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