Recognizing mania in children and adolescents—age does not matter, but decreased need for sleep does

Meyer TD, Fuhr K, Hautzinger M, Schlarb A (2011)
Comprehensive Psychiatry 52(2): 132-138.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Meyer, T. D.; Fuhr, K.; Hautzinger, M.; Schlarb, AngelikaUniBi
Abstract / Bemerkung
Background The diagnosis of pediatric bipolar disorders is a controversial topic. If this is mainly due to a bias against a diagnosis in younger children, then just changing the information about the age of a patient should influence the likelihood of a diagnosis despite otherwise identical symptoms. Therefore, we designed a study to test if the age of a patient will influence diagnostic decisions. We further attempted to replicate an earlier result with regard to “decreased need for sleep” as a salient symptom for mania. Methods We randomly sent 1 of 4 case vignettes describing a person with current mania to child/adolescents psychiatrists in Germany. This vignette was systematically varied with respect to age of the patient (6 vs 16 years) and the presence/absence of decreased need for sleep but always included sufficient criteria to diagnose a mania. Results One hundred sixteen responded and, overall, 63.8% of the respondents diagnosed a bipolar disorder in the person described in the vignette. Although age did not affect the likelihood of a bipolar diagnosis, the presence of decreased need for sleep did increase its likelihood. Furthermore, the number of core symptoms identified by the clinicians was closely linked to the likelihood of assigning a bipolar diagnosis. Conclusion Certain symptoms such as the decreased need for sleep, and also elated mood and grandiosity, seem to be salient for some clinicians and influence their diagnoses. Biological age of the patient, however, does not seem to cause a systematic bias against a diagnosis of bipolar disorder in children.
Erscheinungsjahr
2011
Zeitschriftentitel
Comprehensive Psychiatry
Band
52
Ausgabe
2
Seite(n)
132-138
ISSN
0010-440X
Page URI
https://pub.uni-bielefeld.de/record/2716683

Zitieren

Meyer TD, Fuhr K, Hautzinger M, Schlarb A. Recognizing mania in children and adolescents—age does not matter, but decreased need for sleep does. Comprehensive Psychiatry. 2011;52(2):132-138.
Meyer, T. D., Fuhr, K., Hautzinger, M., & Schlarb, A. (2011). Recognizing mania in children and adolescents—age does not matter, but decreased need for sleep does. Comprehensive Psychiatry, 52(2), 132-138. doi:10.1016/j.comppsych.2010.06.004
Meyer, T. D., Fuhr, K., Hautzinger, M., and Schlarb, A. (2011). Recognizing mania in children and adolescents—age does not matter, but decreased need for sleep does. Comprehensive Psychiatry 52, 132-138.
Meyer, T.D., et al., 2011. Recognizing mania in children and adolescents—age does not matter, but decreased need for sleep does. Comprehensive Psychiatry, 52(2), p 132-138.
T.D. Meyer, et al., “Recognizing mania in children and adolescents—age does not matter, but decreased need for sleep does”, Comprehensive Psychiatry, vol. 52, 2011, pp. 132-138.
Meyer, T.D., Fuhr, K., Hautzinger, M., Schlarb, A.: Recognizing mania in children and adolescents—age does not matter, but decreased need for sleep does. Comprehensive Psychiatry. 52, 132-138 (2011).
Meyer, T. D., Fuhr, K., Hautzinger, M., and Schlarb, Angelika. “Recognizing mania in children and adolescents—age does not matter, but decreased need for sleep does”. Comprehensive Psychiatry 52.2 (2011): 132-138.

3 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Overdiagnosis of mental disorders in children and adolescents (in developed countries).
Merten EC, Cwik JC, Margraf J, Schneider S., Child Adolesc Psychiatry Ment Health 11(), 2017
PMID: 28105068
In pre-school children, cortisol secretion remains stable over 12 months and is related to psychological functioning and gender.
Hatzinger M, Brand S, Perren S, Von Wyl A, Stadelmann S, von Klitzing K, Holsboer-Trachsler E., J Psychiatr Res 47(10), 2013
PMID: 23810195

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