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Published on: December 2, 2015
Anxiety and Disruptive Behavior Symptoms and Disorders in Preschool-Age Offspring of Parents With and Without Bipolar
Madelaine R Abel1,2, Aude Henin1,2, Jordan Holmén1,3
1Child Cognitive Behavioral Therapy Program, Massachusetts General Hospital, Boston, MA, USA.
Insights
Parental bipolar disorder (BPD) and related conditions increase young children's risk for behavioral and mood issues. Parental anxiety specifically predicts child anxiety, highlighting the impact of parental mental health on offspring development.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Genetics and Genomics
Background:
- Parental bipolar disorder (BPD) is a significant risk factor for offspring psychopathology.
- Comorbid parental psychiatric conditions, such as disruptive behavior disorders (DBD) and anxiety disorders, may further influence child development.
Purpose of the Study:
- To investigate the distinct and combined contributions of parental bipolar disorder (BPD) and comorbid psychiatric disorders in predicting psychiatric symptoms and disorders in preschool-aged children.
- To differentiate the predictive power of parental BPD versus comorbid conditions in offspring outcomes.
Main Methods:
- A cohort study involving families with a parent diagnosed with BPD and matched comparison families.
- Standardized diagnostic interviews and symptom measures were used to assess parents and offspring (aged 2-5 years).
- Offspring assessments were conducted by blinded evaluators masked to parental diagnostic status.
Main Results:
- Offspring of parents with BPD exhibited significantly higher rates of behavioral, mood, and anxiety disorders and symptoms.
- Parental BPD and DBD both contributed to increased disruptive behavioral symptoms in children.
- Childhood anxiety symptoms were more strongly associated with comorbid parental anxiety disorders.
- Parental BPD was a more potent predictor of child DBDs than comorbid parental DBDs.
Conclusions:
- Parental psychiatric comorbidity plays a role in the elevated risk of disorders observed in preschoolers.
- Both the presence of parental bipolar disorder and its associated comorbidities contribute to offspring psychopathology.
- Targeting parental mental health, including comorbidities, is crucial for early intervention in at-risk children.
Objective:
We examined the relative contribution of parental bipolar disorder (BPD) and psychiatric comorbidities (disruptive behavior disorders [DBD] and anxiety disorders) in predicting psychiatric symptoms and disorders in 2-5-year-old offspring.
Methods:
Participants were 60 families with a parent with BPD and 78 offspring and 70 comparison families in which neither parent had a mood disorder and 91 offspring. Parent and offspring diagnoses and symptoms were assessed using standardized diagnostic interviews and measures, with offspring assessors masked to parental diagnoses.
Results:
Offspring of parents with BPD had significant elevations in behavioral, mood and anxiety disorders and symptoms. Both parental BPD and DBD contributed to elevations in child disruptive behavioral symptoms, whereas child anxiety symptoms were more strongly predicted by comorbid parental anxiety. Parental BPD was a stronger predictor than comorbid DBD of child DBDs.
Conclusion:
Some of the elevated risk for disorders in preschoolers is accounted for by parental comorbidity.
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