Defining and validating bipolar disorder in the preschool period
Accepted for publication 18 September 2015 Published 4 November 2015 Volume 20 Pages 2855—2864 DOI https://doi.org/10.2147/NDT.S79586 Checked for plagiarism Yes Review by Single-blind Peer reviewers approved by Dr Xiang Mou Peer reviewer comments 3 Editor who approved publication: Dr Roger Pinder Department of Psychiatry, First Faculty of Medicine, General Teaching Hospital, Charles University in Prague, Czech Republic Background: Approximately 30%–60% of adults diagnosed with bipolar disorder (BD) report onset between the ages 15 and 19 years; however, a correct diagnosis is often delayed by several years.
Stressors that are routinely evaluated in the Department of Child Psychiatry at Motol University Hospital and Children’s department at the Psychiatric Hospital Bohnice based on psychiatric interviews were included in the analysis.
Conclusion: Clinicians must be aware of the potential for childhood BD onset in patients who suffer from recurrent depression, who have first-degree relatives with BD, and who have experienced severe psychosocial stressors.
Keywords: children, adolescents, inpatients Introduction Bipolar disorder (BD) is a lifelong condition that highly impairs functioning and quality of life and increases the risk of a range of psychiatric and somatic comorbidities.
For a long time, BD was rarely diagnosed in pediatric populations.
However, studies have shown that approximately 30%–60% of individuals diagnosed with BD as adults retrospectively report an onset of illness prior to 20 years of age.