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Debate: Fomenting controversy regarding pediatric bipolar disorder.

Authors
  • Goldstein, Benjamin I1, 2
  • Post, Robert M3, 4
  • Birmaher, Boris5, 6
  • 1 Centre for Youth Bipolar Disorder, Sunnybrook Health Sciences Centre.
  • 2 Department of Psychiatry, University of Toronto Faculty of Medicine.
  • 3 Bipolar Collaborative Network.
  • 4 George Washington University School of Medicine.
  • 5 Child and Adolescent Bipolar Spectrum Services, University of Pittsburgh Medical Center.
  • 6 Department of Psychiatry, University of Pittsburgh School of Medicine.
Type
Published Article
Journal
Child and adolescent mental health
Publication Date
Feb 01, 2019
Volume
24
Issue
1
Pages
95–96
Identifiers
DOI: 10.1111/camh.12318
PMID: 31866767
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Does bipolar disorder exist in children? How common is childhood-onset bipolar disorder among adults? Are bipolar spectrum conditions relevant? Answers to these questions are key drivers of the design and interpretation of epidemiologic studies of pediatric bipolar disorder. In our commentary, we assert that Parry and colleagues have selectively attended to certain findings that support their thesis, while ignoring contradictory findings, and that they have assigned excessive meaning to relatively pedestrian methodologic limitations. Their singling out of the United States is done with criticism but without critical appraisal. We highlight the flawed logic and inferential leaps that sustain Parry et al's criticism despite contradictory information dating back over a century.

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