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Life stress and the course of early-onset bipolar disorder.

Life stress and the course of early-onset bipolar disorder. Research Abstract Details 

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  • Life stress and the course of early-onset bipolar disorder. Abstract Text:

    eunice y kimEunice Y Kim,david j miklowitzDavid J Miklowitz,adrine biuckiansAdrine Biuckians,kimberley mullenKimberley Mullen,eunice y kimEunice Y Kim,david j miklowitzDavid J Miklowitz,adrine biuckiansAdrine Biuckians,kimberley mullenKimberley Mullen,

    BACKGROUND: Studies of adult bipolar patients and adolescents with major depression indicate that life stress and mood symptoms are temporally and causally related to one another. This study examined whether levels of life stress predict levels of mood symptoms among bipolar adolescents participating in a treatment development study of family-focused psychoeducation and pharmacotherapy. METHODS: Bipolar adolescents (n=38) who reported a period of acute mood symptoms within the prior 3 months were recruited for a 1-year study of life stress. Clinician-administered evaluations were completed with adolescents and parents at 3-month intervals for up to 12 months, using the UCLA Life Stress Interview and the K-SADS Mania and Depression Rating Scales. RESULTS: Chronic stress in family, romantic and peer relationships was associated with less improvement in mood symptoms over the study year. The frequency of severe, independent life events also predicted less improvement in mood symptoms. Higher levels of chronic stress in family and romantic relationships, and higher severity of independent events, were more strongly associated with mood symptoms among older adolescents. Results were independent of adolescents' psychosocial treatment regimens. LIMITATIONS: The majority of adolescents received family-focused psychoeducational treatment and all were being treated with psychotropic medication. The influence of life stress on mood symptoms may have been attenuated by intensive intervention. CONCLUSIONS: Stress is linked to changes in mood symptoms among bipolar adolescents, although correlations between life events and symptoms vary with age. Chronic stress in family, romantic, and peer relationships are important targets for psychosocial intervention.

    Life stress and the course of early-onset bipolar disorder. Publishing Authors By Initials

    ey kimEY Kim,dj miklowitzDJ Miklowitz,a biuckiansA Biuckians,k mullenK Mullen,ey kimEY Kim,dj miklowitzDJ Miklowitz,a biuckiansA Biuckians,k mullenK Mullen,

    For similar behavioral disciplines and activities: psychotherapy: psychotherapy, brief research abstracts see: behavioral disciplines and activities: psychotherapy: psychotherapy, brief research

    PUBMED ID PMID:

    MEDLINE DATE:

    Life stress and the course of early-onset bipolar disorder. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Journal of affective disorders

    VOLUME: 99

    Page Numbers: 37-44

    Journal Abbreviation:

    ISSN: 0165-0327

    DAY: 7

    MONTH: 11

    YEAR: 2006

    Life stress and the course of early-onset bipolar disorder. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7906073

    Life stress and the course of early-onset bipolar disorder. Keywords Mesh Terms:

    KEYWORDS: Psychotherapy, Brief

    MESH TERMS: therapy

    Chemical & Substance for Abstract: Life stress and the course of early-onset bipolar disorder. Information

    Substance Name: Antimanic Agents

    Registry Number: 0

    Grant and Affiliation Information for Life stress and the course of early-onset bipolar disorder.

    AFFILIATION: University of Colorado, Boulder, CO, USA. eykim@mednet.ucla.edu

    Country: Netherlands

    Netherlands Research PublicationNetherlands Research Publication

    AGENCY: United States NIMH

    GRANT: MH62555

    ACRONYM: MH

    MEDLINETA: J Affect Disord

    REFSOURCE:

    DATABASENAME:

    ACCESSION NUMBER:

    Number Hits: 0

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