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Adverse Life Events and Pediatric Bipolar Disorder in a Community Mental Health Setting

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Abstract

Objective: To determine the frequency and effects of exposure to adverse events in pediatric bipolar disorder. Method: Charts of youths with bipolar disorder were retrospectively reviewed. Results: Thirty-five of 66 (53%) had experienced maltreatment. Most (90.9%) had divorced or separated parents and 31.8% were adopted or in foster care. Exposure to adverse events was associated with delay of diagnosis (p=.010), psychiatric hospitalization (p=.035), residential treatment (p=.003) and a decreased response to treatment (p=.006). Conclusions: Exposure to adverse events may be common among pediatric bipolar patients and have a negative impact on prognosis.

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Authors and Affiliations

  1. Assistant Professor of Psychiatry (Clinical), University of Utah, 50 North Medical Drive, Salt Lake city, Utah, USA, 84132

    William R. Marchand M.D.

  2. Wasatch Mental Health, USA

    B. S. Laurel Wirth & M. S. W. Cindy Simon

  3. VASLCHCS 116OP, 500 Foothill Blvd., Salt Lake city, Utah, USA, 84148

    William R. Marchand M.D.

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  1. William R. Marchand M.D.
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  2. B. S. Laurel Wirth
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  3. M. S. W. Cindy Simon
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Correspondence to William R. Marchand M.D..

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Marchand, W.R., Laurel Wirth, B.S. & Cindy Simon, M.S.W. Adverse Life Events and Pediatric Bipolar Disorder in a Community Mental Health Setting. Community Ment Health J 41, 67–75 (2005). https://doi.org/10.1007/s10597-005-2600-x

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  • DOI: https://doi.org/10.1007/s10597-005-2600-x

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