Evidence map›Paper›PMID 32553395›Full record

ReviewJournal of affective disorders2020

Toward prevention of bipolar disorder in at-risk children: Potential strategies ahead of the data.

Robert M Post, Benjamin I Goldstein, Boris Birmaher, Robert L Findling, Benicio N Frey, Melissa P DelBello, David J Miklowitz

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05427123 (A Collaborative Treatment Network for Youth With or at High Risk for Bipolar Disorder), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05427123 recruitingnot on this mapstarted 2022, after this paper: background citation

A Collaborative Treatment Network for Youth With or at High Risk for Bipolar Disorder

TypeobservationalSponsorUniversity of California, Los AngelesRan2022 to 2027Enrolled80ConditionsBipolar Disorder, Bipolar I Disorder, Bipolar II Disorder, Other Specified Bipolar and Related DisorderArmsMedication or psychosocial treatment
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. What Patients with Bipolar Disorder Need to Know about Lithium.Pharmaceuticals (Basel, Switzerland) · 2024
    Review
  5. Article
  6. Article
  7. The Challenges of Children with Bipolar Disorder.Medicina (Kaunas, Lithuania) · 2021
    Review
  8. Preventive psychiatry: a blueprint for improving the mental health of young people.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021
    Article
  9. 25 Years of the International Bipolar Collaborative Network (BCN).International journal of bipolar disorders · 2021
    Review
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Robert M PostBipolar Collaborative Network, Professor of Psychiatry George Washington Medical School, Bethesda, MD, Washington, DC, United States. Electronic address: robert.postmd@gmail.com.
Benjamin I GoldsteinDepartments of Psychiatry and Pharmacology, University of Toronto; Centre for Youth Bipolar Disorder, Sunnybrook Health Sciences Centre, Canada.
Boris BirmaherUniversity of Pittsburgh School of Medicine, Psychiatry Research Pathway, United States.
Robert L FindlingDepartment of Psychiatry, Virginia Commonwealth University, Richmond, VA, United States.
Benicio N FreyMood Disorders Program, Department of Psychiatry and Behavioural Neurosciences, Women's Health Concerns Clinic, St. Joseph's Healthcare Hamilton, ON, Canada.
Melissa P DelBelloUniversity of Cincinnati College of Medicine, Cincinnati, OH, United States.
David J MiklowitzPsychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience and Behavior, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States.
Pathway · USSt. Joseph’s Healthcare Hamilton · CASunnybrook Health Science Centre · CAUniversity of Cincinnati Medical Center · USVirginia Commonwealth University · US

Funding

Family-Focused Therapy for Individuals at High Clinical Risk for Psychosis: A Confirmatory Efficacy TrialR01MH123575 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BEARDEN, CARRIE E, MIKLOWITZ, DAVID JAY · 2020 to 2023
$5.4M
Neurodevelopment and Psychosis in the 22q11.2 Copy Number VariantsR37MH085953 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CARRIE E BEARDEN · 2023 to 2026
$2.9M
Technology-Enhanced Family-Focused Treatment for Adolescents at High Risk for Mood DisordersR34MH117200 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI AREVIAN, ARMEN C, MIKLOWITZ, DAVID JAY · 2018 to 2020
$933k
CIHRNIMH NIH HHS R01 MH123575NIMH NIH HHS R34 MH117200NIMH NIH HHS R37 MH085953
6 · The paper itself

Abstract

backgroundDespite the well-documented negative impact of untreated bipolar illness, approaches to early intervention in childhood-onset bipolar and related disorders are not well delineated.

methodsWe reviewed the extant treatment literature on children at high risk for bipolar disorder, with definitions based on family history, childhood adversity, and prodromal symptoms.

resultsA panoply of approaches have been described, but most interventions are based on an inadequate database to support their routine implementation. We classify early stage interventions as a function of their safety and tolerability with the hope that these might generate more rigorous study and a stronger database. LIMITATIONS: Critics may rightly argue that identifying viable treatment methods is premature given our lack of ability to reliably predict illness trajectory in very young children. However, many of the psychosocial and pharmacological interventions we present could have nonspecific positive effects across a variety of symptoms, syndromes, and diagnoses, further enhancing the rationale for more rigorous study.

conclusionsEarly stage interventions have the potential to improve functioning in prodromal illness and exert long-term positive effects on the course of illness. Many of the safest interventions deserve consideration for implementation and dissemination studies.

Indexed as

Bipolar DisorderChildChild, PreschoolHumansProdromal SymptomsAnxietyDepressionEarly interventionEpigeneticsGeneticsProdromesPsychopharmacologyPsychotherapy

Identifiers

PMID32553395
PMCPMC8986089
OpenAlexW3010067892

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.