Evidence map›Paper›PMID 31523819›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2020

Development of bipolar disorder and other comorbidity among youth with attention-deficit/hyperactivity disorder.

L Eugene Arnold, Anna R Van Meter, Mary A Fristad, Eric A Youngstrom, Boris B Birmaher, Robert L Findling, Sarah Horwitz, Sarah R Black

Open access · greenAbstract read
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Differentiating Between Major Depressive Disorder and Bipolar Disorder.Advances in experimental medicine and biology · 2026
    Review
  3. ADHD symptom trajectories across childhood and early adolescence and risk for hypomanic symptoms in young adulthood.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Observational
  4. Practice Pearls for Stimulant Treatment of Attention-Deficit/Hyperactivity Disorder in Youth.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2024
    Article
  5. EnhancingGenes · 2022
    Article
  6. Article
  7. Article
  8. 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

8 authors at 6 institutions in 1 country.

L Eugene ArnoldDepartment of Psychiatry and Behavioral Health, Ohio State University, Columbus, OH, USA.
Anna R Van MeterDepartment of Psychiatry Research, Feinstein Institute for Medical Research, The Zucker Hillside Hospital, Glen Oaks, NY, USA.ORCID 0000-0003-0012-206X
Mary A FristadDepartment of Psychiatry and Behavioral Health, Ohio State University, Columbus, OH, USA.
Eric A YoungstromDepartments of Psychology and Neuroscience, and Psychiatry, University of North Carolina, Chapel Hill, NC, USA.
Boris B BirmaherDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Robert L FindlingDepartment of Psychiatry, Johns Hopkins University, Baltimore, MD, USA.
Sarah HorwitzDepartment of Child and Adolescent Psychiatry, New York University School of Medicine, New York, NY, USA.
Sarah R BlackDepartment of Psychology, University of New Orleans, New Orleans, LA, USA.
Feinstein Institute for Medical Research · USJohns Hopkins University · USNew York University · USUniversity of New Orleans · USUniversity of North Carolina at Chapel Hill · USUniversity of Pittsburgh · US

Funding

National Survey of State Policy Decision-making and SimulationP50MH113662 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HOAGWOOD, KIMBERLY E., MCKAY, MARY MCKERNAN · 2019 to 2022
$6.9M
Longitudinal Assessment of Manic Symptoms (LAMS) StudyR01MH073801 · NIMH · OHIO STATE UNIVERSITY · PI FRISTAD, MARY A · 2005 to 2016
$5.9M
NIMH NIH HHS P50 MH113662NIMH NIH HHS R01 MH073801
6 · The paper itself

Abstract

objectiveTo examine development of bipolar spectrum disorders (BPSD) and other disorders in prospectively followed children with attention-deficit/hyperactivity disorder (ADHD).

methodIn the Longitudinal Assessment of Manic Symptoms (LAMS) study, 531 of 685 children age 6-12 (most selected for scores > 12 on General Behavior Inventory 10-item Mania scale) had ADHD, 112 with BPSD, and 419 without. With annual assessments for 8 years, retention averaged 6.2 years. Chi-square analyses compared rate of new BPSD and other comorbidity between those with versus without baseline ADHD and between retained versus resolved ADHD diagnosis. Cox regression tested factors influencing speed of BPSD onset.

resultsOf 419 with baseline ADHD but not BPSD, 52 (12.4%) developed BPSD, compared with 16 of 110 (14.5%) without either baseline diagnosis. Those who developed BPSD had more nonmood comorbidity over the follow-up than those who did not develop BPSD (p = .0001). Of 170 who still had ADHD at eight-year follow-up (and not baseline BPSD), 26 (15.3%) had developed BPSD, compared with 16 of 186 (8.6%) who had ADHD without BPSD at baseline but lost the ADHD diagnosis (χ

conclusionsIn a cohort selected for symptoms of mania at age 6-12, baseline ADHD was not a significant prospective risk factor for developing BPSD. However, persistence of ADHD may marginally mediate risk of BPSD, and early comorbidity of both diagnoses increases severity/impairment.

Indexed as

Problem BehaviorAnxiety DisordersAttention Deficit Disorder with HyperactivityBipolar DisorderChildChild Behavior DisordersComorbidityDepressive DisorderFemaleHumansLongitudinal StudiesMaleAttention-deficit/hyperactivity disorderbipolar disordercomorbidity

Identifiers

PMID31523819
PMCPMC6980179
OpenAlexW2974836997

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.