ArticleJournal of the American Academy of Child and Adolescent Psychiatry2014
Manic symptoms in youth: dimensions, latent classes, and associations with parental psychopathology.
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 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- The science of child and adolescent mental health in Brazil: a nationwide systematic review and compendium of evidence-based resources.BMJ global health · 2026Pooled it
- 'Pediatric Bipolar Disorder' rates are still lower than claimed: a re-examination of eight epidemiological surveys used by an updated meta-analysis.International journal of bipolar disorders · 2021Article
- Suicidal Behavior in Adolescents: A Latent Class Analysis.International journal of environmental research and public health · 2020Article
- Network analysis of mood symptoms in adolescents with or at high risk for bipolar disorder.Bipolar disorders · 2020Article
- Suicidal ideation and behavior in institutions of higher learning: A latent class analysis.Journal of psychiatric research · 2017Article
- The International Society for Bipolar Disorders Task Force report on pediatric bipolar disorder: Knowledge to date and directions for future research.Bipolar disorders · 2017Review
- A developmental approach to dimensional expression of psychopathology in child and adolescent offspring of parents with bipolar disorder.European child & adolescent psychiatry · 2017Article
- Distinct relationships between social aptitude and dimensions of manic-like symptoms in youth.European child & adolescent psychiatry · 2016Article
Corrections and comments
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Authors and funding
14 authors at 6 institutions in 3 countries.
Funding
Abstract
objectiveThe purpose of the study was to define the latent structure of parent-reported manic symptoms and their association with functional impairment and familial risk in a community sample of Brazilian children.
methodWe screened for manic symptoms in a community sample of 2,512 children 6 to 12 years of age. Parents of children with "episodes of going abnormally high" completed a detailed mania section (n = 479; 19.1%). Confirmatory factor analysis (CFA) tested a solution with "Under-Control (UC)" and "Exuberant (EX)" dimensions, investigating the severity (threshold) and factor loading of each symptom. We also used latent class analysis (LCA) to evaluate the latent categorical structure of manic symptoms. Associations of these latent constructs with psychiatric comorbidity, psychosocial impairment, and family history of psychopathology were tested.
resultsThe 2-dimensional model fit the data well. Only the UC dimension was associated with psychiatric morbidity, psychosocial impairment, and a family history of mania, depression, or suicide attempts. Both UC and EX items discriminated subjects with "episodes of going abnormally high," but EX items lay at the mild end of the severity spectrum, whereas UC items lay at the severe end. The LCA yielded a small group of children with high levels of manic symptoms and a distinct profile of psychiatric comorbidity and impairment ("high-symptom group").
conclusionIn a large, community-based sample, we found a 2-dimensional latent structure for parent-reported manic symptoms in youth, and demonstrated familial associations between the UC dimension and affective disorders. Both UC and EX items are clinically useful, but their contributions vary with symptom severity.
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