@article{ref1,
title="Adverse life events and pediatric bipolar disorder in a community mental health setting",
journal="Community mental health journal",
year="2005",
author="Marchand, William R. and Wirth, Laurel and Simon, Cindy",
volume="41",
number="1",
pages="67-75",
abstract="OBJECTIVE: To determine the frequency and effects of exposure to adverse events in pediatric bipolar disorder. METHOD: Charts of youths with bipolar disorder were retrospectively reviewed. RESULTS: Thirty-five of 66 (53%) had experienced maltreatment. Most (90.9%) had divorced or separated parents and 31.8% were adopted or in foster care. Exposure to adverse events was associated with delay of diagnosis (p = .010), psychiatric hospitalization (p = .035), residential treatment (p = .003) and a decreased response to treatment (p = .006). CONCLUSIONS: Exposure to adverse events may be common among pediatric bipolar patients and have a negative impact on prognosis.<p /><p>Language: en</p>",
language="en",
issn="0010-3853",
doi="",
url="http://dx.doi.org/"
}