Psychiatry - October 2008 - (Page 37) [ORIGINAL RESEARCH] Severely Mood-disordered Youth Respond Less Well to Treatment in a Community Clinic than Youth with Bipolar Disorder by LEO BASTIAENS, MD, and JESSE BASTIAENS Dr. L. Bastiaens is from the Family Services of Western Pennsylvania at the University of Pittsburgh; and Mr. J. Bastiaens is from Northwestern University in Chicago, Illinois. Psychiatry (Edgemont) 2008;5(10):37–41 ABSTRACT Objective: A tremendous increase in the diagnosis of bipolar disorder in pediatrics raises questions about current diagnostic practices. Even though researchers are providing initial follow-up data about rigorously diagnosed bipolar youth versus youth with severe nonbipolar mood symptomatology, not much is known about these different patient groups in the community. This study used standardized assessment tools to evaluate if meaningful differences emerge between different mood disorder types in children. Design: The Mini International Neuropsychiatric Interview and the Child/Adolescent Symptom Inventory were used to classify patients as having bipolar disorder or mood disorder not otherwise specified (NOS) according to criteria set forth by the National Institute of Mental Health. A retrospective chart review followed back the treatment for eight months. Setting: A community mental health clinic. Participants: 41 pediatric patients between six and 18 years old. Measurements: Global Assessment of Functioning scale and FINANCIAL DISCLOSURE: The authors have no financial conflicts of interest with the material presented in this study. ADDRESS CORRESPONDENCE TO: Leo Bastiaens, MD, Family Services of Western Pennsylvania, University of Pittsburgh, 33 Sunnyhill Drive, Pittsburgh, PA 15228; E-mail: Bastiaensl@aol.com KEY WORDS: pediatric, bipolar disorder, mood disorder NOS, diagnosis, treatment response [OCTOBER] Psychiatry 2008 37
Table of Contents Feed for the Digital Edition of Psychiatry - October 2008 Psychiatry - October 2008 Editor’s Message Editorial Advisory Board Contents Psych Rx Treatment of Migraine and the Role of Psychiatric Medications Play Therapy: A Case-based Example of a Nondirective Approach Delirium and Antipsychotics: A Systematic Review of Epidemiologyand Somatic Treatment Options Severely Mood-disordered Youth Respond Less Well to Treatment in a Community Clinic than Youth with Bipolar Disorder Beyond Informed Consent: The Ethics of Informing, Anticipating, and Warning Asthma: Wheezing, Woes, and Worries Classified Advertising Journal Watch Information for Authors Psychiatry - October 2008 Psychiatry - October 2008 - Psychiatry - October 2008 (Page Cover1) Psychiatry - October 2008 - Psychiatry - October 2008 (Page Cover2) Psychiatry - October 2008 - Psychiatry - October 2008 (Page 3) Psychiatry - October 2008 - Psychiatry - October 2008 (Page 4) Psychiatry - October 2008 - Psychiatry - October 2008 (Page 5) Psychiatry - October 2008 - Psychiatry - October 2008 (Page 6) Psychiatry - October 2008 - Psychiatry - October 2008 (Page 7) Psychiatry - October 2008 - Editor’s Message (Page 8) Psychiatry - October 2008 - Editor’s Message (Page 9) Psychiatry - October 2008 - Editorial Advisory Board (Page 10) Psychiatry - October 2008 - Editorial Advisory Board (Page 11) Psychiatry - October 2008 - Contents (Page 12) Psychiatry - October 2008 - Contents (Page 13) Psychiatry - October 2008 - Contents (Page 14) Psychiatry - October 2008 - Contents (Page 15) Psychiatry - October 2008 - Psych Rx (Page 16) Psychiatry - October 2008 - Psych Rx (Page 17) Psychiatry - October 2008 - Psych Rx (Page 18) Psychiatry - October 2008 - Psych Rx (Page 19) Psychiatry - October 2008 - Treatment of Migraine and the Role of Psychiatric Medications (Page 20) Psychiatry - October 2008 - Treatment of Migraine and the Role of Psychiatric Medications (Page 21) Psychiatry - October 2008 - Treatment of Migraine and the Role of Psychiatric Medications (Page 22) Psychiatry - October 2008 - Treatment of Migraine and the Role of Psychiatric Medications (Page 23) Psychiatry - October 2008 - Play Therapy: A Case-based Example of a Nondirective Approach (Page 24) Psychiatry - October 2008 - Play Therapy: A Case-based Example of a Nondirective Approach (Page 25) Psychiatry - October 2008 - Play Therapy: A Case-based Example of a Nondirective Approach (Page 26) Psychiatry - October 2008 - Play Therapy: A Case-based Example of a Nondirective Approach (Page 27) Psychiatry - October 2008 - Play Therapy: A Case-based Example of a Nondirective Approach (Page 28) Psychiatry - October 2008 - Delirium and Antipsychotics: A Systematic Review of Epidemiologyand Somatic Treatment Options (Page 29) Psychiatry - October 2008 - Delirium and Antipsychotics: A Systematic Review of Epidemiologyand Somatic Treatment Options (Page 30) Psychiatry - October 2008 - Delirium and Antipsychotics: A Systematic Review of Epidemiologyand Somatic Treatment Options (Page 31) Psychiatry - October 2008 - Delirium and Antipsychotics: A Systematic Review of Epidemiologyand Somatic Treatment Options (Page 32) Psychiatry - October 2008 - Delirium and Antipsychotics: A Systematic Review of Epidemiologyand Somatic Treatment Options (Page 33) Psychiatry - October 2008 - Delirium and Antipsychotics: A Systematic Review of Epidemiologyand Somatic Treatment Options (Page 34) Psychiatry - October 2008 - Delirium and Antipsychotics: A Systematic Review of Epidemiologyand Somatic Treatment Options (Page 35) Psychiatry - October 2008 - Delirium and Antipsychotics: A Systematic Review of Epidemiologyand Somatic Treatment Options (Page 36) Psychiatry - October 2008 - Severely Mood-disordered Youth Respond Less Well to Treatment in a Community Clinic than Youth with Bipolar Disorder (Page 37) Psychiatry - October 2008 - Severely Mood-disordered Youth Respond Less Well to Treatment in a Community Clinic than Youth with Bipolar Disorder (Page 38) Psychiatry - October 2008 - Severely Mood-disordered Youth Respond Less Well to Treatment in a Community Clinic than Youth with Bipolar Disorder (Page 39) Psychiatry - October 2008 - Severely Mood-disordered Youth Respond Less Well to Treatment in a Community Clinic than Youth with Bipolar Disorder (Page 40) Psychiatry - October 2008 - Severely Mood-disordered Youth Respond Less Well to Treatment in a Community Clinic than Youth with Bipolar Disorder (Page 41) Psychiatry - October 2008 - Beyond Informed Consent: The Ethics of Informing, Anticipating, and Warning (Page 42) Psychiatry - October 2008 - Beyond Informed Consent: The Ethics of Informing, Anticipating, and Warning (Page 43) Psychiatry - October 2008 - Beyond Informed Consent: The Ethics of Informing, Anticipating, and Warning (Page 44) Psychiatry - October 2008 - Beyond Informed Consent: The Ethics of Informing, Anticipating, and Warning (Page 45) Psychiatry - October 2008 - Beyond Informed Consent: The Ethics of Informing, Anticipating, and Warning (Page 46) Psychiatry - October 2008 - Beyond Informed Consent: The Ethics of Informing, Anticipating, and Warning (Page 47) Psychiatry - October 2008 - Asthma: Wheezing, Woes, and Worries (Page 48) Psychiatry - October 2008 - Asthma: Wheezing, Woes, and Worries (Page 49) Psychiatry - October 2008 - Classified Advertising (Page 50) Psychiatry - October 2008 - Classified Advertising (Page 51) Psychiatry - October 2008 - Classified Advertising (Page 52) Psychiatry - October 2008 - Journal Watch (Page 53) Psychiatry - October 2008 - Journal Watch (Page 54) Psychiatry - October 2008 - Journal Watch (Page 55) Psychiatry - October 2008 - Information for Authors (Page 56) Psychiatry - October 2008 - Information for Authors (Page 57) Psychiatry - October 2008 - Information for Authors (Page 58) Psychiatry - October 2008 - Information for Authors (Page Cover3) Psychiatry - October 2008 - Information for Authors (Page Cover4)
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