Evidence map›Paper›PMID 20402711›Full record

ArticleBipolar disorders2010

Clinical characteristics of comorbid obsessive-compulsive disorder and bipolar disorder in children and adolescents.

Gagan Joshi, Janet Wozniak, Carter Petty, Fe Vivas, Dayna Yorks, Joseph Biederman, Daniel Geller

Open access · bronzeAbstract read
In one paragraph

Article in Bipolar disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Clinical impact of obsessive-compulsive disorder comorbidity in bipolar disorder: a systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Course and outcome of obsessive-compulsive disorder.Indian journal of psychiatry · 2019
    Review
  9. Article
  10. Article
  11. Hoarding in Children and Adolescents with Obsessive-Compulsive Disorder.Journal of obsessive-compulsive and related disorders · 2014
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. 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

7 authors at 2 institutions in 1 country.

Gagan JoshiPediatric Psychopharmacology Research Program, Massachusetts General Hospital, Boston, MA 02114, USA. joshi.gagan@mgh.harvard.edu
Janet Wozniak
Carter Petty
Fe Vivas
Dayna Yorks
Joseph Biederman
Daniel Geller
Massachusetts General Hospital · USHarvard University · US

Funding

JUVENILE ONSET OCD AS A MEANINGFUL DEVELOPMENT SUBTYPEK08MH001481 · NIMH · MC LEAN HOSPITAL (BELMONT, MA) · PI GELLER, DANIEL A · 1999 to 2003
$676k
DEVELOPMENTAL SUBTYPES OF JUVENILE BIPOLAR DISORDERK08MH001503 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI WOZNIAK, JANET · 1997 to 2001
$312k
NIMH NIH HHS K08 MH001481NIMH NIH HHS K08 MH001503NIMH NIH HHS K08 MH01481NIMH NIH HHS K08 MH01503-05
6 · The paper itself

Abstract

objectiveTo explore bidirectional comorbidity between bipolar disorder (BPD) and obsessive-compulsive disorder (OCD) in youth and to examine the symptom profile and clinical correlates of both disorders in the context of reciprocal comorbidity and ascertainment status.

methodsTwo samples of consecutively referred youth (ages 6-17 years) ascertained contemporaneously for respective studies of BPD and OCD were compared using clinical and scalar assessment and structured diagnostic interviews.

resultsA total of 21% (17/82) of the BPD subjects and 15% (19/125) of the OCD subjects met DSM-III-R diagnostic criteria for both disorders. In the presence of BPD, youth with OCD more frequently experienced hoarding/saving obsessions and compulsions along with a clinical profile of greater comorbidity, poorer global functioning, and higher rate of hospitalization that is characteristic of BPD. Multiple anxiety disorders (> or = 3), especially generalized anxiety disorder and social phobia, were present at a higher frequency when OCD and BPD were comorbid than otherwise. In subjects with comorbid OCD and BPD, the primary disorder of ascertainment was associated with an earlier onset and more severe impairment.

conclusionsAn unexpectedly high rate of comorbidity between BPD and OCD was observed in youth irrespective of primary ascertainment diagnosis. In youth with comorbid OCD and BPD, the clinical characteristics of each disorder run true and are analogues to their clinical presentation in youth without reciprocal comorbidity, with the exception of increased risk for obsessions and compulsions of hoarding/saving and comorbidity with other anxiety disorders.

Indexed as

AdolescentAge of OnsetAnxiety DisordersBipolar DisorderBostonChildComorbidityCompulsive BehaviorDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMaleObsessive BehaviorObsessive-Compulsive DisorderPhobic DisordersPsychiatric Status Rating Scales

Identifiers

PMID20402711
PMCPMC2864069
OpenAlexW2132552726

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.