Iranian Journal of Psychiatry and Clinical Psychology
مجله روانپزشكي و روانشناسي باليني ايران
IJPCP
Medical Sciences
http://ijpcp.iums.ac.ir
18
journal18
1735-4315
2228-7515
10.32598/ijpcp
fa
jalali
1391
5
1
gregorian
2012
8
1
18
2
online
1
fulltext
fa
عوامل پیشبینیکننده پیامد کوتاهمدت اختلال دوقطبی نوع یک در کودکان و نوجوانان
Short-time Outcome Predictors of Bipolar Disorder Type I in Children and Adolescents
روانپزشکی و روانشناسی
Psychiatry and Psychology
پژوهشي اصيل
Original Research
<p class="a" style="LINE-HEIGHT: 18pt MARGIN: 0cm 1cm 0pt mso-line-height-rule: exactly" dir="rtl"><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">هدف</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> هدف پژوهش حاضر شناسایی عوامل جمعیتشناختی و بالینی پیشبینیکننده پیامد کلی اختلال دوقطبی نوع یک در کودکان و نوجوانان در پیگیریهای سه و ششماهه بود. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">روش</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> طرح پژوهش از نوع طولی و آیندهنگر بود. 80 کودک و نوجوان بستری در بیمارستان روزبه با تشخیص اختلال دوقطبی نوع یک، بهصورت در دسترس وارد پژوهش شدند. ابزارهای پژوهش هنگام بستری و زمان ترخیص و دو دوره پیگیری سه و ششماهه در مورد آزمودنیها تکمیل شدند؛ پرسشنامه دادههای جمعیتشناختی، برنامه کودکان برای اختلالهای عاطفی و اسکیزوفرنیا، تشخیص کنونی و طولعمر </span><span dir="ltr"></span><span dir="ltr"></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>(K-SADS-PL)</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>، مقیاس نمرهگذاری شیدایی یانگ </span><span dir="ltr"></span><span dir="ltr"></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>(YMRS)</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>، پرسشنامه افسردگی کودکان </span><span dir="ltr"></span><span dir="ltr"></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>(CDI)</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>، پرسشنامه افسردگی بک </span><span dir="ltr"></span><span dir="ltr"></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>(BDI)</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> و برداشت کلی بالینی </span><span dir="ltr"></span><span dir="ltr"></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>(CGI)</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>. ضریب همبستگی پیرسون و تحلیل رگرسیون چندمتغیری برای تحلیل دادهها بهکار رفت. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">یافتهها</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> شدت نشانههای شیدایی در پیگیری ششماهه با پسربودن (01/0=</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">p</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) و شدت شیدایی در بدو بستری (04/0=</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">p</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) همبستگی مثبت داشت. میزان بازگشت در پیگیری ششماهه با وجود روانپریشی در بدو بستری همبستگی مثبت (05/0></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">p</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) داشت. شدت کلی اختلال در ماه ششم با مدت زمانی که از شروع نخسیتن نشانهها تا دریافت درمان روانپزشکی میگذشت ارتباط مثبت داشت (03/0=</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">p</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>). </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">نتیجهگیری</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> برخی ویژگیهای جمعیتشناختی و بالینی در پیشبینی سیر بیماری و پاسخ به درمان نقش دارند.<p></p></span></p>
<p class="MsoNormal" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify LINE-HEIGHT: 14pt TEXT-KASHIDA: 0% MARGIN: 0cm 0cm 0pt unicode-bidi: embed DIRECTION: ltr mso-line-height-rule: exactly"><font face="Times New Roman"><span class="longtext"><b><u><span style="BACKGROUND: white COLOR: black FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'">Objectives</span></u></b></span><span class="longtext"><b><span style="BACKGROUND: white COLOR: black FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'">:</span></b></span><span class="longtext"><span style="BACKGROUND: white COLOR: black FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'"> This study aimed to evaluate the three and six month clinical and demographic outcome predictors (recurrence rate, the rate of hospitalization, severity of illness and recovery rates) in a group of children and adolescents with type I bipolar disorders. <b><u>Method</u>:</b> The participants of this longitudinal and prospective study were 80 children and adolescents admitted in Roozbeh Hospital, Tehran, Iran with a diagnosis of type I bipolar disorder.</span></span><span class="longtext"><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'"> <span style="BACKGROUND: white COLOR: black">Consecutive <font style="BACKGROUND-COLOR: #ffffff"><span style="LETTER-SPACING: -0.1pt">referrals were included in a prospective cohort. The participants were evaluated </span>at admission, discharge, and follow-up at 3 and 6 months, using demographic questionnaire, </font></span></span></span><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'">Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Persian Version <span class="longtext"><span style="BACKGROUND: white COLOR: black">(K-SADS-PL-PV), </span></span>Young Mania Rating Scale <span class="longtext"><span style="BACKGROUND: white COLOR: black">(Y-MRS), </span></span>Children Depression Inventory (<span class="longtext"><span style="BACKGROUND: white COLOR: black">CDI), </span></span>Beck Depression Inventory<span class="longtext"><span style="BACKGROUND: white COLOR: black"> (BDI), and </span></span>Clinical Global Impression<span class="longtext"><span style="BACKGROUND: white COLOR: black"> (CGI). The Pearson correlation coefficient and multivariate regressions were used for data analysis. <b><u>Results</u>:</b></span> <span style="BACKGROUND: white COLOR: black">The 6-month follow-up showed that there was a positive correlation between the severity of mania with male gender (p=0.01) and the severity of mania at admission <font style="BACKGROUND-COLOR: #ffffff"><span style="LETTER-SPACING: -0.2pt">(p=0.04). The rate of recurrence at the 6-month follow-up was correlated (p=0.05,</span> <span style="LETTER-SPACING: -0.2pt">r=0.22) with psychosis at admission. The duration of untreated disorder (p=0.03)</span> had a positive correlation with the severity of global impairment at the 6 month follow-up.</font><b> <u>Conclusion</u>:</b> This study confirms the role of some demographic and clinical features in predicting the course of disease and response to treatment</span></span></span><span class="longtext"><span style="BACKGROUND: white COLOR: black"><font size="3">.</font></span></span><span class="longtext"><span style="COLOR: black FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'"> </span></span></font></p>
اختلال دوقطبی، کودک و نوجوان، پیامد، پیشبینی، عوامل جمعیتشناختی، عوامل بالینی
bipolar disorder, child and adolescent, outcome, predictor
128
137
http://ijpcp.iums.ac.ir/browse.php?a_code=A-10-1-468&slc_lang=fa&sid=1
Parviz
Molavi
پرویز
مولوی
180031947532846006849
180031947532846006849
No
Ardabil University of Medical Sciences, Ardabil, Iran
دانشیار دانشگاه علومپزشکی اردبیل
Zahra
Shahrivar
زهرا
شهریور
sharivar@sina.tums.ac.ir
180031947532846006850
180031947532846006850
Yes
Tehran University of Medical Sciences
دانشگاه علومپزشکی تهران، بیمارستان روزبه.
Javad
Mahmoodi Gharaee
جواد
محمودی قرائی
180031947532846006851
180031947532846006851
No
Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
دانشگاه علومپزشکی تهران، بیمارستان روزبه
Sajjad
Basharpoor
سجاد
بشرپور
180031947532846006852
180031947532846006852
No
University of Mohaghegh Ardebili, Iran
دانشگاه محقق اردبیلی
Afshan
Sharghi
افشان
شرقی
180031947532846006853
180031947532846006853
No
Ardabil University of Medical Sciences, Ardabil, Iran
دانشگاه علومپزشکی اردبیل
Fatemeh
Nikparvar
فاطمه
نیکپرور
180031947532846006854
180031947532846006854
No
hahid Beheshti University, Tehran, Iran
دانشگاه شهید بهشتی تهران