Somatic treatment of bipolar disorder in children and adolescents

Weller, Elizabeth B.; Danielyan, Arman; Weller, Ronald A.

doi:10.1016/s0193-953x(03)00116-3

Cited by 8 publications

(6 citation statements)

References 136 publications

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“…The early course of bipolar disorder in adolescents is often chronic and refractory to treatment, while the long‐term prognosis appears similar to that of adults (422–424, 449). Although available data are limited, and have methodological issues, the results of both RCTs and open clinical trials suggest that adolescent‐onset bipolar disorder will likely respond to the same agents as adult‐onset bipolar disorder (450). Like adult bipolar disorder, childhood‐onset bipolar disorder has a chronic course with a high rate of recurrence and evidence suggests that prophylactic therapy is needed (451, 452).…”

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confidence: 99%

Canadian Network for Mood and Anxiety Treatments (CANMAT) guidelines for the management of patients with bipolar disorder: consensus and controversies

et al. 2005

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Rev Bras Psiquiatr. 2006;28(1):80-5 83 Cartas aos editores consagram o lítio como primeira escolha terapêutica em pra-ticamente todas as fases e apresentações do TB. 5 Conclui-se que os psiquiatras (principalmente aqueles em formação) de-vem ser estimulados a conhecer de forma precisa as indica-ções do lítio e aprenderem a utilizar esta medicação, que tem auxiliado tantos pacientes. O legado do brilhante professor e pesquisador Mogens Schou, falecido recentemente, permanece mais atual do que nunca. Alegre (RS), Brasil Referências 1. Fieve RR. Lithium therapy at the millennium: a revolutionary drug used for 50 years faces competing options and possible demise. Bipolar Disord. 1999;1(2):67-70. 2. Schou M, Juel-Nielsen N, Stromgren E, Voldby H. The treatment of manic psychoses by the administration of lithium salts. J Neurol Neurosurg Psychiatry. 1954;17(4):250-60. 3. Schlagenhauf G, Tupin J, White RB. The use of lithium carbonate in the treatment of manic psychoses. Am J Psychiatry. 1966;123(2):199-207. 4. Sr. Editor, Nos últimos anos, a psiquiatria brasileira avançou muito no sentido de declarar todo e qualquer potencial conflito de interesse. No último congresso da Associação Brasileira de Psiquiatria (ABP), em Belo Horizonte (MG), todos os partici-pantes foram solicitados a declarar qualquer envolvimento comercial que pudesse, mesmo que remotamente, influen-ciar as suas apresentações. A própria Revista Brasileira de Psiquiatria (RBP) tem orientações muito claras para os auto-res quando da submissão dos artigos. Por isso, foi com grande surpresa que li, na última edição da RBP, o artigo do grupo do GREA-USP, 1 no qual não consta o reconhecimento de conflitos de interesse. É fato público que pelo menos dois dos autores desse artigo trabalham ou trabalharam na época da submissão do artigo numa ONG com financiamento da indústria do álcool (CISA). Na área da dependência química, várias das principais re-vistas internacionais têm códigos muito bem definidos sobre fontes de potencial conflitos de interesse, especialmente quan-do se trata de profissionais que aceitam financiamento da in-dústria do cigarro e do álcool. A declaração de haver, por parte dos profissionais, o envolvimento com a indústria do álcool ou do cigarro, lógico que não coloca necessariamente sob suspeita todo o eventual trabalho sério do ponto de vista científico. No entanto, acho que é um direito dos leitores da RBP saberem as eventuais fontes de conflitos de interesse para desenvolverem a sua própria opinião sobre a influência dessas indústrias na qualidade dos artigos publicados. Espero que os editores da RBP possam corrigir essa falta de informação.

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confidence: 99%

Canadian Network for Mood and Anxiety Treatments (CANMAT) guidelines for the management of patients with bipolar disorder: consensus and controversies

et al. 2005

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“…Broadly‐defined bipolar symptoms in early‐onset patients, especially those co‐occurring with attention or conduct problems and mixed states, are highly resistant to monotherapy with a mood‐stabilizer (14). Lithium is an effective treatment of adolescent bipolar disorder with comorbid substance dependence but combined pharmacotherapies of mood‐stabilizing medications (carbamazepine or divalproate and lithium) (15) and stimulants or a novel antipsychotic medication (risperidone and olanzapine) lead to significant improvement in a broader range of symptoms (14, 16), without inducing mania or exacerbating mood symptoms (7).…”

Section: Treatmentmentioning

confidence: 99%

Community‐based care for youths with early and very‐early onset bipolar I disorder

Jerrell

Shugart

2004

Bipolar Disorders

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“…Lithium has been effective in many studies with adults and a variety of case studies, and one placebo-controlled study with adolescents has shown that it can be effective with children (Emslie & Mayes, 2001). However, a smaller percentage of prepubertal children respond well to lithium than do adolescents or adults, with most reports showing that about 50% to 60% of children respond well to lithium (Weller, Danielyan, & Weller, 2002). The lack of response by a sizeable percentage of children is similar to the lack of response by the small percentage of adults who have the rapid cycling of symptoms that are common in children with bipolar disorder (Emslie & Mayes, 2001).…”

Section: Pharmacotherapymentioning

confidence: 99%

“…Most children and adolescents who take lithium experience side effects (AACAP, 1997a). Common side effects include nausea, diarrhea, enuresis, tremors, fatigue, and sedation (Weller et al, 2002). Lithium has a significant effect on heart functioning in a small percentage of children.…”

Section: Pharmacotherapymentioning

confidence: 99%

Recognizing and Treating Uncommon Behavioral and Emotional Disorders in Children and Adolescents Who have been Severely Maltreated: Bipolar Disorders

Haugaard

2004

Child Maltreat

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Although it was assumed for many years that children do not experience bipolar disorder, it has been recently recognized that some children do. Those who have been severely maltreated may be at an increased risk for developing a bipolar disorder. This article explores the symptoms of the bipolar disorder as well as strategies for distinguishing these symptoms from those of children experiencing more common disorders. Treatment strategies, including the use of medication, for children experiencing bipolar disorder and their families are examined.

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Somatic treatment of bipolar disorder in children and adolescents

Cited by 8 publications

References 136 publications

Canadian Network for Mood and Anxiety Treatments (CANMAT) guidelines for the management of patients with bipolar disorder: consensus and controversies

Canadian Network for Mood and Anxiety Treatments (CANMAT) guidelines for the management of patients with bipolar disorder: consensus and controversies

Community‐based care for youths with early and very‐early onset bipolar I disorder

Recognizing and Treating Uncommon Behavioral and Emotional Disorders in Children and Adolescents Who have been Severely Maltreated: Bipolar Disorders

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