Epidemiology in Pediatric Bipolar Disorder

Abstract

Childhood and adolescent bipolar disorder diagnosis has been increasing recently. Since studies evaluating attempted suicide rates in children and adolescents have shown bipolarity to be a significant risk factor, diagnosis and treatment of bipolarity has become a very important issue. Since there is a lack of specific diagnostic criteria for especially preadolescent samples and evaluations are made mostly symptomatically, suspicions about false true diagnosis and increased prevalence rates have emerged. This situation leads to controversial data about the prevalence rates of bipolar disorder in children and adolescents. The aim of this article is to review the prevalence of childhood and adolescent bipolar disorder in community, inpatient and outpatient based samples in literature.

 

Keywords

• Bipolar disorder, epidemiology, suicide

Pediatrik Bipolar Bozuklukta Epidemiyoloji

Öz

Çocuk ve ergenlerde bipolar bozukluk tanısı giderek artış göstermektedir. Çocuk ve ergen popülasyonunda intihar girişiminde bulunanların önemli bir oranının bipolar bozukluğu olanlarda ortaya çıkıyor olması, bu hastalığın tanı ve tedavisini daha da önemli kılmaktadır. Özellikle ergenlik dönemi öncesi örneklemlerde açık tanı ölçütlerinin olmaması ve değerlendirmelerin belirtilere dayanılarak yapılmasından dolayı yanlış biçimde bipolar bozukluk tanısı konduğu ve yaygınlık oranlarının oldu-ğundan fazla saptandığına dair endişeler vardır. Bunlardan ötürü, çocuk ve ergen bipolar bozukluğu-nun yaygınlığı konusundaki veriler hem farklılık göstermekte hem de tartışılmaktadır. Bu derleme çalışmasında, bipolar bozukluğun yaygınlığı toplum, poliklinik ve yatan hasta örnekleminde literatür gözden geçirilmiştir.

 

Anahtar Kelimeler

• Bipolar bozukluk, epidemiyoloji, intihar

Kaynakça

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