Diagnostic Stability of Bipolar Disorder in Children and Adolescents
Keywords:
Bipolar disorder, Diagnostic stability, Children, AdolescentsAbstract
Objective: To examine diagnostic stability of bipolar disorder in children and adolescents and to determine factors associated with diagnostic stability.
Method: This was a retrospective chart review of patients who were diagnosed bipolar disorder when they were below 19 years old. All subjects, both inpatients and outpatients, received psychiatric care at Ramathibodi hospital during January 1998 to May 2008.
Results: There were 49 subjects who received the diagnosis during 8 - 18 years of age (mean 15.26 years) and the follow-up time was 4.18 + 3.10 years (mean ± S.D.). After receiving the diagnosis of bipolar disorder, 36 from 49 subjects (73.47%) were finally diagnosed bipolar disorder, whereas 13 subjects' diagnosis (26.53%) were changed to other psychiatric disorders which the most frequent diagnosis were schizoaffective disorder. The media time to change diagnosis was 2.02 years. Factor associated with diagnostic stability was using DSM IV criteria for diagnosis.
Conclusions: Among children and adolescents, after receiving the diagnosis of bipolar disorder, approximately 30% of patients had diagnostic changes to other psychiatric disorders and factor associated with diagnostic stability was using DSM IV criteria for diagnosis.
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