DIAGNOSTIC AND THERAPEUTIC APPROACH OF BIPOLAR DISORDER AMONG CHILDREN AND ADOLESCENTS: A BIBLIOGRAPHICAL REVIEW

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DOI:

https://doi.org/10.47820/recima21.v5i3.5057

Keywords:

Bipolar disorder. Children. Teenagers. Diagnosis. Treatment.

Abstract

Introduction: Bipolar disorder in children is a psychiatric condition characterized by changes that include episodes of mania, hypomania, depression. Advanced pharmacological therapy alternatives have revolutionized the management of the disorder. Objective: To carry out a comprehensive literature review of diagnostic and therapeutic strategies applied to bipolar disorder among children and young people. Methods: Original articles and systematic reviews published between 2003 and 2024 were chosen, with their own inclusion and exclusion criteria, through searches in databases such as PubMed, Scielo and Scopus. Result and discussions: Pediatric diagnosis has advanced in recent decades, especially morphological changes in the tonsil. However, there are specific considerations, such as the distinction between expansive mood and irritability. Treatment is often based on lithium or atypical antipsychotics, highlighting the importance of early initiation of lithium therapy. In addition to its multidisciplinary role, mainly through CBT, it plays an essential role in preventing relapse and managing acute mood episodes

in children with bipolar disorder. Conclusion: Despite advances, it is vital to improve the diagnostic approach to distinguish it from other disorders. The complexity of the symptoms requires individualized therapy, involving medication and psychosocial treatment. Investments in clinical research are needed to improve prognosis and reduce long-term complications.

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Author Biographies

Paulo Vytor Cardoso Nobre

Universidade Federal de Alagoas.

Ana Carolina Pinto Leite Freire

Universidade Tiradentes.

Daniel Oliveira Mendonça

Universidade Federal de Alagoas.

Mateus Souza Xavier

Universidade Federal de Alagoas.

Mauro Alexandre Caixeta

Universidade Federal de Alagoas.

Marcos Antônio Gomes de Oliveira

Universidade Tiradentes.

Morgan da Silva Peixoto

Universidade Federal de Alagoas.

Pedro Henrique Costa de Oliveira

Universidade Federal de Alagoas.

References

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BIRMAHER, B.; GILL, M. K.; AXELSON, D. A.; GOLDSTEIN, B. I.; GOLDSTEIN, T.; YU, H.; LIAO, F.; IYENGAR, S.; DILER, R. S.; STROBER, M.; HOWER, H.; YEN, S.; HUNT, J.; MERRANKO, J. A.; RYAN, N. D.; KELLER, M. B. Longitudinal trajectories and associated baseline predictors in youths with bipolar spectrum disorders. Am J Psychiatry, v. 171, n. 9, p. 990-9, sep. 2014. doi: 10.1176/appi.ajp.2014.13121577 DOI: https://doi.org/10.1176/appi.ajp.2014.13121577

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DICKSTEIN, D. The diagnostic dilemma: why we need to change how we diagnose bipolar disorder in children. Cerebrum, v. 2010, p. 23, nov. 2010.

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FRISTAD, M. A.; MACPHERSON, H. A. Evidence-based psychosocial treatments for child and adolescent bipolar spectrum disorders. J Clin Child Adolesc Psychol., v. 43, n. 3, p. 339-55, 2014. doi: 10.1080/15374416.2013.822309. DOI: https://doi.org/10.1080/15374416.2013.822309

KALTENBOECK, A.; WINKLER, D.; KASPER, S. Bipolar and related disorders in DSM-5 and ICD-10. CNS Spectr, v. 21, n. 4, p. 318-23, aug. 2016. doi: 10.1017/S1092852916000079. DOI: https://doi.org/10.1017/S1092852916000079

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LEIBENLUFT, E.; CHARNEY, D. S.; PINE, D. S. Researching the Pathophysiology of Pediatric Bipolar Disorder. Biol Psychiatry, v. 53, p. 1009–1020, 2003. DOI: https://doi.org/10.1016/S0006-3223(03)00069-6

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Published

25/03/2024

How to Cite

Vytor Cardoso Nobre, P., Carolina Pinto Leite Freire, A., Oliveira Mendonça , D., Souza Xavier, M., Alexandre Caixeta, M., Antônio Gomes de Oliveira, M., … Henrique Costa de Oliveira, P. (2024). DIAGNOSTIC AND THERAPEUTIC APPROACH OF BIPOLAR DISORDER AMONG CHILDREN AND ADOLESCENTS: A BIBLIOGRAPHICAL REVIEW. RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 5(3), e535057. https://doi.org/10.47820/recima21.v5i3.5057

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Vol. 5 No. 3 (2024): CLICK HERE TO ACCESS THE ARTICLES

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