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Pediatric mania: a developmental subtype of bipolar disorder?
J Biederman1, E Mick1, S V Faraone1
1Pediatric Psychopharmacology Unit,Massachusetts General Hospital and Harvard Medical School,Boston,U.S.A.
Acta Neuropsychiatrica
|March 16, 2016
Summary
Pediatric mania, though controversial, is increasingly recognized as not rare but difficult to diagnose. Early identification of childhood-onset mania is crucial for understanding bipolar disorder subtypes.
Area of Science:
- Child and Adolescent Psychiatry
- Neurodevelopmental Disorders
- Mental Health Research
Background:
- The prevalence and existence of pediatric mania remain debated.
- Previous views suggested pediatric mania is rare or non-existent.
- Recent systematic research challenges these traditional perspectives.
Purpose of the Study:
- To challenge the notion that pediatric mania is rare.
- To highlight the diagnostic challenges associated with pediatric mania.
- To underscore the importance of identifying childhood-onset mania for understanding bipolar disorder.
Main Methods:
- Review of systematic research and case reports on pediatric mania.
- Analysis of diagnostic complexities in children.
- Examination of comorbidity patterns and treatment responses.
Main Results:
- Pediatric mania may not be rare but is often difficult to diagnose.
- Unique comorbidities in children include ADHD, aggression, conduct disorder, and substance use disorders.
- Association with trauma and atypical treatment responses complicate diagnosis.
Conclusions:
- Childhood-onset mania is a significant clinical entity.
- Recognizing pediatric mania is vital for identifying potential bipolar disorder subtypes.
- Further investigation into the unique characteristics of pediatric mania is warranted.
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