Childhood mania, attention deficit hyperactivity disorder and conduct disorder: a critical review of diagnostic dilemmas.
OBJECTIVES: Significant debate exists on whether early onset bipolar disorder is mistakenly attributed to attention deficit hyperactivity disorder (ADHD) or conduct disorder (CD), or whether ADHD and CD are frequently misdiagnosed as mania. We review the literature on the extent to which these diso...
| Main Authors: | , |
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| Format: | Journal article |
| Language: | English |
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2002
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| _version_ | 1797081105336107008 |
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| author | Kim, E Miklowitz, D |
| author_facet | Kim, E Miklowitz, D |
| author_sort | Kim, E |
| collection | OXFORD |
| description | OBJECTIVES: Significant debate exists on whether early onset bipolar disorder is mistakenly attributed to attention deficit hyperactivity disorder (ADHD) or conduct disorder (CD), or whether ADHD and CD are frequently misdiagnosed as mania. We review the literature on the extent to which these disorders can be reliably differentiated, and describe the diagnostic confusion that may be the result of features common to both classes of disorders. METHODS: The review focuses on research studies that have examined whether overlapping symptoms of bipolar disorder, ADHD, and CD contribute to misdiagnosis of the two classes of disorders, the prevalence of early onset bipolar disorder with comorbid ADHD or CD, and theories regarding the origins of this comorbidity. RESULTS: Reliable and accurate diagnoses can be made despite the symptom overlap of bipolar disorder with ADHD and CD. Children with bipolar disorder and ADHD may have a distinct familial subtype of bipolar disorder. Some findings suggest that manic symptoms may represent 'noise' that indicates the general severity of psychopathology in a child or adolescent. CONCLUSIONS: Further prospective studies may confirm whether early onset bipolarity can be successfully differentiated from ADHD or CD, whether all three types of disorders can be recognized in comorbid cases, or whether comorbid cases represent a distinct subtype of bipolar disorder. |
| first_indexed | 2024-03-07T01:09:50Z |
| format | Journal article |
| id | oxford-uuid:8c9cfcf0-2302-49df-a5d8-1345cde3a0e6 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T01:09:50Z |
| publishDate | 2002 |
| record_format | dspace |
| spelling | oxford-uuid:8c9cfcf0-2302-49df-a5d8-1345cde3a0e62022-03-26T22:45:42ZChildhood mania, attention deficit hyperactivity disorder and conduct disorder: a critical review of diagnostic dilemmas.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8c9cfcf0-2302-49df-a5d8-1345cde3a0e6EnglishSymplectic Elements at Oxford2002Kim, EMiklowitz, D OBJECTIVES: Significant debate exists on whether early onset bipolar disorder is mistakenly attributed to attention deficit hyperactivity disorder (ADHD) or conduct disorder (CD), or whether ADHD and CD are frequently misdiagnosed as mania. We review the literature on the extent to which these disorders can be reliably differentiated, and describe the diagnostic confusion that may be the result of features common to both classes of disorders. METHODS: The review focuses on research studies that have examined whether overlapping symptoms of bipolar disorder, ADHD, and CD contribute to misdiagnosis of the two classes of disorders, the prevalence of early onset bipolar disorder with comorbid ADHD or CD, and theories regarding the origins of this comorbidity. RESULTS: Reliable and accurate diagnoses can be made despite the symptom overlap of bipolar disorder with ADHD and CD. Children with bipolar disorder and ADHD may have a distinct familial subtype of bipolar disorder. Some findings suggest that manic symptoms may represent 'noise' that indicates the general severity of psychopathology in a child or adolescent. CONCLUSIONS: Further prospective studies may confirm whether early onset bipolarity can be successfully differentiated from ADHD or CD, whether all three types of disorders can be recognized in comorbid cases, or whether comorbid cases represent a distinct subtype of bipolar disorder. |
| spellingShingle | Kim, E Miklowitz, D Childhood mania, attention deficit hyperactivity disorder and conduct disorder: a critical review of diagnostic dilemmas. |
| title | Childhood mania, attention deficit hyperactivity disorder and conduct disorder: a critical review of diagnostic dilemmas. |
| title_full | Childhood mania, attention deficit hyperactivity disorder and conduct disorder: a critical review of diagnostic dilemmas. |
| title_fullStr | Childhood mania, attention deficit hyperactivity disorder and conduct disorder: a critical review of diagnostic dilemmas. |
| title_full_unstemmed | Childhood mania, attention deficit hyperactivity disorder and conduct disorder: a critical review of diagnostic dilemmas. |
| title_short | Childhood mania, attention deficit hyperactivity disorder and conduct disorder: a critical review of diagnostic dilemmas. |
| title_sort | childhood mania attention deficit hyperactivity disorder and conduct disorder a critical review of diagnostic dilemmas |
| work_keys_str_mv | AT kime childhoodmaniaattentiondeficithyperactivitydisorderandconductdisorderacriticalreviewofdiagnosticdilemmas AT miklowitzd childhoodmaniaattentiondeficithyperactivitydisorderandconductdisorderacriticalreviewofdiagnosticdilemmas |