TY - JOUR
T1 - Family functioning Deficits in bipolar disorder and ADHD in youth
AU - Young, Matthew E.
AU - Galvan, Thania
AU - Reidy, Brooke L.
AU - Pescosolido, Matthew F.
AU - Kim, Kerri L.
AU - Seymour, Karen
AU - Dickstein, Daniel P.
N1 - Funding Information:
This study was supported by E. P. Bradley Hospital and the National Institute of Mental Health grant 5K22MH074945. Neither sponsor had a role in the study design, in the collection, analysis and interpretation of data, in the writing of the report, or in the decision to submit the article for publication.
PY - 2013/9/25
Y1 - 2013/9/25
N2 - Background: Rates of diagnosis and treatment for bipolar disorder (BD) in youth continue torise. Researchers and clinicians experience difficulty differentiating between BD in youth andother conditions that are commonly comorbid or share similar clinical features with BD,especially attention-deficit/ hyperactivity disorder (ADHD). Comparative studies of thephenomenology and psychosocial correlates of these conditions help to address this. Familyfunctioning is an important topic for both BD and ADHD since both are associated withnumerous family-related deficits. One previous study suggested that manic/hypomanic youths'family functioning differed from ADHD and typically developing control (TDC) groups.However, many family functioning studies with BD and ADHD youth have methodologicallimita-tions or fail to use comprehensive, validated measures. Methods: This investigation usedadolescent report on the Family Assessment Device (FAD), based on the McMaster Model offamily functioning. Youth were recruited in BD (n=30), ADHD (n=36), and TDC (n=41)groups. Results: Groups were similar on most demographic variables, but The TDC groupscored somewhat higher than the others on IQ and socioeconomic status. FAD results indicatedthat BD and ADHD groups scored worse than TDC on the General Functioning and Roles scalesof the FAD. In addition, the BD group showed impairment on the Problem Solving scale relativeto TDC. Limitations: sample size, lack of parent report, ADHD comorbidity in BD group.Conclusions: Family functioning deficits distinguish both clinical groups from TDC, andproblem-solving dysfunction may be specific to BD. These findings may apply to treatmentmodels for both conditions.
AB - Background: Rates of diagnosis and treatment for bipolar disorder (BD) in youth continue torise. Researchers and clinicians experience difficulty differentiating between BD in youth andother conditions that are commonly comorbid or share similar clinical features with BD,especially attention-deficit/ hyperactivity disorder (ADHD). Comparative studies of thephenomenology and psychosocial correlates of these conditions help to address this. Familyfunctioning is an important topic for both BD and ADHD since both are associated withnumerous family-related deficits. One previous study suggested that manic/hypomanic youths'family functioning differed from ADHD and typically developing control (TDC) groups.However, many family functioning studies with BD and ADHD youth have methodologicallimita-tions or fail to use comprehensive, validated measures. Methods: This investigation usedadolescent report on the Family Assessment Device (FAD), based on the McMaster Model offamily functioning. Youth were recruited in BD (n=30), ADHD (n=36), and TDC (n=41)groups. Results: Groups were similar on most demographic variables, but The TDC groupscored somewhat higher than the others on IQ and socioeconomic status. FAD results indicatedthat BD and ADHD groups scored worse than TDC on the General Functioning and Roles scalesof the FAD. In addition, the BD group showed impairment on the Problem Solving scale relativeto TDC. Limitations: sample size, lack of parent report, ADHD comorbidity in BD group.Conclusions: Family functioning deficits distinguish both clinical groups from TDC, andproblem-solving dysfunction may be specific to BD. These findings may apply to treatmentmodels for both conditions.
KW - ADHD
KW - Adolescent
KW - Bipolar disorder
KW - Child
KW - Family functioning
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U2 - 10.1016/j.jad.2013.04.027
DO - 10.1016/j.jad.2013.04.027
M3 - Article
C2 - 23706879
AN - SCOPUS:84888358078
SN - 0165-0327
VL - 150
SP - 1096
EP - 1102
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
IS - 3
ER -