2020
DOI: 10.1111/bdi.13016
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Bipolar disorder: Trimodal age‐at‐onset distribution

Abstract: Bipolar disorder (BD) is a chronic mental health disorder with significant morbidity and mortality that affects between 1-4% of the population. 1 Age at onset in BD has been recognised as being important in the course and outcome of the disorder. Meta-analytic results suggest that an early (compared to late) age at onset in bipolar disorder is associated with a longer delay to treatment, greater severity of depression and higher levels of comorbid anxiety and substance abuse. 2,3 Given this differing clinical … Show more

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Cited by 55 publications
(30 citation statements)
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“…However, other studies refer EOBD with an outstart before age 18, thus considering the onset of the disease to be in the period of childhood and adolescence (Connor et al, 2017; Joslyn et al, 2016; Liu et al, 2020; Schürhoff et al, 2000) and LOBD as BD occurring in the middle phase of adult life, that is, at ages over 40 years old (Beyer et al, 2003; Schürhoff et al, 2000). In addition, a recent systematic review indicated that a three‐component model (early, middle and late onset) best describes the age at onset distribution of BD (Bolton et al, 2020).…”
Section: Introductionmentioning
confidence: 99%
“…However, other studies refer EOBD with an outstart before age 18, thus considering the onset of the disease to be in the period of childhood and adolescence (Connor et al, 2017; Joslyn et al, 2016; Liu et al, 2020; Schürhoff et al, 2000) and LOBD as BD occurring in the middle phase of adult life, that is, at ages over 40 years old (Beyer et al, 2003; Schürhoff et al, 2000). In addition, a recent systematic review indicated that a three‐component model (early, middle and late onset) best describes the age at onset distribution of BD (Bolton et al, 2020).…”
Section: Introductionmentioning
confidence: 99%
“…Age of onset is an understudied variable. BD has been shown to have either a trimodal (early onset, mid-onset and late-onset) or a bimodal age of onset in a recent review [ 67 ]. The average age of early onset was 17.3 years (SD = 1.19) corresponding to 45% of total cases, for mid-onset 26.0 years (SD = 1.72) with 35% of total cases and for late onset 41.9 years (SD = 6.16) in 20% of total cases.…”
Section: Discussionmentioning
confidence: 99%
“…Earlier age of first mood symptoms was also related to lower right superior frontal surface area. It was suggested that early and late onset of BD have distinct neuropathological features ( Bolton et al, 2021 ) and are related to differences in frontal cortical thickness ( Oertel-Knochel et al, 2015 ). We speculate that there may be relationships between CM exposure and the pathophysiology underlying different ages of onset, but large studies with balanced age of onset groups are warranted.…”
Section: Discussionmentioning
confidence: 99%