Premorbid and Postmorbid School Functioning in Bipolar Adolescents: Description and Suggested Academic Interventions

Quackenbush, Doug; Kutcher, Stan; Robertson, Heather A.; Boulos, Carolyn; Chaban, Peter

doi:10.1177/070674379604100106

Cited by 41 publications

(43 citation statements)

References 25 publications

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“…There is some evidence that the level of scholastic achievement attained at school by people with BD is higher than that of the general population (Coryell et al, 1993;Quackenbush et al, 1996). For example, in one study conducted in New Zealand, McPherson and associates (1992) found that people with BD were statistically more likely to have passed school certification than people from the local community.…”

Section: Under-achieved Vocational Statusmentioning

confidence: 92%

How does work work for people with bipolar affective disorder?

Tse

Walsh

2001

Occupation Therapy Intl

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Despite modern treatments, bipolar disorder remains a chronic, relapsing disorder that leads to long-term psychosocial disability. A review of the literature suggests that while employment rates amongst individuals with bipolar disorder may improve over time, and are relatively better compared to some other chronic mental disorders, employment prospects do not match the high scholastic achievements seen amongst this group of people before the onset of their illness. For those with bipolar disorder, clinical recovery does not necessarily mean functional recovery, and the usual early age of onset may further reduce an individual's preparedness for employment. Two brief vignettes are used to discuss how occupational therapists can help their clients maintain their sense of hope in vocational recovery, gain better self-awareness and work with clients at various stages of recovery rather than waiting for full functional recovery. Further research is required to help identify specific factors that contribute to the success of employment integration amongst people with bipolar disorder.

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Section: Under-achieved Vocational Statusmentioning

confidence: 92%

How does work work for people with bipolar affective disorder?

Tse

Walsh

2001

Occupation Therapy Intl

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“…The few existing neuropsychological studies of at-risk children from our laboratory and others have identified significant discrepancies between Verbal and Performance IQ (VIQ > PIQ; Decina et al, 1983;Kestenbaum, 1979;McDonoughRyan et al, 2002), deficiencies in academic achievement (McDonough-Ryan et al, 2002;Quakenbush, Kutcher, Robertson, Boulos, & Chaban, 1996;Sigurdsson, Fombonne, Sayal, & Checkley, 1999), and attentional disturbance (Kron & Kestenbaum, 1988). Consistent with these findings in at-risk children, it has been reported that a small group (N ¼ 7) of unaffected monozygotic twins of adults with BPD were deficient in short-term memory and mental control (Gourovitch et al, 1999).…”

mentioning

confidence: 93%

Parental Reports of Executive Dysfunction in Adolescents with Bipolar Disorder

Shear

DelBello

Rosenberg

et al. 2002

Child Neuropsychology

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Bipolar disorder (BPD) is a serious mental illness that affects children and adolescents at a rate similar to that seen in adults. Extremely little is known, however, about cognitive functioning in childhood and adolescent BPD. The present study represents an initial effort to examine executive functioning in adolescents with BPD who are in a manic or mixed mood state, by collecting data from caregivers about the participants' performance on everyday tasks thought to be mediated by executive functioning abilities, using the Behavior Rating Inventory of Executive Function. In comparison to healthy volunteers, adolescents with BPD exhibited significant elevations across all of the measured functional domains. These elevations were evident even in adolescents with BPD who did not have comorbid ADHD, although they were most prominent in those with comorbidity. The findings suggest that adolescents with BPD have functional deficits on tasks requiring executive functioning skills that are not explicable solely on the basis of comorbid ADHD.

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“…4.1 . In line with this, the retrospective investigations and record reviews suggest that children who later develop BD exhibit good academic functioning prior to illness onset (Quackenbush et al 1996 ;Kutcher et al 1998 ;Uzelac et al 2006 ;Reichenberg et al 2002 ;Toulopoulou et al 2006 ).…”

Section: Long-term Development Of the Neurocognitive Deficitmentioning

confidence: 81%

“…The overall neuropsychological defi cit has been associated with earlier age at onset (Osuji and Cullum 2005 ). Immediately following illness onset, adolescents with BD exhibit signifi cant deterioration in cognitive and social domains (Quackenbush et al 1996 ). Similarly, in adults, it has been reported that the defi cit is present already during the fi rst mood episode (Nehra et al 2006 ).…”

Section: Long-term Development Of the Neurocognitive Deficitmentioning

confidence: 98%