Evidence map›Paper›PMID 32077116›Full record

ArticleThe British journal of clinical psychology2020

Traumatic experiences, family functioning, and mood disorder development in bipolar offspring.

Manja A Koenders, Esther Mesman, Erik J Giltay, Bernet M Elzinga, Manon H J Hillegers

Open access · hybridAbstract read
In one paragraph

Article in The British journal of clinical psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Hope Through Tales: Through the Eyes of a Child of a Parent With Bipolar Disorder.Journal of psychiatric and mental health nursing · 2026
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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

5 authors at 3 institutions in 1 country.

Manja A KoendersOutpatient Treatment Department of Bipolar Disorders, PsyQ Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5908-258X
Esther MesmanDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia, Rotterdam, The Netherlands.
Erik J GiltayDepartment of Psychiatrie, Leiden University Medical Center, The Netherlands.
Bernet M ElzingaDepartment of Clinical Psychology, Leiden University, The Netherlands.
Manon H J HillegersDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia, Rotterdam, The Netherlands.
Erasmus MC - Sophia Children’s Hospital · NLLeiden University · NLLeiden University Medical Center · NL

Funding

7FP of the European Commission 22963Netherlands Organization for Scientific Research 9120818Stanley Medical Research Institute
6 · The paper itself

Abstract

objectivesStudies in children of patients affected with bipolar disorder (BD; bipolar offspring) are at high risk to develop mood disorders. Our aim is to investigate how environmental factors such as childhood trauma and family functioning relate to the development of mood disorders in offspring at familial risk for BD.

designThe current study is part of a longitudinal prospective cohort study among offspring of parents with BD.

methodsThe current study is part of the Dutch Bipolar Offspring Study, an ongoing prospective cohort study among adolescent offspring of a parent with BD. Bipolar offspring were psychiatrically evaluated at baseline and at 1-, 5-, and 12-year follow-up. Complete follow-up data over de 12-year follow-up were available for 102 offspring. Childhood trauma was measured with the Childhood Trauma Questionnaire (CTQ) and filled out by the offspring. Family functioning was reported by the mother with the 130-item Questionnaire for Family Problems (QFP).

resultsEmotional maltreatment was significantly associated (HR = 1.82, CI 1.18-2.82, p = .007) with mood disorder onset in bipolar offspring. No association was found with the family functioning total score (HR = 1.04, CI 0.94-15, p = .085) nor its subscales.

conclusionsThe current study suggests that emotional maltreatment is associated with mood disorder development in bipolar offspring. Remarkably, the association of offspring-reported emotional maltreatment and mood disorder onset was not reflected in parent-reported family functioning (e.g., support and communication, openness or involvement). Possible explanations are discussed and warrant further study. PRACTITIONER POINTS: Offspring of bipolar patients are at increased risk of developing mood disorders across the life-time. Emotional trauma contributes to the likelihood of developing mood disorders in bipolar offspring. In the daily treatment of bipolar patients having children, attention should be given to parental style and difficulties. Further research using multiple informant methods on childhood trauma an family functioning is needed to further disentangle the effects of these variables on the onset of psychopathology in bipolar offspring.

Indexed as

AdolescentAdultBipolar DisorderChildChild of Impaired ParentsCohort StudiesFamily RelationsFemaleHumansLongitudinal StudiesMaleMood DisordersParentsProspective StudiesPsychopathologyWounds and Injuriesbipolar disorderbipolar offspringemotional traumafamily functioning

Identifiers

PMID32077116
PMCPMC7497091
OpenAlexW3008410891

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.