Transtorno bipolar em crianças e adolescentes: critérios para diagnóstico e revisão de intervenções psicossociais
DOI:
https://doi.org/10.15448/1980-8623.2016.1.19994Palavras-chave:
Transtorno bipolar, Infância, Adolescência, Intervenção psicossocial.Resumo
O transtorno bipolar é um transtorno mental crônico, recorrente e incapacitante. Entretanto, em crianças e adolescentes pode manifestar-se de forma diferente do padrão clássico descrito na idade adulta. Objetivou-se revisar e analisar estudos empíricos de intervenções psicossociais realizadas para o transtorno bipolar em crianças e adolescentes quanto aos seus objetivos, método, principais resultados e discussão. Foi realizada uma revisão sistemática de 21 artigos de intervenção psicossocial publicados entre 1999 e 2014. Constatou-se diversidade quanto às variáveis investigadas, tais como método, delineamento experimental, amostra, instrumentos e temas. Apesar disso, os estudos demonstraram eficácia em alguns aspectos estudados, em especial a comunicação e a informação aos pacientes e familiares. Sugere-se o desenvolvimento de pesquisas sobre transtorno bipolar em crianças e adolescentes, de modo a contribuir para a elaboração de ações ou programas de intervenção direcionados especificamente para esta população.
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Referências
Angst, J. (2013). Bipolar disorders in DSM-5: strengths, problems and perspectives. International Journal of Bipolar Disorders, 1(1), 1-3. http://dx.doi.org/10.1186/2194-7511-1-12
Apps J., Winkler J., & Jandrisevits, M. D. (2008). Bipolar disorders: Symptoms and treatment in children and adolescents. Pediatric Nursing, 34, 84-88.
Axelson, D., Goldstein, B., Goldstein, T., Monk, K., Yu, H., Hickey, M. B., ... & Iyengar, S. (2015). Diagnostic precursors to bipolar disorder in offspring of parents with bipolar disorder: a longitudinal study. American Journal of Psychiatry, 172(7), 638-646. http://dx.doi.org/10.1176/appi.ajp.2014.14010035
Belzeaux, R., Boyer, L., Mazzola-Pomietto, P., Michel, P., Correard, N., Aubin, V., ... & Etain, B. (2015). Adherence to medication is associated with non-planning impulsivity in euthymic bipolar disorder patients. Journal of Affective Disorders, 184, 60-66. http://dx.doi.org/10.1016/j.jad.2015.05.041
Birmaher, B. (2013). Bipolar disorder in children and adolescents. Child and adolescent mental health, 18(3), 140-148. http://dx.doi.org/10.1111/camh.1202
Brotman, M., Schmajuk, M., Rich, B., Dickstein, D. P., Guyer, A., & Costello, E. J. (2006). Prevalence, clinical correlates and longitudinal course of severe mood dysregulation in children. Biological Psychiatry, 60(9), 991-997. http://dx.doi.org/10.1016/j.biopsych.2006.08.042
Carr, A. (2009). Bipolar disorder in younger people: Description, assessment and evidence-based treatment. Developmental Neurorehabilitation, 12(6), 427-441. http://dx.doi.org/10.3109/17518420903042454
Colom, F., & Vieta, E. (2004). Melhorando o desfecho do transtorno bipolar usando estratégias não farmacológicas: O papel da psicoeducação. Revista Brasileira de Psiquiatria, 26(3), 47-50. http://dx.doi.org/10.1590/S1516-44462004000700011
Crump, C., Winkleby, M. A., Sundquist, K., & Sundquist, J. (2014). Comorbidities and mortality in persons with schizophrenia: a Swedish national cohort study. American Journal of Psychiatry, 170(3), 324-333. http://dx.doi.org/10.1176/appi.ajp.2012.12050599
Danielson, C. K., Feeny, N. C., Findling, R. L., & Youngstrom, E. A. (2004). Psychosocial treatment of bipolar disorders in adolescents: A proposed cognitive-behavioral intervention. Cognitive and Behavioral Practice, 11, 283-297. http://dx.doi.org/10.1016/S1077-7229(04)80043-9
Dusetzina, S. B., Weinberger, M., Gaynes, B. N., Farley, J. F., Sleath, B., & Hansen, R. A. (2012). Prevalence of bipolar disorder diagnoses and psychotropic drug therapy among privately insured children and adolescents. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 32(12), 1085-1094. http://dx.doi.org/10.1002/phar.1148
Fagiolini, F. E., Axelson, D. A., Birmaher, B., Cheng, Y., Curet, D. E … Kupfer, D. J. (2009). Enhancing outcomes in patients with bipolar disorder: Results from the Bipolar Disorder Center for Pennsylvanians Study. Bipolar Disorder, 11(4), 382-390.. http://dx.doi.org/10.1111/j.1399-5618.2009.00700.x
Feeny, N. C., Danielson, C. K., Schwartz, L., Youngstrom, E. A., & Findling, R. L. (2006). Cognitive behavioral therapy for bipolar disorders in adolescents: A pilot study. Bipolar Disorder, 8, 508-515. http://dx.doi.org/10.1111/j.1399-5618.2006.00358.x
Frías, Á., Palma, C., & Farriols, N. (2015). Comorbidity in pediatric bipolar disorder: Prevalence, clinical impact, etiology and treatment. Journal of Affective Disorders, 174, 378-389. http://dx.doi.org/10.1016/j.jad.2014.12.008
Fristad, M. A. (2006). Psychoeducational treatment for school-aged children with bipolar disorder. Development and Psychopathology, 18, 1289-1306. http://dx.doi.org/10.1017/S0954579406060627
Fristad, M. A., Davidson, K. H., & Leffler, J. (2007). Thinking-feeling doing: A therapeutic technique for children with bipolar disorder and their parents. Journal of Family Psychotherapy, 18(4), 81-104. http://dx.doi.org/10.1300/J085v18n04_06
Fristad, M. A., Gavazzi, S. M., & Koons, B. M. (2003). Family psychoeducation: An adjunctive intervention for children with bipolar disorder. Biological Psychiatry, 53(4), 382-390. http://dx.doi.org/10.1016/S0006-3223(03)00186-0
Fristad, M. A., Verducci, J. S., Walters, K., & Young, M. E. (2009). Impact of multifamily psychoeducational psychotherapy in treating children aged 8 to 12 years with mood disorders. Archives of General Psichiatry, 66(9), 1013-1021. http://dx.doi.org/10.1001/archgenpsychiatry.2009.112
Fristad, M., Goldberg-Arnold, J., & Gavazzi, S. (2002). Multi-family psychoeducation groups (MFPG) for families of children with bipolar disorder. Biological Psychiatry, 46(4), 254-262. http://dx.doi.org/10.1001/archgenpsychiatry.2009.112
Geddes, J. R. & Miklowitz, D. J. (2013). Treatment of bipolar disorder. The Lancet, 381(9878), 1672-1682. http://dx.doi.org/10.1016/S0140-6736(13)60857-0
Gibson, S., Brand, S. L., Burt, S., Boden, Z. V., & Benson, O. (2013). Understanding treatment non-adherence in schizophrenia and bipolar disorder: a survey of what service users do and why. BMC psychiatry, 13(1), 153. http://dx.doi.org/10.1186/1471-244X-13-153
Goldstein, B. I. (2012). Recent progress in understanding pediatric bipolar disorder. Archives of Pediatrics & Adolescent Medicine, 166(4), 362-371. http://dx.doi.org/10.1001/archpediatrics.2011.832
Goldstein, B. I., Goldstein, T. R., Collinger, K. A., Axelson, D. A., Bukstein, O. G., Birmaher, B., & Miklowitz, D. J. (2014b). Treatment development and feasibility study of family-focused treatment for adolescents with bipolar disorder and comorbid substance use disorders. Journal of psychiatric practice, 20(3), 237. http://dx.doi.org/10.1097/01. pra.0000450325.21791.7e
Goldstein, T. R., Axelson, D. A., Birmaher, B., & Brent, D. A. (2010). Dialectical behavior therapy for adolescents with bipolar disorder: A 1 year open trial. Journal of the American Academy of Child and Adolescent Psychiatry, 46(7), 820-830. http://dx.doi.org/10.1097/chi.0b013e31805c1613
Goldstein, T. R., Fersch-Podrat, R., Axelson, D. A., Gilbert, A., Hlastala, S. A.; Birmaher, B., & Frank, E. (2014a). Early intervention for adolescents at high risk for the development of bipolar disorder: Pilot study of Interpersonal and Social Rhythm Therapy (IPSRT). Psychotherapy, 51(1), 180-189. http://dx.doi.org/10.1037/a0034396
Goldstein, T. R., Goldstein, B. I., Montz, M. B., Bailey, B., & Donaihy, A. (2011). A brief motivational intervention for preventing medication associated weight gain among youth with bipolar disorder: Treatment development and case report. Journal of Child and Adolescent Psychopharmacology, 21(3), 275-280. http://dx.doi.org/10.1089/ cap.2010.0104
Grande, I., Berk, M., Birmaher, B., & Vieta, E. (2015). Bipolar disorder. The Lancet (in press). http://dx.doi.org/10.1016/S0140-6736(15)00241-X
Hlastala, S. A., Kotler, J. S., McClellan, J. M., & McCauley, E. A. (2010). Interpersonal and social rhythm therapy for adolescents with bipolar disorder: Treatment development and results from and open trial. Depress Anxiety, 27(5), 457-464. http://dx.doi.org/10.1002/da.20668
Jairam, R., Srinath, S., Girimaji, S. C., & Seshadri, S. P. (2004). A prospective 4-5 year follow-up of juvenile onset bipolar disorder. Bipolar Disorders, 6(5), 386-394. http://dx.doi.org/10.1111/j.1399-5618.2004.00149.x
Leclerc, E., Mansur, R. B., & Brietzke, E. (2013). Determinants of adherence to treatment in bipolar disorder: a comprehensive review. Journal of affective disorders, 149(1), 247-252. http://dx.doi.org/10.1016/j.jad.2013.01.036
Leffler, J. M., Fristad, M. A., & Klaus, N. M. (2010). Psychoeducational Psychotherapy (PEP) for children with bipolar disorder: Two case studies. Journal of Family Psychoterapy, 21, 269-286. http://dx.doi.org/10.1080/08975353.2010.529051
Leibenluft, E. (2011). Severe mood dysregulation, irritability, and the diagnostic boundaries of bipolar disorder in youths. American Journal of Psychiatry, 168(2), 129-142. http://dx.doi.org/10.1176/appi.ajp.2010.10050766
Miklowitz, D. J., Axelson, D. A., Birmaher, B., George, E. L., Taylor, D. O. et al. (2008). Family-focused treatment for adolescents with bipolar disorder results of a 2-year randomized trial. Archives of General Psychiatry, 65(9), 1053-1061. http://dx.doi.org/10.1001/archpsyc.65.9.1053
Miklowitz, D. J., Chang, K. D., Taylor, D. O., George, E. L., Singh, M. K., Schneck, C. D. et al. (2011). Early psychosocial intervention for youth at risk for bipolar I or II disorder: A one-year treatment development trial. Bipolar Disorder, 13(1), 67-75. http://dx.doi.org/10.1111/j.1399-5618.2011.00890.x
Miklowitz, D. J., George, E. L., Axelson, D. A., Kim, E. Y., Birmaher, B., Schneck, C. et al. (2004). Family-focused treatment for adolescents with bipolar disorder. Journal of Affective Disorders, 82, 5113-5128. http://dx.doi.org/10.1016/j.jad.2004.05.020
Miklowitz, D. J., George, E. L., Richards, J. A., Simoneau, T. L., & Suddath, R. L. (2003). A randomized study of familyfocused psychoeducation and pharmacotherapy in the outpatient management of bipolar disorder. Archives of General Psychiatry, 60(9), 904-912. http://dx.doi.org/10.1001/archpsyc.60.9.904
Miklowitz, D. J., Schneck, C. D., George, E. L., Taylor, D. O., Sugar, C. A., Birmaher, B., ... & Axelson, D. A. (2014). Pharmacotherapy and Family-Focused Treatment for Adolescents With Bipolar I and II Disorders: A 2-Year Randomized Trial. American Journal of Psychiatry, 171(6), 658-667. http://dx.doi.org/10.1176/appi.ajp.2014.13081130
Miller, S., Chang, K. D., & Ketter, T. A. (2013). Bipolar disorder and attention-deficit/hyperactivity disorder comorbidity in children and adolescents: evidence-based approach to diagnosis and treatment. The Journal of Clinical Psychiatry, 74(6), 628. http://dx.doi.org/10.4088/JCP.13ac08565
Morken, G., Vaaler, A. E., & Folden, E. G. (2009). Age at onset of first episode and time to treatment in in-patients with bipolar disorder. British Journal of Psychiatry, 194, 559-560. http://dx.doi.org/10.1192/bjp.bp.108.054452
Organização Mundial da Saúde [OMS] (1992). Classificação estatística internacional de doenças (10ª ed.). São Paulo: EDUSP.
Pacheco, H. A., Fratoni, M. M., Parcias, S. R., Leal, B. M., da Silva, M. E. M., Guimarães, A. C. A., & Boing, L. (2014). Levantamento de manifestações clínicas na infância e adolescência de fatores precoces do transtorno bipolar. Pediatria Moderna, 50(4).
Pavuluri, M. N., Graczyk, P. A., Henry, D. B., Carbray, J. A., Heidenreich, J., & Miklowitz, D. J. (2004). Child- and family-focused cognitive behavioral therapy for pediatric bipolar disorder: Development and preliminary results. Journal of the Academy of Child & Adolescent Psychiatry, 43(5), 528-537. http://dx.doi.org/10.1097/00004583-
-00006
Phillips, M. L. & Kupfer, D. J. (2013). Bipolar disorder diagnosis: challenges and future directions. The Lancet, 381(9878), 1663-1671. http://dx.doi.org/10.1016/S0140-6736(13)60989-7
Prien R. F. & Rush A. J. (1996). National Institute of Mental Health workshop report on the treatment of bipolar disorder. Biological Psychiatry, 40, 215-220. http://dx.doi.org/10.1016/0006-3223(95)00379-7
Ramires, V. R. R., Benetti, S. P. C., Silva, F. J. L., & Flores, G. G. (2009). Saúde mental de crianças no Brasil: Uma revisão de literatura. Interação em Psicologia, 13(2), 311-322.
Reinares, M., Sánchez-Moreno, J., & Fountoulakis, K. N. (2014). Psychosocial interventions in bipolar disorder: what, for whom, and when. Journal of affective disorders, 156, 46-55. http://dx.doi.org/10.1016/j.jad.2013.12.017
Serrano E., Ezpeleta L., Alda J. A., Matalí J. L., & San L. (2011). Psychometric properties of the Young Mania Rating Scale for the identification of mania symptoms in Spanish children and adolescents with attention deficit/hyperactivity disorder. Psychopathology, 11(3), 125-132. http://dx.doi.org/10.1159/000320893
Severus, E. & Bauer, M. (2013). The impact of treatment decisions on the diagnosis of bipolar disorders. International Journal of Bipolar Disorders, 2, 3-3. http://dx.doi.org/10.1186/2194-7511-2-3
Sheriff, R. J., McGorry, P. D., Cotton, S., & Yung, A. R. (2015). A Qualitative Study of the Prodrome to First- Episode Major Depressive Disorder in Adolescents. Psychopathology, 48(3), 153-161. http://dx.doi.org/10.1159/000373894
Van Meter, A. R., Burke, C., Kowatch, R. A., Findling, R. L., & Youngstrom, E. A. (2016). Ten-year updated metaanalysis of the clinical characteristics of pediatric mania and hypomania. Bipolar disorders (in press). http://dx.doi.org/10.1111/bdi.12358
Van Meter, A. R., Moreira, A. L., & Youngstrom, E. A. (2011). Meta analysis of epidemiologic studies of pediatric bipolar disorder. The Journal of Clinical Psychiatry, 72(9), 1250-1256. http://dx.doi.org/10.4088/JCP.10m06290
West, A. E, & Pavuluri, M. N. (2009). Psychosocial treatment for childhood and adolescent bipolar disorder. Child and Adolescent Psychiatric Clinics of North America, 18, 471-482. http://dx.doi.org/10.1016/j.chc.2008.11.009
West, A. E., Jacobs, R. H., Westerholm, R., Lee, A., Carbray, J., Heidenreich, J., & Pavuluri, M. N. (2009). Child and family-focused cognitive-behavioral therapy for pediatric bipolar disorder: Pilot study of group treatment format. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 18(3), 239-246.
Yen, S., Stout, R., Hower, H., Killam, M. A., Weinstock, L. M., Topor, D. R., ... & Goldstein, B. I. (2015). The influence of comorbid disorders on the episodicity of bipolar disorder in youth. Acta Psychiatrica Scandinavica (in press). http://dx.doi.org/10.1111/acps.12514
Young, S., Pfaff, D., Lewandowski, K. E., Ravichandran, C., Cohen, B. M., & Öngür, D. (2013). Anxiety disorder comorbidity in bipolar disorder, schizophrenia and schizoaffective disorder. Psychopathology, 46(3), 176-185. http://dx.doi.org/10.1159/000339556
Zazula, R. & Gon, M. C. C. Instruções Verbais e o Seguir Recomendações Médicas para Tratamento da Dermatite Atópica na Infância. Interação em Psicologia, 18(2), 155-165. http://dx.doi.org/10.5380/psi.v18i2.29589
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