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Structure of early signs of affective pathology in adolescents

INTRODUCTION: Studies in adults with bipolar disorder (BD), shows that in 25% of cases first affective episode occurs under the age of 13 and in 63-69% under the age of 19. The most difficult problem is the early identification of BD, which starts in adolescence as a result of polymorphism of clinic...

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Autores principales: Osipova, N., Bardenshteyn, L., Beglyankin, N., Aleshkina, G., Dmitriev, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479903/
http://dx.doi.org/10.1192/j.eurpsy.2021.1678
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author Osipova, N.
Bardenshteyn, L.
Beglyankin, N.
Aleshkina, G.
Dmitriev, M.
author_facet Osipova, N.
Bardenshteyn, L.
Beglyankin, N.
Aleshkina, G.
Dmitriev, M.
author_sort Osipova, N.
collection PubMed
description INTRODUCTION: Studies in adults with bipolar disorder (BD), shows that in 25% of cases first affective episode occurs under the age of 13 and in 63-69% under the age of 19. The most difficult problem is the early identification of BD, which starts in adolescence as a result of polymorphism of clinical symptoms, their syndromic incompleteness. OBJECTIVES: Study of the structure of adolescents affective disorders on primary appointment in outpatient psychiatric unit. METHODS: Content analysis, sampling method, statistical method. 120 disease histories of adolescents who first applied for outpatient psychiatric unit in 2019 were used. 93 (77.5%) of them were girls and 27 (22.5%) of them were boys. The average age was 17 years. RESULTS: In the structure of initial diagnoses, according to ICD-10, mood disorders [F30-F39] - 56.0% prevailed. [F40-F49] - 25%, [F00-F09] - 6.6%, [F20-F29] - 6.6%, [F50-F59] – 4,2%, [F90-F99] – 1,6% were less likely. Structure of complaints of adolescents and their parents on primary appointment for specialized psychiatric care is shown in Table 1 (p<0,05). [Figure: see text] CONCLUSIONS: Initial signs of emotional disorders in adolescence are polymorphic, nosologically nonspecific, and can lead to diagnoses that are not limited only by the affective pathology. The most common symptoms (irritability, anxiety, mood falls) can act as transdiagnostic phenomena that must be taken into consideration both in the diagnostic study and in further clinical and dynamic follow-ups and treatment. DISCLOSURE: No significant relationships.
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spelling pubmed-94799032022-09-29 Structure of early signs of affective pathology in adolescents Osipova, N. Bardenshteyn, L. Beglyankin, N. Aleshkina, G. Dmitriev, M. Eur Psychiatry Abstract INTRODUCTION: Studies in adults with bipolar disorder (BD), shows that in 25% of cases first affective episode occurs under the age of 13 and in 63-69% under the age of 19. The most difficult problem is the early identification of BD, which starts in adolescence as a result of polymorphism of clinical symptoms, their syndromic incompleteness. OBJECTIVES: Study of the structure of adolescents affective disorders on primary appointment in outpatient psychiatric unit. METHODS: Content analysis, sampling method, statistical method. 120 disease histories of adolescents who first applied for outpatient psychiatric unit in 2019 were used. 93 (77.5%) of them were girls and 27 (22.5%) of them were boys. The average age was 17 years. RESULTS: In the structure of initial diagnoses, according to ICD-10, mood disorders [F30-F39] - 56.0% prevailed. [F40-F49] - 25%, [F00-F09] - 6.6%, [F20-F29] - 6.6%, [F50-F59] – 4,2%, [F90-F99] – 1,6% were less likely. Structure of complaints of adolescents and their parents on primary appointment for specialized psychiatric care is shown in Table 1 (p<0,05). [Figure: see text] CONCLUSIONS: Initial signs of emotional disorders in adolescence are polymorphic, nosologically nonspecific, and can lead to diagnoses that are not limited only by the affective pathology. The most common symptoms (irritability, anxiety, mood falls) can act as transdiagnostic phenomena that must be taken into consideration both in the diagnostic study and in further clinical and dynamic follow-ups and treatment. DISCLOSURE: No significant relationships. Cambridge University Press 2021-08-13 /pmc/articles/PMC9479903/ http://dx.doi.org/10.1192/j.eurpsy.2021.1678 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Osipova, N.
Bardenshteyn, L.
Beglyankin, N.
Aleshkina, G.
Dmitriev, M.
Structure of early signs of affective pathology in adolescents
title Structure of early signs of affective pathology in adolescents
title_full Structure of early signs of affective pathology in adolescents
title_fullStr Structure of early signs of affective pathology in adolescents
title_full_unstemmed Structure of early signs of affective pathology in adolescents
title_short Structure of early signs of affective pathology in adolescents
title_sort structure of early signs of affective pathology in adolescents
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479903/
http://dx.doi.org/10.1192/j.eurpsy.2021.1678
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