Bradley Hasbro Children's Research Center

Prevalence and Clinical Characteristics of Manic Symptoms and Bipolar Disorder in Hospitalized Adolescents

Principal Investigators
Jeffrey Hunt, MD
Jennifer Dyl, PhD

Funding Source
This is a pilot study.

Description
Aims of this study are to assess the prevalence of manic symptoms and bipolar disorder among adolescent psychiatric inpatients, to compare adolescents' reports of manic symptoms with those of their parents, and to examine related clinical characteristics of patients reporting high levels of manic symptoms. Participants are adolescents, ages 12 to 17, who were consecutively admitted to the Bradley Hospital adolescent inpatient unit over a period of one year. Preliminary results suggest prevalence rates of 16% for bipolar disorder. A subset of patients also attained high scores on the Mania Rating Scale in the absence of a bipolar disorder diagnosis. It was found that anxiety disorders, anger, depression and post-traumatic stress disorder is higher among this subset than in patients scoring in the normative range on manic symptoms.

Significance
This study will help to determine the clinical utility of various rating procedures in the detection of mania, which will aid in the correct diagnosis and treatment adolescents with bipolar disorder. This study will also aid in our understanding of the various ways early onset bipolar mood disorder may present itself.

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