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Child Comorbidity, Maternal Mood Disorder, and Perceptions of Family Functioning among Bipolar Youth

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Title: Child Comorbidity, Maternal Mood Disorder, and Perceptions of Family Functioning among Bipolar Youth
Language: English
Authors: Esposito-Smythers, Christianne, Birmaher, Boris, Valeri, Sylvia, Chiappetta, Laurel, Hunt, Jeffrey, Ryan, Neal, Axelson, David, Strober, Michael, Leonard, Henrietta, Sindelar, Holly, Keller, Martin
Source: Journal of the American Academy of Child & Adolescent Psychiatry. Aug 2006 45(8):955-964.
Availability: Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
Peer Reviewed: Y
Page Count: 10
Publication Date: 2006
Document Type: Journal Articles
Reports - Research
Descriptors: Anxiety Disorders, Mothers, Conflict, Psychological Patterns, Depression (Psychology), Family Relationship, Children, Correlation, Mental Disorders, Interviews, Questionnaires, Measures (Individuals), Behavior Disorders, Therapy, Youth
Assessment and Survey Identifiers: Family Adaptability Cohesion Evaluation Scales
DOI: 10.1097/01.chi.0000222785.11359.04
ISSN: 0890-8567
Abstract: Objective: To examine the association between youth comorbid psychiatric disorders, maternal mood disorder, and perceptions of family cohesion and conflict among youth diagnosed with pediatric bipolar disorder (PBD). Method: Three hundred eighty-nine bipolar youths and their parents completed a diagnostic interview and instruments assessing family psychiatric history and functioning. Family functioning was assessed with the Family Adaptability and Cohesion Scales-II and the Conflict Behavior Questionnaire. Results: The presence of a maternal mood disorder was associated with lower family cohesion. The presence of a youth externalizing disorder with or without a co-occurring anxiety disorder was also associated with lower family cohesion as well as higher family conflict. Furthermore, the negative relationship between maternal mood disorder and family functioning was stronger in the presence of a youth externalizing disorder. Conclusions: Youth comorbidity and maternal mood disorders appear to be associated with worse family functioning among bipolar youths. Family-based treatments with bipolar youths may need to integrate treatment of youth comorbidity and address maternal mood disorder for optimal results. (Contains 4 tables.)
Abstractor: As Provided
Entry Date: 2011
Accession Number: EJ944883
Database: ERIC
FullText Text:
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  Data: Child Comorbidity, Maternal Mood Disorder, and Perceptions of Family Functioning among Bipolar Youth
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  Data: <searchLink fieldCode="AR" term="%22Esposito-Smythers%2C+Christianne%22">Esposito-Smythers, Christianne</searchLink><br /><searchLink fieldCode="AR" term="%22Birmaher%2C+Boris%22">Birmaher, Boris</searchLink><br /><searchLink fieldCode="AR" term="%22Valeri%2C+Sylvia%22">Valeri, Sylvia</searchLink><br /><searchLink fieldCode="AR" term="%22Chiappetta%2C+Laurel%22">Chiappetta, Laurel</searchLink><br /><searchLink fieldCode="AR" term="%22Hunt%2C+Jeffrey%22">Hunt, Jeffrey</searchLink><br /><searchLink fieldCode="AR" term="%22Ryan%2C+Neal%22">Ryan, Neal</searchLink><br /><searchLink fieldCode="AR" term="%22Axelson%2C+David%22">Axelson, David</searchLink><br /><searchLink fieldCode="AR" term="%22Strober%2C+Michael%22">Strober, Michael</searchLink><br /><searchLink fieldCode="AR" term="%22Leonard%2C+Henrietta%22">Leonard, Henrietta</searchLink><br /><searchLink fieldCode="AR" term="%22Sindelar%2C+Holly%22">Sindelar, Holly</searchLink><br /><searchLink fieldCode="AR" term="%22Keller%2C+Martin%22">Keller, Martin</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+the+American+Academy+of+Child+%26+Adolescent+Psychiatry%22"><i>Journal of the American Academy of Child & Adolescent Psychiatry</i></searchLink>. Aug 2006 45(8):955-964.
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  Data: Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
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  Data: <searchLink fieldCode="SU" term="%22Family+Adaptability+Cohesion+Evaluation+Scales%22">Family Adaptability Cohesion Evaluation Scales</searchLink>
– Name: DOI
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  Data: 10.1097/01.chi.0000222785.11359.04
– Name: ISSN
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  Data: 0890-8567
– Name: Abstract
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  Data: Objective: To examine the association between youth comorbid psychiatric disorders, maternal mood disorder, and perceptions of family cohesion and conflict among youth diagnosed with pediatric bipolar disorder (PBD). Method: Three hundred eighty-nine bipolar youths and their parents completed a diagnostic interview and instruments assessing family psychiatric history and functioning. Family functioning was assessed with the Family Adaptability and Cohesion Scales-II and the Conflict Behavior Questionnaire. Results: The presence of a maternal mood disorder was associated with lower family cohesion. The presence of a youth externalizing disorder with or without a co-occurring anxiety disorder was also associated with lower family cohesion as well as higher family conflict. Furthermore, the negative relationship between maternal mood disorder and family functioning was stronger in the presence of a youth externalizing disorder. Conclusions: Youth comorbidity and maternal mood disorders appear to be associated with worse family functioning among bipolar youths. Family-based treatments with bipolar youths may need to integrate treatment of youth comorbidity and address maternal mood disorder for optimal results. (Contains 4 tables.)
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  Data: EJ944883
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