Evidence map›Paper›PMID 19891803›Full record

Trial reportPsychological medicine2010

A controlled family study of children with DSM-IV bipolar-I disorder and psychiatric co-morbidity.

J Wozniak, S V Faraone, E Mick, M Monuteaux, A Coville, J Biederman

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychological medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Bipolar disorder in children and adolescents.Child and adolescent mental health · 2013
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Tools to improve differential diagnosis of bipolar disorder in primary care.Primary care companion to the Journal of clinical psychiatry · 2010
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

J WozniakClinical and Research Program in Pediatric Psychopharmacology and Adult ADHD at Massachusetts General Hospital, Boston, MA 02114, USA. jwozniak@partners.org
S V Faraone
E Mick
M Monuteaux
A Coville
J Biederman
Harvard University · USMassachusetts General Hospital · USSUNY Upstate Medical University · US

Funding

OUTCOME OF ATTENTION DEFICIT HYPERACTIVITY DISORDERR01HD036317 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI BIEDERMAN, JOSEPH · 1998 to 2007
$4.0M
Longitudinal Family Study of Pediatric Bipolar DisorderR01MH066237 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI WOZNIAK, JANET · 2003 to 2007
$2.9M
LONGITUDINAL FOLLOW UP OF ADHD GIRLS AND THEIR SIBLINGSR01MH050657 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BIEDERMAN, JOSEPH · 1993 to 2002
$1.5M
Validating Pediatric Bipolar Disorder with Extant DataK01MH065523 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI MICK, ERIC · 2003 to 2007
$852k
DEVELOPMENTAL SUBTYPES OF JUVENILE BIPOLAR DISORDERK08MH001503 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI WOZNIAK, JANET · 1997 to 2001
$312k
NICHD NIH HHS R01 HD036317NICHD NIH HHS R01HD036317NIMH NIH HHS K01 MH065523NIMH NIH HHS K01MH065523NIMH NIH HHS K08 MH001503NIMH NIH HHS K08MH001503NIMH NIH HHS R01 MH050657NIMH NIH HHS R01MH050657NIMH NIH HHS R01 MH066237NIMH NIH HHS R01MH066237
6 · The paper itself

Abstract

backgroundTo estimate the spectrum of familial risk for psychopathology in first-degree relatives of children with unabridged DSM-IV bipolar-I disorder (BP-I).

methodWe conducted a blinded, controlled family study using structured diagnostic interviews of 157 children with BP-I probands (n=487 first-degree relatives), 162 attention deficit hyperactivity disorder (ADHD) (without BP-I) probands (n=511 first-degree relatives), and 136 healthy control (without ADHD or BP-I) probands (n=411 first-degree relatives).

resultsThe morbid risk (MR) of BP-I disorder in relatives of BP-I probands (MR=0.18) was increased 4-fold [95% confidence interval (CI) 2.3-6.9, p<0.001] over the risk to relatives of control probands (MR=0.05) and 3.5-fold (95% CI 2.1-5.8, p<0.001) over the risk to relatives of ADHD probands (MR=0.06). In addition, relatives of children with BP-I disorder had high rates of psychosis, major depression, multiple anxiety disorders, substance use disorders, ADHD and antisocial disorders compared with relatives of control probands. Only the effect for antisocial disorders lost significance after accounted for by the corresponding diagnosis in the proband. Familial rates of ADHD did not differ between ADHD and BP-I probands.

conclusionsOur results document an increased familial risk for BP-I disorder in relatives of pediatric probands with DSM-IV BP-I. Relatives of probands with BP-I were also at increased risk for other psychiatric disorders frequently associated with pediatric BP-I. These results support the validity of the diagnosis of BP-I in children as defined by DSM-IV. More work is needed to better understand the nature of the association between these disorders in probands and relatives.

Indexed as

Antisocial Personality DisorderAnxiety DisordersAttention Deficit Disorder with HyperactivityBipolar DisorderDiagnostic and Statistical Manual of Mental DisordersMajor Depressive DisorderPsychotic DisordersChildComorbidityDouble-Blind MethodFamilyFemaleHumansMaleRisk FactorsSeverity of Illness Index

Identifiers

PMID19891803
PMCPMC3077106
OpenAlexW2123985891

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.