Distinguishing prodromal stage of bipolar disorder and early onset schizophrenia spectrum disorders during adolescence
Articles > Article · 2019
Authors: HELİN YILMAZ KAFALI, Tezan BİLDİK, Emre Bora, Zeki YÜNCÜ, HATİCE SERPİL ERERMİŞ
PSYCHIATRY RESEARCH, Journal Indexed in SCI Expanded, International, 2019, vol 275, pp 315-325
DOI: 10.1016/j.psychres.2019.03.051
Summary
Prodromal symptoms of bipolar disorder (BD) and early onset schizophrenia spectrum disorder (EOSSD) overlap. To date, there has been no study directly comparing the prodromal stage of both disorders. Thus, the current study is aimed at determining which prodromal symptom clusters differentiate BD and EOSSD. One hundred twenty one adolescents (33 BD-1, 30 EOSSD, 58 healthy controls) were evaluated for the presence of 79 prodromal symptoms, divided into 7 prodromal symptom clusters. Great than 2 subsyndromal manic symptoms and ADHD comorbidity were significantly more specific for BD than schizophrenia; brief limited intermittent psychotic symptoms (BLIPS) were more likely to be part of EOSSD. In contrast, attenuated psychotic symptoms, and negative symptoms were not specifically related to the diagnosis of EOSSD. In conclusion, subsyndromal manic symptoms, BLIPS, and ADHD might be useful for predicting the trajectory of an emerging affective disorder versus schizophrenia and thus valuable for early detection, and intervention strategies.