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Clinical staging model in offspring of parents with bipolar disorder: a systematic review
Author(s) -
Raouna Aigli,
Osam Cemre Su,
MacBeth Angus
Publication year - 2018
Publication title -
bipolar disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.285
H-Index - 129
eISSN - 1399-5618
pISSN - 1398-5647
DOI - 10.1111/bdi.12604
Subject(s) - bipolar disorder , psychopathology , mania , hypomania , mood , mood disorders , psychology , offspring , clinical psychology , anxiety , psychiatry , developmental psychopathology , pregnancy , biology , genetics
abstract Objective We sought to systematically review the literature on the psychiatric risk of offspring of parents with bipolar disorder ( OPBD ) using a developmental psychopathology framework. The review also sought to establish the utility of clinical stage modelling as a framework for identifying precursor disorders to later onset of bipolar disorder ( BD ) in OPBD . Methods A systematic search was performed using EMBASE , Psych INFO and Medline. Reference lists of included studies and previous reviews were also searched. Studies were included if they reported diagnostic outcomes for child, adolescent and young adult offspring of parents diagnosed with BD . Results Twenty‐six studies were identified representing 21 individual cohorts. The review identified that OBPD present as a high‐risk group for a range of mood and non‐mood disorders in childhood, adolescence and young adulthood. The trajectory of risk was from non‐mood disorders in childhood via non‐bipolar mood disorders in early adolescence towards mania/hypomania in late adolescence and early adulthood. From a clinical staging perspective, childhood anxiety disorders were associated with later onset of BD . Recurrent substance use disorder was identified as a risk in OPBD during late adolescence and early adulthood. Quality ratings indicated that studies were methodologically robust. Conclusions Our review provides evidence for a developmental psychopathology trajectory of precursor risks to BD in OPBD . There is support for clinical stage modelling as a conceptual framework for understanding developmental risk in OPBD and as a tool for developing early and individualized intervention strategies.