DIAGNOSTIC AND THERAPEUTIC APPROACH OF BIPOLAR DISORDER AMONG CHILDREN AND ADOLESCENTS: A BIBLIOGRAPHICAL REVIEW
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.
Author Biographies
Universidade Federal de Alagoas.
Universidade Tiradentes.
Universidade Federal de Alagoas.
Universidade Federal de Alagoas.
Universidade Federal de Alagoas.
Universidade Tiradentes.
Universidade Federal de Alagoas.
Universidade Federal de Alagoas.
References
AMERICAN PSYCHIATRIC ASSOCIATION (APA). Manual diagnóstico e estatístico de transtornos mentais: DSM-5. 5. ed. Porto Alegre: Artmed, 2014.
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: https://doi.org/10.1176/appi.ajp.2014.13121577 DOI: https://doi.org/10.1176/appi.ajp.2014.13121577
DE OLIVEIRA, Ronaldo Rodrigues et al. Contribuições e principais intervenções da terapia cognitivo-comportamental no tratamento do transtorno bipolar. Aletheia, v. 52, n. 2, 2019.
DICKSTEIN, D. The diagnostic dilemma: why we need to change how we diagnose bipolar disorder in children. Cerebrum, v. 2010, p. 23, nov. 2010.
FRÍAS, Á.; PALMA, C.; FARRIOLS, N. Comorbidity in pediatric bipolar disorder: prevalence, clinical impact, etiology and treatment. J Affect Disord., v. 174, p. 378-89, 15 mar. 2015 DOI: https://doi.org/10.1016/j.jad.2014.12.008 DOI: https://doi.org/10.1016/j.jad.2014.12.008
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: https://doi.org/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: https://doi.org/10.1017/S1092852916000079 DOI: https://doi.org/10.1017/S1092852916000079
KESSING, L. V.; VRADI, E.; ANDERSEN, P. K. Starting lithium prophylaxis early or late in bipolar disorder. Br J Psychiatry, v. 205, p. 214–220, 2014 DOI: https://doi.org/10.1192/bjp.bp.113.142802 DOI: https://doi.org/10.1192/bjp.bp.113.142802
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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