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KMID : 1143820130090020101
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Anxiety and Mood
2013 Volume.9 No. 2 p.101 ~ p.105
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The Comparison of the Short-Term Prognosis According to the Polarity of First Episode in Children and Adolescent with Bipolar Disorder : A Single Center Study
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Kweon Kuk-Ju
Park Su-Bin
Lee Su-Min
Kim Jae-Won
Shin Min-Sup
Yoo Hee-Jeong
Cho Soo-Churl
Kim Bung-Nyun
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Abstract
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Objectives : This study was conducted to evaluate the association between first episode polarity of pediatric bipolar disorder and prognosis.
Methods : We analyzed the clinical records of 66 inpatient subjects with DSM-IV defined pediatric bipolar disorder. The patients were split into 2 groups according to the polarity of the illness onset [depressive onset (DO) vs. manic/hypomanic/mixed onset (MO)]. Clinical feature and prognosis were compared between the two groups of patients.
Results : In our sample, 68% of patients experienced a depressive onset. In DO patients, rates of suicidal attempt, episodic illness course and comorbid disruptive behavior disorder were higher than rates in MO patients.
Conclusion : Findings from this study suggest that polarity of illness onset may be useful in predicting the prognosis of pediatric bipolar disorder.
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KEYWORD
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Bipolar disorder, First episode polarity, Children and adolescents, Prognosis
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