Evidence map›Paper›PMID 24342387›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2014

Effects of comorbid anxiety disorders on the longitudinal course of pediatric bipolar disorders.

Regina Sala, Michael A Strober, David A Axelson, Mary Kay Gill, Josefina Castro-Fornieles, Tina R Goldstein, Benjamin I Goldstein, Wonho Ha, Fangzi Liao, Satish Iyengar and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Genetics of Bipolar Disorder: Recent Update and Future Directions.The Psychiatric clinics of North America · 2016
    Review
  13. Intrinsic Amygdala Functional Connectivity in Youth With Bipolar I Disorder.Journal of the American Academy of Child and Adolescent Psychiatry · 2015
    Article
  14. 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

17 authors at 6 institutions in 4 countries.

Regina SalaWestern Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine; Institute of Psychiatry, King's College London. Electronic address: regina.sala_cassola@kcl.ac.uk.
Michael A StroberDavid Geffen School of Medicine, University of California at Los Angeles.
David A AxelsonWestern Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine.
Mary Kay GillWestern Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine.
Josefina Castro-FornielesIDIBAPS, CIBERSAM, Neurosciences Institute, Hospital Clinic de Barcelona, Universitat de Barcelona.
Tina R GoldsteinWestern Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine.
Benjamin I GoldsteinSunnybrook Health Sciences Centre, University of Toronto.
Wonho HaWestern Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine.
Fangzi LiaoWestern Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine.
Satish IyengarUniversity of Pittsburgh.
Shirley YenButler Hospital, Brown University School of Medicine.
Heather HowerButler Hospital, Brown University School of Medicine.
Jeffrey HuntButler Hospital, Brown University School of Medicine.
Daniel P DicksteinButler Hospital, Brown University School of Medicine.
Neal D RyanWestern Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine.
Martin B KellerButler Hospital, Brown University School of Medicine.
Boris BirmaherWestern Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine.
University of Pittsburgh · USButler Hospital · USBrown University · USCentro de Investigación Biomédica en Red de Salud Mental · ESSunnybrook Health Science Centre · CAUniversity of California, Los Angeles · US

Funding

Course and Outcome of Bipolar Disorder in Youth - SupplementR01MH059929 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BIRMAHER, BORIS, PHILLIPS, MARY LOUISE · 2000 to 2021
$15.9M
Course and Outcome for Bipolar Disorder in Youth (COBY)R01MH059691 · NIMH · BROWN UNIVERSITY · PI KELLER, MARTIN B, YEN, SHIRLEY · 2000 to 2015
$7.9M
Course and Outcome for Bipolar Disorder in YouthR01MH059977 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI STROBER, MICHAEL A · 2000 to 2010
$3.7M
2/2-Predicting Adult Outcomes in Bipolar Youth (PROBY)R01MH112543 · NIMH · BROWN UNIVERSITY · PI YEN, SHIRLEY · 2018 to 2022
$1.2M
NIMH NIH HHS MH59691NIMH NIH HHS MH59929NIMH NIH HHS MH59977NIMH NIH HHS R01 MH059691NIMH NIH HHS R01 MH059929NIMH NIH HHS R01 MH059977NIMH NIH HHS R01 MH112543
6 · The paper itself

Abstract

objectiveTo examine the longitudinal effects of comorbid anxiety disorders in youth with bipolar spectrum disorder (BP).

methodAs part of the Course and Outcome of Bipolar Youth study, 413 youth, who were 7 through 17 years or age and who met criteria for DSM-IV BP-I (n = 244), BP-II (n = 28), and operationally defined bipolar disorder not otherwise specified (BP-NOS) (n = 141) were included. Subjects were followed on average 5 years using the Longitudinal Interval Follow-up Evaluation. Effects of anxiety on the time to mood recovery and recurrence and percentage of time with syndromal and subsyndromal mood symptomatology during the follow-up period were analyzed.

resultsAt intake and during the follow-up, 62% of youth with BP met criteria for at least 1 anxiety disorder. About 50% of the BP youth with anxiety had ≥2 anxiety disorders. Compared to BP youth without anxiety, those with anxiety had significantly more depressive recurrences and significantly longer median time to recovery. The effects of anxiety on recovery disappeared when the severity of depression at intake was taken into account. After adjusting for confounding factors, BP youth with anxiety, particularly those with ≥2 anxiety disorders, spent significantly less follow-up time asymptomatic and more time with syndromal mixed/cycling and subsyndromal depressive symptomatology compared to those without anxiety.

conclusionsAnxiety disorders are common and adversely affect the course of BP in youth, as characterized by more mood recurrences, longer time to recovery, less time euthymic, and more time in mixed/cycling and depressive episodes. Prompt recognition and the development of treatments for BP youth with anxiety are warranted.

Indexed as

ComorbidityAdolescentAnxiety DisordersBipolar DisorderChildFemaleHumansLongitudinal StudiesMaleanxiety disordersbipolar disorderslongitudinal study

Identifiers

PMID24342387
PMCPMC3868011
OpenAlexW1982555332

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.