Neonatal onset of bipolar spectrum disorder through a three-generation familial study
Introduction Age at onset of pediatric bipolar spectrum disorder (BSD) is an important marker of a more severe form and a highly heritable mood/mental disorder. Objectives Here, we report a familial Tunisian BSD follow-up study showing a very early onset of the BSD at the neonatal period. Methods...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822010343/type/journal_article |
| _version_ | 1827753578136076288 |
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| author | B. Abdelmoula S. Sellami M. Keskes N. Bouayed Abdelmoula |
| author_facet | B. Abdelmoula S. Sellami M. Keskes N. Bouayed Abdelmoula |
| author_sort | B. Abdelmoula |
| collection | DOAJ |
| description |
Introduction
Age at onset of pediatric bipolar spectrum disorder (BSD) is an important marker of a more severe form and a highly heritable mood/mental disorder.
Objectives
Here, we report a familial Tunisian BSD follow-up study showing a very early onset of the BSD at the neonatal period.
Methods
A 28-year-old female and her 30-year old sister were referred for genetic and psychological assessments due to recurrent depressive episodes.
Results
Psychological assessment revealed a BSD type II with episodes of hypomania for both patients. The 30-year old sister presented a mixed form of BSD coupled with autistic traits, hyposomnia and obsessive-compulsive behaviors. Intellectual and cognitive abilities were without concerns. Familial history revealed BDS among paternal relatives including the brothers’ and sisters’ father as well as all their uncles offspring’s, and their grandparents, who were consanguineous. The depressive mood was a common sign in the three generations. Personal history revealed significant signs of a very early onset of the disorder since the neonatal period for the two sisters as well as for their four paternal cousins who also presented BSD features. Familial risk of BSD in this family correlates with a variably higher personal risk of other psychiatric disorders such as anxiety, drug abuse, personality disorders, and autism spectrum disorder.
Conclusions
Environmental conditions, familial care and educational level have a strong correlation with the severity and the efficiency of cognitive management of BSD and its psychiatric comorbidities. BSD is highly heterogeneous and polygenic and personalized management has considerable clinical repercussions benefits.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:38:21Z |
| format | Article |
| id | doaj.art-b4ec300e7b4048748ce50e634d46314c |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:38:21Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-b4ec300e7b4048748ce50e634d46314c2023-11-17T05:09:08ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S407S40810.1192/j.eurpsy.2022.1034Neonatal onset of bipolar spectrum disorder through a three-generation familial studyB. Abdelmoula0S. Sellami1M. Keskes2N. Bouayed Abdelmoula3Medical University of Sfax, Genomics Of Signalopathies At The Service Of Medicine, Sfax, TunisiaMedical University of Sfax, Genomics Of Signalopathies At The Service Of Medicine, Sfax, TunisiaMedical University of Sfax, Genomics Of Signalopathies At The Service Of Medicine, Sfax, TunisiaMedical University of Sfax, Genomics Of Signalopathies At The Service Of Medicine, Sfax, Tunisia Introduction Age at onset of pediatric bipolar spectrum disorder (BSD) is an important marker of a more severe form and a highly heritable mood/mental disorder. Objectives Here, we report a familial Tunisian BSD follow-up study showing a very early onset of the BSD at the neonatal period. Methods A 28-year-old female and her 30-year old sister were referred for genetic and psychological assessments due to recurrent depressive episodes. Results Psychological assessment revealed a BSD type II with episodes of hypomania for both patients. The 30-year old sister presented a mixed form of BSD coupled with autistic traits, hyposomnia and obsessive-compulsive behaviors. Intellectual and cognitive abilities were without concerns. Familial history revealed BDS among paternal relatives including the brothers’ and sisters’ father as well as all their uncles offspring’s, and their grandparents, who were consanguineous. The depressive mood was a common sign in the three generations. Personal history revealed significant signs of a very early onset of the disorder since the neonatal period for the two sisters as well as for their four paternal cousins who also presented BSD features. Familial risk of BSD in this family correlates with a variably higher personal risk of other psychiatric disorders such as anxiety, drug abuse, personality disorders, and autism spectrum disorder. Conclusions Environmental conditions, familial care and educational level have a strong correlation with the severity and the efficiency of cognitive management of BSD and its psychiatric comorbidities. BSD is highly heterogeneous and polygenic and personalized management has considerable clinical repercussions benefits. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822010343/type/journal_articleBipolar spectrum disorderheritable mood/mental disorderLongitudinal familial studyNeonatal onset |
| spellingShingle | B. Abdelmoula S. Sellami M. Keskes N. Bouayed Abdelmoula Neonatal onset of bipolar spectrum disorder through a three-generation familial study European Psychiatry Bipolar spectrum disorder heritable mood/mental disorder Longitudinal familial study Neonatal onset |
| title | Neonatal onset of bipolar spectrum disorder through a three-generation familial study |
| title_full | Neonatal onset of bipolar spectrum disorder through a three-generation familial study |
| title_fullStr | Neonatal onset of bipolar spectrum disorder through a three-generation familial study |
| title_full_unstemmed | Neonatal onset of bipolar spectrum disorder through a three-generation familial study |
| title_short | Neonatal onset of bipolar spectrum disorder through a three-generation familial study |
| title_sort | neonatal onset of bipolar spectrum disorder through a three generation familial study |
| topic | Bipolar spectrum disorder heritable mood/mental disorder Longitudinal familial study Neonatal onset |
| url | https://www.cambridge.org/core/product/identifier/S0924933822010343/type/journal_article |
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