Christianne Esposito-Smythers1, Boris Birmaher2, Sylvia Valeri2, Laurel Chiappetta2, Jeffrey Hunt2, Neal Ryan2, David Axelson2, Michael Strober2, Henrietta Leonard2, Holly Sindelar2, Martin Keller2. 1. Drs. Esposito-Smythers, Valeri, Hunt, Leonard, Sindelar, and Keller are with the Department of Psychiatry, Brown Medical School, Providence, RI, and the Center for Alcohol and Addiction Studies, Bradley Hospital, Butler Hospital; Drs. Birmaher, Ryan, and Axelson and Ms. Chiappetta are with the Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; and Dr. Strober is with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California at Los Angeles.. Electronic address: Christianne_Esposito@Brown.edu. 2. Drs. Esposito-Smythers, Valeri, Hunt, Leonard, Sindelar, and Keller are with the Department of Psychiatry, Brown Medical School, Providence, RI, and the Center for Alcohol and Addiction Studies, Bradley Hospital, Butler Hospital; Drs. Birmaher, Ryan, and Axelson and Ms. Chiappetta are with the Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; and Dr. Strober is with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California at Los Angeles.
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.
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.
Authors: Rebecca S Siegel; Bettina Hoeppner; Shirley Yen; Robert L Stout; Lauren M Weinstock; Heather M Hower; Boris Birmaher; Tina R Goldstein; Benjamin I Goldstein; Jeffrey I Hunt; Michael Strober; David A Axelson; Mary Kay Gill; Martin B Keller Journal: J Nerv Ment Dis Date: 2015-03 Impact factor: 2.254
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Authors: Amit Shalev; John Merranko; Tina Goldstein; David J Miklowitz; David Axelson; Benjamin I Goldstein; David Brent; Kelly Monk; Mary Beth Hickey; Danella M Hafeman; Dara Sakolsky; Rasim Diler; Boris Birmaher Journal: J Am Acad Child Adolesc Psychiatry Date: 2018-12-19 Impact factor: 8.829
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Authors: Soledad Romero; Boris Birmaher; David A Axelson; Ana-Maria Iosif; Douglas E Williamson; Mary Kay Gill; Benjamin I Goldstein; Michael A Strober; Jeffrey Hunt; Tina R Goldstein; Christianne Esposito-Smythers; Satish Iyengar; Neal D Ryan; Martin Keller Journal: J Clin Psychiatry Date: 2009-10 Impact factor: 4.384
Authors: Christianne Esposito-Smythers; Tina Goldstein; Boris Birmaher; Benjamin Goldstein; Jeffrey Hunt; Neal Ryan; David Axelson; Michael Strober; Mary Kay Gill; Andrea Hanley; Martin Keller Journal: J Affect Disord Date: 2010-01-22 Impact factor: 4.839
Authors: Boris Birmaher; David Axelson; Benjamin Goldstein; Michael Strober; Mary Kay Gill; Jeffrey Hunt; Patricia Houck; Wonho Ha; Satish Iyengar; Eunice Kim; Shirley Yen; Heather Hower; Christianne Esposito-Smythers; Tina Goldstein; Neal Ryan; Martin Keller Journal: Am J Psychiatry Date: 2009-05-15 Impact factor: 18.112