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Life stress and the course of early-...
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Kim, Eunice Y.
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Life stress and the course of early-onset bipolar disorder.
Record Type:
Electronic resources : Monograph/item
Title/Author:
Life stress and the course of early-onset bipolar disorder./
Author:
Kim, Eunice Y.
Description:
61 p.
Notes:
Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3413.
Contained By:
Dissertation Abstracts International66-06B.
Subject:
Psychology, Clinical. -
Online resource:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3178325
ISBN:
0542178907
Life stress and the course of early-onset bipolar disorder.
Kim, Eunice Y.
Life stress and the course of early-onset bipolar disorder.
- 61 p.
Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3413.
Thesis (Ph.D.)--University of Colorado at Boulder, 2005.
Studies of adult bipolar patients and adolescents with major depression suggest that life stress and mood symptoms may be temporally and causally related to one another. This study examined whether higher levels of life stress predicted higher levels of mood symptoms among bipolar adolescents (n = 38; mean age = 15.03) participating in a treatment development study of family-focused psychoeducation and pharmacotherapy. Clinician-administered evaluations of life stress and mood symptoms were completed with adolescents at 3-month intervals for up to 12 months, using the UCLA Life Stress Interview and the K-SADS Mania and Depression Rating Scales. Chronic stress in family and romantic relationships was associated with less improvement in depression and combined mood (depression plus mania) symptoms during the course of treatment. With increases in age, higher levels of chronic stress in peer relationships and higher severity of independent events became increasingly associated with less improvement in depression, mania, and combined mood symptoms. During periods of less acute symptomatology, the overall severity of independent events predicted less improvement in mania and combined mood symptoms. When the frequency of events rather than severity was examined, a higher number of dependent events was associated with greater improvement in depression and combined mood symptoms, and a higher frequency of independent events was associated with greater improvement in mania and combined mood symptoms. Although causal relationships cannot be concluded, findings suggest that various dimensions of life stress are associated with changes in mood symptomatology. Further investigation of stress-symptom relationships may help identify the most important psychosocial stressors to target in the treatment of early-onset bipolar disorder.
ISBN: 0542178907Subjects--Topical Terms:
524864
Psychology, Clinical.
Life stress and the course of early-onset bipolar disorder.
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Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3413.
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Director: David J. Miklowitz.
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Thesis (Ph.D.)--University of Colorado at Boulder, 2005.
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Studies of adult bipolar patients and adolescents with major depression suggest that life stress and mood symptoms may be temporally and causally related to one another. This study examined whether higher levels of life stress predicted higher levels of mood symptoms among bipolar adolescents (n = 38; mean age = 15.03) participating in a treatment development study of family-focused psychoeducation and pharmacotherapy. Clinician-administered evaluations of life stress and mood symptoms were completed with adolescents at 3-month intervals for up to 12 months, using the UCLA Life Stress Interview and the K-SADS Mania and Depression Rating Scales. Chronic stress in family and romantic relationships was associated with less improvement in depression and combined mood (depression plus mania) symptoms during the course of treatment. With increases in age, higher levels of chronic stress in peer relationships and higher severity of independent events became increasingly associated with less improvement in depression, mania, and combined mood symptoms. During periods of less acute symptomatology, the overall severity of independent events predicted less improvement in mania and combined mood symptoms. When the frequency of events rather than severity was examined, a higher number of dependent events was associated with greater improvement in depression and combined mood symptoms, and a higher frequency of independent events was associated with greater improvement in mania and combined mood symptoms. Although causal relationships cannot be concluded, findings suggest that various dimensions of life stress are associated with changes in mood symptomatology. Further investigation of stress-symptom relationships may help identify the most important psychosocial stressors to target in the treatment of early-onset bipolar disorder.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3178325
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