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Gepubliceerd in: Child Psychiatry & Human Development 1/2011

01-02-2011 | Original Article

Managing Bipolar Youths in a Psychiatric Inpatient Emergency Service

Auteurs: Gabriele Masi, Maria Mucci, Paola Pias, Filippo Muratori

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 1/2011

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Abstract

Among the youths referred to our Psychiatric Inpatient Emergency Service, we focused on bipolar disorder (BD), to explore predictive elements for the outcome. Fifty-one patients (30 males, 21 females, age range 8–18 years, mean age 14.2 ± 3.1 years) received a diagnosis of BD, according to historical information, prolonged observations, and a structured clinical interview (K-SADS-PL). Twenty-seven patients (52.9%) were responders at the end of hospitalization according to CGI-I 1 or 2 and 50% decrease of both Brief Psychiatric Rating Scale (BPRS) and Young Mania Rating Scale (YMRS). Responders received a longer hospitalization. Non responders were more severe at baseline, had higher scores at BPRS (namely positive symptoms), and were more aggressive. Environmental/social stressors and comorbidities were frequent, but they did not affect the outcome. In summary, BD in emergency settings may represent a subtype with clinical and therapeutic peculiarities, and specific challenges for mental health services.
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Metagegevens
Titel
Managing Bipolar Youths in a Psychiatric Inpatient Emergency Service
Auteurs
Gabriele Masi
Maria Mucci
Paola Pias
Filippo Muratori
Publicatiedatum
01-02-2011
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 1/2011
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-010-0197-y

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