Comorbidity of attention deficit hyperactivity disorder in juvenile bipolar disorder

Jaideep, T; Reddy, YC Janardhan; Srinath, Shoba

doi:10.1111/j.1399-5618.2006.00293.x

Cited by 31 publications

(15 citation statements)

References 34 publications

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“…Comorbidity of ADHD and BPD is more likely the earlier the onset of BPD. However, recent studies suggest that the frequency of ADHD in children with juvenile BPD may be lower than previously thought (Jaideep et al, 2006) and their subective self-report of difficulties in attentional/problem solving ability in BPD may not be supported by their performance on objective measures (Robertson, Kutcher, & Lagace, 2003). The problems with sustained attention, working memory, and processing speed in BPD remain present even after after controlling for comorbid ADHD (Doyle, Wilens et al, 2005).…”

Section: Psychiatric Disordermentioning

confidence: 83%

“…It has been estimated that approximately 59-87% of children and adolescents with ADHD may have at least one comorbid disorder McGough et al, 2005), and as many as 20% may have three or more comorbid disorders (Rowland et al, 2002). Many of the comorbid conditions present with several core symptoms of ADHD, including bipolar disorder (Biederman, Faraone, Mick, Wozniak et al, 1996;Biederman, Monuteaux, Kendrick, Klein, & Faraone, 2005;Jaideep, Reddy, & Srinath, 2006;Wozniak et al, 2004), anxiety disorder (March et al, 2000;Newcorn et al, 2001), mood disorder (Schmidt, Stark, Carlson, & Anthony, 1998;Wozniak et al, 2004), and childhood abuse/neglect (Glod & Teicher, 1996). Psychiatric comorbidities that involve externalizing disorder with an aggressive component, such as ODD (35.2%, 95% CI 27.2, 43.8) or CD (25.7%, 95% CI: 12.8, 41.3) tend to occur more frequently than those that involve internalizing disorders, such as anxiety (25.8%, 95% CI: 17.6, 35.3) or depressive/mood disorder (18.2%, 95% CI: 11.1, 26.6) (Barkley, Anastopoulos, Guevremont, & Fletcher, 1991;Bird, Gould, & Staghezza, 1993;MTA, 1999a;Shekim et al, 1985).…”

Section: Psychiatric Disordermentioning

confidence: 99%

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Attention-Deficit/Hyperactivity Disorder: A Neuropsychological Perspective Towards DSM-V

2007

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Neuropsychological methods and techniques have much to offer in the evaluation of the individual suspected as having Attention-Deficit/Hyperactivity Disorder (ADHD). After a review of the historical evolution of the ADHD concept, incidence and prevalence, and DSM-IV criteria for diagnosis, especially as regards omission related to gender differences, and other associated cultural, familial, socioenvironmental, and subject influences, this paper describes a number of dilemmas and obstacles encountered in clinical practice. Included are the confounds associated with the wide range of possible comorbidities, the insufficiency of current DSM-IV criteria, the emergence of subtype differentiation and its impact on diagnosis and treatment. The complex relationship between neuropsychological constructs and ADHD, and obstacles to valid assessment are also addressed. The complexities associated with a thorough ADHD evaluation are viewed within an impressive and expansive existing scientific framework and recommendations are made for future directions.

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Section: Psychiatric Disordermentioning

confidence: 83%

Section: Psychiatric Disordermentioning

confidence: 99%

Attention-Deficit/Hyperactivity Disorder: A Neuropsychological Perspective Towards DSM-V

2007

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“…Clinical studies have found rates of BPD ranging from 8.2 to 23% in youths who have ADHD (Wozniak et al 1995;Butler et al 1995;Biederman et al 1996;. Regarding the rate of ADHD in clinic referred subjects with BPD, rates vary widely across samples, from 4 to 98% (Kowatch et al 2005;Birmaher et al 2006;Jaideep et al 2006). Setting, participants age, age of onset of BPD, referral source and ascertainment bias affect these rates.…”

Section: Introductionmentioning

confidence: 94%

Co-morbidity of bipolar disorder in children and adolescents with attention deficit/hyperactivity disorder (ADHD) in an outpatient Turkish sample

Lus

Mukaddes

2009

The World Journal of Biological Psychiatry

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This study aimed to assess the prevalence of bipolar disorder (BPD) in children and adolescents with attention deficit hyperactivity disorder (ADHD), and to compare the clinical characteristics of a group with ADHD with a group with co-morbidity of ADHD and BPD. The study includes 121 individuals, aged 6-16 years, with a diagnosis of ADHD. Co-morbidity of BPD was evaluated using the Schedule for Affective Disorders and Schizophrenia for School-age Children-Present and Lifetime version (K-SADS-PL) and the Parent-Young Mania Rating Scale (P-YMRS). The Child Behavior Checklist (CBCL) was used to assess psychopathology in two groups. Ten children (8.3%) in the ADHD sample received the additional diagnosis of BPD. The ADHD + BPD group had significantly higher scores than the ADHD group on withdrawn, anxiety/depression, social problems, thought problems, attention problems, aggression, externalization, total score items of CBCL, and on the P-YMRS. It could be concluded that BPD is not a rare co-morbid condition in children with diagnosis of ADHD and subjects with this co-morbidity show more severe psychopathology than subjects with pure ADHD. Differential diagnosis of BPD disorder in subjects with ADHD seems crucial in establishing an effective treatment program, and therefore improving mental health outcomes.

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“…Each of these comorbid disorders contribute to more coping difficulties . However, putative relationships between adolescent attention-deficit disorder and later onset of bipolar disorder appear to be questionable (Jaideep, Janardhan Reddy, & Srinath, 2006). Higher rates (19.4%) of bipolar disorder are found in patients with borderline personality disorder than among patients with other personality disorders (Gunderson et al, 2006), although this does not appear to be related to outcome.…”

mentioning

confidence: 99%

Bipolar disorder: Causes, contexts, and treatments

Leahy

2007

J Clin Psychol

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Bipolar disorder is a chronic and often devastating illness that may go undiagnosed because of its complex and diverse presentation. Clinicians can provide psychological treatments, in conjunction with pharmacotherapy, that can reduce the frequency, severity, and duration of manic and depressive episodes. Because bipolar disorder is characterized by high degrees of comorbidity and high rates of medical complications, the clinician will frequently need to implement other treatments targeted to comorbid conditions, such as panic, generalized anxiety, substance abuse, and personality disorders. This article introduces the issue of Journal of Clinical Psychology: In Session devoted to the treatment of bipolar disorder. We describe the cognitive styles and personal vulnerabilities that pose greater risk for bipolar disorder. Three evidence-based psychological treatments (interpersonal social rhythm therapy, family-focused treatment, and cognitive-behavioral therapy) and current pharmacological treatments are examined and illustrated. Finally, we review the effectiveness and practice implications of a variety of treatments for this severe and underresearched disorder.

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Comorbidity of attention deficit hyperactivity disorder in juvenile bipolar disorder

Cited by 31 publications

References 34 publications

Attention-Deficit/Hyperactivity Disorder: A Neuropsychological Perspective Towards DSM-V

Attention-Deficit/Hyperactivity Disorder: A Neuropsychological Perspective Towards DSM-V

Co-morbidity of bipolar disorder in children and adolescents with attention deficit/hyperactivity disorder (ADHD) in an outpatient Turkish sample

Bipolar disorder: Causes, contexts, and treatments

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