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Social impairment in relation to clinical symptoms in youth at high risk for bipolar disorder.
Weintraub, Marc J; Keenan-Miller, Danielle; Schneck, Christopher D; Forgey Borlik, Marcy; Suddath, Robert L; Marvin, Sarah E; Singh, Manpreet K; Chang, Kiki D; Miklowitz, David J.
Afiliación
  • Weintraub MJ; Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, California, USA.
  • Keenan-Miller D; Department of Psychology, University of California, Los Angeles, California, USA.
  • Schneck CD; Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
  • Forgey Borlik M; Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, California, USA.
  • Suddath RL; Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, California, USA.
  • Marvin SE; Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, California, USA.
  • Singh MK; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA.
  • Chang KD; Private Practice, Palo Alto, California, USA.
  • Miklowitz DJ; Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, California, USA.
Early Interv Psychiatry ; 16(1): 17-25, 2022 01.
Article en En | MEDLINE | ID: mdl-33559355
AIM: Social impairment is common in individuals with bipolar disorder (BD), although its role in youths at high-risk for BD (i.e., mood symptoms in the context of a family history of BD) is not well understood. Social impairment takes many forms including social withdrawal, relational aggression, physical aggression, and victimization. The aim of this study was to explore the links between social impairment and clinical symptoms in youth at high-risk for BD. METHODS: The sample included 127 youths with elevations in mood symptoms (depression or hypomania) and at least one first and/or second degree relative with BD. Measures of youths' current psychopathology (i.e., depressive and manic severity, suicidality, anxiety, and attention-deficit/hyperactivity disorder [ADHD]) were regressed onto youths' self-reports of social impairment (i.e., social withdrawal, relational aggression, physical aggression, and victimization). RESULTS: Depressive symptoms, suicidal ideation, and anxiety symptoms were related to social withdrawal. Suicidal ideation was also related to reactive aggression. ADHD symptoms related to reactive and proactive aggression as well as relational victimization. Manic symptoms were not associated with social impairment in this sample. CONCLUSIONS: Although cross-sectional, study findings point to potential treatment targets related to social functioning. Specifically, social withdrawal should be a target for treatment of childhood depressive and anxiety symptoms. Treatments that focus on social skills and cognitive functioning deficits associated with BD may also have clinical utility.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno por Déficit de Atención con Hiperactividad / Trastorno Bipolar Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Humans Idioma: En Revista: Early Interv Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Australia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno por Déficit de Atención con Hiperactividad / Trastorno Bipolar Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Humans Idioma: En Revista: Early Interv Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Australia