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Related Experiment Videos

Attention deficit hyperactivity disorder in adolescent mania

S A West1, S L McElroy, S M Strakowski

  • 1Department of Psychiatry, University of Cincinnati College of Medicine, Ohio 45267-0559.

The American Journal of Psychiatry
|February 1, 1995
PubMed
Summary

Attention deficit hyperactivity disorder (ADHD) is common in adolescents with bipolar disorder, affecting over half of those studied. Comorbid ADHD was linked to specific demographic factors and more severe manic symptoms in bipolar disorder.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Neurodevelopmental Disorders
  • Mood Disorders

Background:

  • Adolescent bipolar disorder (BP) presents complex diagnostic and treatment challenges.
  • Comorbidity with attention deficit hyperactivity disorder (ADHD) is frequently observed but requires further investigation.

Purpose of the Study:

  • To determine the prevalence of ADHD in adolescents diagnosed with bipolar disorder.
  • To explore how comorbid ADHD influences the clinical presentation of adolescent bipolar disorder.

Main Methods:

  • The study included adolescents hospitalized for acute mania or hypomania.
  • Diagnostic criteria (DSM-III-R) were used to assess for comorbid ADHD.

Main Results:

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  • Fifty-seven percent (8 of 14) of adolescent bipolar patients met criteria for ADHD.
  • Patients with comorbid ADHD were more frequently male, Caucasian, and had mixed-type bipolar disorder.
  • ADHD was associated with higher scores on the Young Mania Rating Scale.

    • Conclusions:

    • The high rate of ADHD in this adolescent bipolar sample suggests a significant overlap between these conditions.
    • Findings indicate that comorbid ADHD may alter the phenomenology of bipolar disorder in adolescents.
    • Further research is warranted to understand the implications of this comorbidity.