Community Mental Health Journal

, Volume 41, Issue 1, pp 67–75

Adverse Life Events and Pediatric Bipolar Disorder in a Community Mental Health Setting

  • William R. Marchand
  • B. S. Laurel Wirth
  • M. S. W. Cindy Simon

DOI: 10.1007/s10597-005-2600-x

Cite this article as:
Marchand, W.R., Laurel Wirth, B.S. & Cindy Simon, M.S.W. Community Ment Health J (2005) 41: 67. doi:10.1007/s10597-005-2600-x


Objective: To determine the frequency and effects of exposure to adverse events in pediatric bipolar disorder. Method: Charts of youths with bipolar disorder were retrospectively reviewed. Results: Thirty-five of 66 (53%) had experienced maltreatment. Most (90.9%) had divorced or separated parents and 31.8% were adopted or in foster care. Exposure to adverse events was associated with delay of diagnosis (p=.010), psychiatric hospitalization (p=.035), residential treatment (p=.003) and a decreased response to treatment (p=.006). Conclusions: Exposure to adverse events may be common among pediatric bipolar patients and have a negative impact on prognosis.


pediatric bipolar disorderadverse life eventstraumaoutcomecommunity mental health

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • William R. Marchand
    • 1
    • 3
  • B. S. Laurel Wirth
    • 2
  • M. S. W. Cindy Simon
    • 2
  1. 1.Assistant Professor of Psychiatry (Clinical)University of UtahSalt Lake cityUSA
  2. 2.Wasatch Mental HealthUSA
  3. 3.VASLCHCS 116OPSalt Lake cityUSA