Evidence map›Paper›PMID 23521542›Full record

ArticleBipolar disorders2013

Phenomenology of bipolar disorder not otherwise specified in youth: a comparison of clinical characteristics across the spectrum of manic symptoms.

Danella Hafeman, David Axelson, Christine Demeter, Robert L Findling, Mary A Fristad, Robert A Kowatch, Eric A Youngstrom, Sarah McCue Horwitz, L Eugene Arnold, Thomas W Frazier and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Bipolar disorders, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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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

16 authors at 8 institutions in 1 country.

Danella HafemanDepartment of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA 15213, USA. hafemand@upmc.edu
David Axelson
Christine Demeter
Robert L Findling
Mary A Fristad
Robert A Kowatch
Eric A Youngstrom
Sarah McCue Horwitz
L Eugene Arnold
Thomas W Frazier
Neal Ryan
Mary Kay Gill
Jessica C Hauser-Harrington
Judith Depew
Brieana M Rowles
Boris Birmaher
University of Pittsburgh Medical Center · USThe Ohio State University · USCase Western Reserve University · USCincinnati Children's Hospital Medical Center · USCenter for Autism and Related Disorders · USJohns Hopkins University · USNew York University · USUniversity of North Carolina at Chapel Hill · US

Funding

Longitudinal Assessment of Manic SymptomsR01MH073967 · NIMH · JOHNS HOPKINS UNIVERSITY · PI FINDLING, ROBERT L · 2005 to 2016
$11.4M
Longitudinal Assessment of Manic Symptoms (LAMS)R01MH073953 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BIRMAHER, BORIS, PHILLIPS, MARY LOUISE · 2005 to 2016
$8.7M
Longitudinal Assessment of Manic Symptoms (LAMS)R01MH073816 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI HOLLAND, SCOTT K. · 2005 to 2016
$5.9M
Longitudinal Assessment of Manic Symptoms (LAMS) StudyR01MH073801 · NIMH · OHIO STATE UNIVERSITY · PI FRISTAD, MARY A · 2005 to 2016
$5.9M
NIMH NIH HHS R01 MH073801NIMH NIH HHS R01-MH073801NIMH NIH HHS R01 MH073816NIMH NIH HHS R01-MH073816NIMH NIH HHS R01 MH073953NIMH NIH HHS R01-MH073953NIMH NIH HHS R01 MH073967NIMH NIH HHS R01-MH073967
6 · The paper itself

Abstract

objectivesControversy surrounds the diagnostic categorization of children with episodic moods that cause impairment, but do not meet DSM-IV criteria for bipolar I (BD-I) or bipolar II (BD-II) disorder. This study aimed to characterize the degree to which these children, who meet criteria for bipolar disorder not otherwise specified (BD-NOS), are similar to those with full syndromal BD, versus those with no bipolar spectrum diagnosis (no BSD).

methodsChildren aged 6-12 years were recruited from nine outpatient clinics, preferentially selected for higher scores on a 10-item screen for manic symptoms. Interviews with the children and their primary caregivers assessed a wide array of clinical variables, as well as family history.

resultsA total of 707 children [mean ± standard deviation (SD) 9.4 ± 1.9 years old] were evaluated at baseline, and were diagnosed with BD-I (n = 71), BD-II (n = 3), BD-NOS (including cyclothymia; n = 88), or no BSD (n = 545). Compared to BD-I, the BD-NOS group had less severe past functional impairment. However, current symptom severity and functional impairment did not differ between BD-NOS and BD-I, even though both groups were significantly more symptomatic and impaired than the no BSD group. Parental psychiatric history was similar for the BD-NOS and BD-I groups, and both were more likely than the no BSD group to have a parent with a history of mania. Rates of elated mood did not differ between BD-NOS and BD-I youth.

conclusionsChildren with BD-NOS and BD-I are quite similar, but different from the no BSD group, on many phenomenological measures. These findings support the hypothesis that BD-NOS is on the same spectrum as BD-I.

Indexed as

Diagnosis, DifferentialAnxietyAttention Deficit Disorder with HyperactivityBipolar DisorderChildConduct DisorderDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMaleOutpatientsPsychiatric Status Rating ScalesReproducibility of ResultsSensitivity and SpecificityStatistics, Nonparametric

Identifiers

PMID23521542
PMCPMC3644315
OpenAlexW2145826310

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.