most frequent in the disruptive behavior group.
- Cognitive deficits in attention, verbal fluency, working memory, and processing speed were noted in individuals under 18.
Conclusions:
- Offspring of bipolar parents exhibit elevated psychopathology and cognitive alterations.
- This group requires close longitudinal monitoring and early, preventive therapeutic interventions.
Introduction:
Offspring of bipolar parents are a high risk population for the develop of mental diseases, their study allow determining the genetic risk, early symptoms, prodromes and psychopathology of bipolar disorder.
Objective:
To describe the psychopathological characteristics and neurocognitives profiles of the offspring of bipolar type I parents. And to identify the presence of sub-syndromal symptoms in all the symptom domains.
Methods:
A descriptive and cross-sectional study was conducted on 110 offspring between 6 and 30 years old. Semi-structured diagnostic interviews were performed. The intelectual coeficient was determined and a neuropsychological assessment was performed on 89 offspring.
Results:
The most prevalent disorder in the offspring was ADHD (27.6%), with major depression (15.5%) and separation anxiety (14.1%) also being prevalent. Seven patients of the sample were diagnosed with bipolar disorder. There was a statistically significant difference between the age groups for ADHD prevalence. The most frequent sub-syndromal symptoms were observed in the disruptive group. Alterations in the cognitive domains: attention, verbal fluency, work memory, and speed of information processing, were observed in the group younger than 18 years.
Conclusions:
The offspring of bipolar parents have an elevated rate of psychopathology and cognitive alterations. They are a high risk population for the development of mental disease. These subjects also require close longitudinal observation and early and preventive therapeuthic interventions.
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