TABLE 2.
Baseline Demographic and Clinical Characteristics of Youths With Bipolar Disordera
| Characteristic | Class 1: Predominantly Euthymic (N=88) | Class 2: Moderately Euthymic (N=127) | Class 3: Ill With Improving Course (N=70) | Class 4: Predominantly Ill (N=82) | p | ||||
|---|---|---|---|---|---|---|---|---|---|
| Demographic variables | |||||||||
|
| |||||||||
| Mean | SD | Mean | SD | Mean | SD | Mean | SD | ||
|
| |||||||||
| Age (years) | 13.63,4 | 3.4 | 12.8 | 3.1 | 12.31 | 3.3 | 11.71 | 3.3 | 0.001 |
| Hollingshead Index of Social Status | 3.92,3,4 | 1.2 | 3.41 | 1.1 | 3.31 | 1.1 | 3.01 | 1.3 | <0.001 |
|
| |||||||||
| N | % | N | % | N | % | N | % | ||
|
| |||||||||
| Tanner stage of sexual development | 0.08 | ||||||||
| I–III | 26 | 40.6 | 58 | 55.8 | 31 | 59.6 | 42 | 61.8 | |
| IV | 21 | 32.8 | 29 | 27.9 | 17 | 32.7 | 14 | 20.6 | |
| V | 17 | 26.6 | 17 | 16.4 | 4 | 7.7 | 12 | 17.7 | |
| Female | 43 | 48.9 | 55 | 43.3 | 33 | 47.1 | 40 | 48.8 | 0.8 |
| White | 73 | 83.0 | 107 | 84.3 | 58 | 82.9 | 65 | 79.3 | 0.8 |
| Living with both biological parents | 46 | 52.34 | 55 | 43.3 | 27 | 38.6 | 26 | 31.71 | 0.05 |
| Clinical variables | |||||||||
|
| |||||||||
| Mean | SD | Mean | SD | Mean | SD | Mean | SD | ||
|
| |||||||||
| Age at onset of mood symptoms (years) | 10.42,3,4 | 4.3 | 8.31,4 | 4.0 | 7.71 | 3.9 | 6.91,2 | 3.2 | <0.001 |
| Age at onset of first manic symptoms (years) | 12.14 | 4.0 | 10.4 | 4.2 | 11.4 | 4.1 | 9.11 | 3.8 | 0.01 |
| Age at onset of first major depressive episode (years) | 12.42,3,4 | 3.4 | 10.31 | 3.8 | 10.31 | 3.7 | 9.31 | 3.8 | 0.003 |
| Duration of mood symptoms (years) | 3.182,3,4 | 2.8 | 4.451 | 3.0 | 4.951 | 3.1 | 4.911 | 2.8 | <0.001 |
| Mania Rating Scale score | 20.33 | 13.9 | 21.73 | 11.8 | 26.71,2 | 11.2 | 24.6 | 11.0 | 0.004 |
| Depression Rating Scale score | 10.32,3,4 | 10.8 | 15.61 | 10.2 | 16.21 | 8.9 | 15.71 | 9.5 | <0.001 |
| Children’s Global Assessment Scale | |||||||||
| Score | 54.0 | 14.8 | 56.0 | 11.4 | 54.7 | 11.7 | 54.4 | 10.7 | 0.7 |
| Most severe past score | 39.1 | 9.0 | 36.9 | 11.6 | 38.9 | 10.1 | 36.5 | 11.2 | 0.3 |
|
| |||||||||
| N | % | N | % | N | % | N | % | ||
|
| |||||||||
| Bipolar disorder type | 0.3 | ||||||||
| Type I | 56 | 63.6 | 76 | 59.8 | 39 | 55.7 | 47 | 57.3 | |
| Type II | 8 | 9.1 | 10 | 7.9 | 1 | 1.4 | 7 | 8.5 | |
| Not otherwise specified | 24 | 27.3 | 41 | 32.3 | 30 | 42.9 | 28 | 34.2 | |
| Polarity | |||||||||
| Depressed | 12 | 13.6 | 24 | 18.9 | 7 | 10.0 | 7 | 8.5 | 0.1 |
| Manic or hypomanic | 36 | 40.92,3 | 30 | 23.61 | 13 | 18.61 | 25 | 30.5 | 0.008 |
| Mixed state | 15 | 17.1 | 21 | 16.5 | 13 | 18.6 | 10 | 12.2 | 0.7 |
| Subsyndromal mood symptoms (bipolar disorder not otherwise specified) | 25 | 28.43,4 | 52 | 40.9 | 37 | 52.91 | 40 | 48.81 | 0.009 |
| More than 1 mood episode | |||||||||
| Syndromal | 38 | 43.22 | 79 | 62.21 | 36 | 51.4 | 47 | 57.3 | 0.04 |
| Subsyndromal | 19 | 21.62,3 | 56 | 44.11 | 33 | 47.11 | 32 | 39.0 | 0.002 |
| Mixed state | 23 | 26.1 | 35 | 27.6 | 21 | 30.0 | 19 | 23.2 | 0.8 |
| Psychosis | 11 | 12.5 | 32 | 25.2 | 18 | 25.7 | 20 | 24.4 | 0.1 |
| Childhood onset of mood symptoms | 25 | 28.43,4 | 57 | 44.9 | 34 | 48.61 | 47 | 57.31 | 0.002 |
| Self-injurious behavior | 20 | 22.72,4 | 53 | 41.71 | 26 | 37.1 | 36 | 43.91 | 0.01 |
| Suicidal ideation | 49 | 55.72,3,4 | 102 | 80.31 | 54 | 77.11 | 65 | 79.31 | <0.001 |
| Suicide attempt | 14 | 15.92 | 48 | 37.81 | 17 | 24.3 | 27 | 32.9 | 0.004 |
| Physical or sexual abuse | 6 | 6.82,4 | 31 | 24.41 | 14 | 20.0 | 20 | 24.41 | 0.006 |
| Physical abuse | 6 | 6.8 | 16 | 12.6 | 11 | 15.7 | 15 | 18.3 | 0.1 |
| Sexual abuse | 1 | 1.12,4 | 21 | 16.51 | 6 | 8.6 | 12 | 14.61 | 0.003 |
| Comorbid disorders | |||||||||
| Attention deficit hyperactivity disorder | 37 | 42.13,4 | 75 | 59.1 | 45 | 64.31 | 59 | 72.01 | <0.001 |
| Conduct disorder or oppositional defiant disorder | 38 | 43.2 | 54 | 42.5 | 35 | 50.0 | 49 | 59.8 | 0.07 |
| Anxiety disorder | 18 | 20.12,3,4 | 52 | 40.91 | 34 | 48.61 | 35 | 42.71 | 0.001 |
| Substance use disorder | 5 | 5.7 | 11 | 8.7 | 4 | 5.7 | 5 | 6.1 | 0.8 |
| Pervasive developmental disorder not otherwise specified or Asperger’s syndrome | 2 | 2.3 | 9 | 7.1 | 6 | 8.6 | 10 | 12.2 | 0.1 |
Superscripts denote significant between-class differences, with p values ≤0.05 after Bonferroni correction.