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Prediction of transition from common adolescent bipolar experiences to bipolar disorder : 10-year study

Tijssen, M. J. A. and van Os, J. and Wittchen, H. -U. and Lieb, R. and Beesdo, K. and Mengelers, R. and Wichers, M. C.. (2010) Prediction of transition from common adolescent bipolar experiences to bipolar disorder : 10-year study. British journal of psychiatry, Vol. 196, H. 2. pp. 102-108.

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Official URL: http://edoc.unibas.ch/dok/A5840746

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Abstract

Background Although (hypo)manic symptoms are common in adolescence, transition to adult bipolar disorder is infrequent. Aims To examine whether the risk of transition to bipolar disorder is conditional on the extent of persistence of subthreshold affective phenotypes. Method In a 10-year prospective community cohort study of 3021 adolescents and young adults, the association between persistence of affective symptoms over 3 years and the 10-year clinical outcomes of incident DSM-IV (hypo)manic episodes and incident use of mental healthcare was assessed. Results Transition to clinical outcome was associated with persistence of symptoms in a dose-dependent manner. Around 30-40% of clinical outcomes could be traced to prior persistence of affective symptoms. Conclusions In a substantial proportion of individuals, onset of clinical bipolar disorder may be seen as the poor outcome of a developmentally common and usually transitory non-clinical bipolar phenotype.
Faculties and Departments:07 Faculty of Psychology > Departement Psychologie > Forschungsbereich Klinische Psychologie und Neurowissenschaften > Klinische Psychologie und Epidemiologie (Lieb)
UniBasel Contributors:Lieb, Roselind
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:[s.n.]
ISSN:0007-1250
Note:Publication type according to Uni Basel Research Database: Journal article
Last Modified:14 Sep 2012 07:21
Deposited On:14 Sep 2012 07:12

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