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Peer relationship Difficulties in Adolescents with Bipolar Disorder

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Abstract

Background

Pediatric bipolar disorder (PBD) is associated with psychosocial impairment, but few studies have examined peer relationship functioning and PBD. Adolescence is a crucial developmental period when peers become increasingly salient.

Objective

This study compared perceived friendship quality and peer victimization in adolescents with PBD to external community benchmarks and to adolescents with other psychopathology. We also measured the association between peer difficulties and current mood symptoms across diagnoses.

Methods

Participants were 189 adolescents, ages 10–17 years (46 % female; 58 % African American, 32 % Caucasian, 10 % Other), recruited from a community mental health center (n = 73) and an academic medical center (n = 116). Diagnoses were made via semi-structured diagnostic interviews. Adolescents completed questionnaires to assess peer relationship functioning and mood symptoms. Caregivers completed a questionnaire to assess adolescents’ mood symptoms.

Results

Adolescents with PBD reported significantly fewer positive and negative qualities in a close friendship and more relational victimization than external community controls. There were no significant differences between adolescents with PBD and those with other psychopathology. Depression and (hypo)mania were both associated with more negative friendship quality and peer victimization.

Conclusions

Adolescents with psychiatric disorders reported more peer difficulties than an external community sample, but difficulties were not specific to PBD. Mood symptoms were problematic for perceived close friendship quality and peer victimization in youth with a variety of psychiatric diagnoses. Results suggest that treatments targeting mood symptoms may improve peer relationships and those with an interpersonal focus may be particularly helpful to address mood symptoms.

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Acknowledgments

This work was supported by NIH R01 MH1066647 (PI: E. Youngstrom).

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Authors and Affiliations

  1. Department of Psychology, University of North Carolina at Chapel Hill, Davie Hall, CB3270, Chapel Hill, NC, 27599-3270, USA

    Rebecca S. Siegel, Andrew J. Freeman & Eric A. Youngstrom

  2. Department of Psychology, University of Miami, 1320 South Dixie Hwy, Coral Gables, FL, 33124, USA

    Rebecca S. Siegel & Annette M. La Greca

  3. Department of Psychology, University of Nevada, Las Vegas, 4505 S. Maryland Pkwy, Las Vegas, NV, 89154-5030, USA

    Andrew J. Freeman

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  1. Rebecca S. Siegel
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Correspondence to Rebecca S. Siegel.

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Siegel, R.S., Freeman, A.J., La Greca, A.M. et al. Peer relationship Difficulties in Adolescents with Bipolar Disorder. Child Youth Care Forum 44, 355–375 (2015). https://doi.org/10.1007/s10566-014-9291-9

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