Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESChild Comorbidity, Maternal Mood Disorder, and Perceptions of Family Functioning Among Bipolar Youth
Section snippets
Participants
Participants included 389 children and adolescents ranging from 7 to 18 years of age (mean 12.8; SD = 3.2) and their parents. They were drawn from a baseline sample of 405 youths who indicated contact with a parent figure in the past 2 weeks and thus were asked to complete current family functioning measures. Forty-seven percent of youths were female and 84% were white. The socioeconomic status (SES) strata (Hollingshead, 1975) of families enrolled, from highest to lowest, were as follows: 7%
RESULTS
Before conducting the main study analyses, a series of correlations, two-tailed t tests, and one-way analyses of variance were conducted to determine whether sociodemographic variables (Table 1), bipolar characteristics (Table 2), nonaffective maternal disorders, or paternal disorders (Table 3) were associated with parent or youth report of family conflict or cohesion. To preserve degrees of freedom, with the exception of sociodemographics, which were routinely controlled, only those variables
DISCUSSION
The primary purpose of this study was to examine the association between youth comorbidity, maternal mood disorder, and perceptions of family functioning in a sample of children and adolescents diagnosed with PBD. As hypothesized, comorbid conditions were associated with parent and youth perceptions of higher family conflict and lower family cohesion. For parents, this relationship was primarily driven by the presence of externalizing disorders in their child. This finding is consistent with
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This work was supported by grants MH59929 (Dr. Birmaher), MH59977 (Dr. Strober), and MH59691 (Dr. Keller) from the National Institute of Mental Health .
Article Plus (online only) materials for this article appear on the Journal's Web site:www.jaacap.com.
Disclosure: Dr. Ryan has received research support from GlaxoSmithKline, Abbott, Pfizer, and Janssen. Dr. Strober has been on the speakers' bureau for AstraZeneca. Dr. Keller has received research support from Bristol-Myers Squibb, Collegium, Cypress Bioscience, Cyberonics, Eli Lilly, Forest Laboratories, Janssen, Merck, Organon, Otsuka, Pfizer, Pharmastar, Sepracor, Vela Pharmaceuticals, Wyeth, Abbott Laboratories, Cephalon, GlaxoSmithKline, Mitsubishi Pharma, Somerset Pharmaceuticals, Scirex, and Sanofi-Synthelab during the past 2 years. The other authors have no financial relationships to disclose.