Further evidence that pediatric-onset bipolar disorder comorbid with ADHD represents a distinct subtype: Results from a large controlled family study

Joseph Biederman, Stephen V. Faraone, Carter Petty, Mary Kate Martelon, K. Yvonne Woodworth, Janet Wozniak

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

We used familial risk analysis to clarify the diagnostic comorbidity between pediatric BP-I disorder and ADHD, testing the hypothesis that pediatric-BP-I disorder comorbid with ADHD represents a distinct subtype. Structured diagnostic interviews were used to obtain DSM-IV psychiatric diagnoses on first-degree relatives (n = 726) of referred children and adolescents satisfying diagnostic criteria for BP-I disorder (n = 239). For comparison, diagnostic information on the first-degree relatives (N = 511) of non-bipolar ADHD children (N = 162) and the first degree relatives (N = 411) of control children (N = 136) with neither ADHD nor BP-I disorder were examined. BP-I disorder and ADHD in probands bred true irrespective of the comorbidity with the other disorder. We also found that the comorbid condition of BP-I disorder plus ADHD also bred true in families, and the two disorders co-segregated among relatives. This large familial risk analysis provides compelling evidence that pediatric BP-I disorder comorbid with ADHD represents a distinct familial subtype.

Original languageEnglish
Pages (from-to)15-22
Number of pages8
JournalJournal of Psychiatric Research
Volume47
Issue number1
DOIs
StatePublished - Jan 2013
Externally publishedYes

Keywords

  • Attention-deficit hyperactivity disorder
  • Bipolar disorder
  • Children
  • Family-genetic

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