AU - Shahrivar, Zahra AU - Alaghbandrad, Javad AU - Shirazi, Elham TI - Does Attention Deficit Hyperactivity Disorder affect Clinical Characteristics of Mania in Children and Adolescents? PT - JOURNAL ARTICLE TA - ijpcp JN - ijpcp VO - 12 VI - 3 IP - 3 4099 - http://ijpcp.iums.ac.ir/article-1-2-en.html 4100 - http://ijpcp.iums.ac.ir/article-1-2-en.pdf SO - ijpcp 3 AB  -  AbstractObjectives: To assess the impact of attention deficit hyperactivity disorder (ADHD) on clinical characteristics of bipolar disorder (BPD) in hospitalized children and adolescents. Method: Clinical characteristics of twenty 6-18 years old children and adolescents with BPD was assessed and compared in two groups of patients with or without ADHD, using K-SADS clinical interview and the clinical diagnosis of two child and adolescent psychiatrists. Results: 35% of patients had a history of ADHD. The onset of BPD in the BPD+ADHD group was earlier. Comorbidity rates of other disorders were also higher in this group than in the group with pure ADHD. Conclusion: It is likely that subjects with BPD+ADHD comprise a particular subgroup of bipolar patients. In this subgroup there is a higher rate of comorbidity and a lower age of mania onset the onset of the disorder is also usually of subacute type. Therefore, ADHD may be a harbinger of bipolar disorder in these children and adolescents. CP - IRAN IN - Psychiatrist, Assistant Prof. of Tehran University of Medical Sciences, Roozbeh Hospital, Kargar Jonoobi Ave., Tehran, Iran, I R LG - eng PB - ijpcp PG - 197 PT - Original Research YR - 2006