title: Longitudinal associations between interpersonal relationship functioning and mood episode severity in youth with bipolar disorder.
abstract: This study examined the longitudinal association between mood episode severity and relationships in youth with bipolar (BP) disorder. Participants were 413 Course and Outcome of Bipolar Youth study youth, aged 12.6 ± 3.3 years. Monthly ratings of relationships (parents, siblings, and friends) and mood episode severity were assessed by the Adolescent Longitudinal Interval Follow-up Evaluation Psychosocial Functioning Schedule and Psychiatric Rating Scales, on average, every 8.2 months over 5.1 years. Correlations examined whether participants with increased episode severity also reported poorer relationships and whether fluctuations in episode severity predicted fluctuations in relationships, and vice versa. Results indicated that participants with greater mood episode severity also had worse relationships. Longitudinally, participants had largely stable relationships. To the extent that there were associations, changes in parental relationships may precede changes in episode severity, although the magnitude of this finding was small. Findings have implications for relationship interventions in BP youth.
authors: *Department of Psychiatry, University of North Carolina, Chapel Hill; †Center for Addiction Medicine, Massachusetts General Hospital, Harvard Medical School, Cambridge; ‡Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, and §Butler Hospital, Providence, RI; ∥Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, PA; ¶Department of Child Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto Medical Center, Toronto, Ontario, Canada; #Emma Pendelton Bradley Hospital, East Providence, RI; **Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California at Los Angeles; and ††Nationwide Children's Hospital and The Ohio State College of Medicine, Columbus.
authors: Rebecca S
authors: RS
authors: Siegel
authors: Bettina
authors: B
authors: Hoeppner
authors: Shirley
authors: S
authors: Yen
authors: Robert L
authors: RL
authors: Stout
authors: Lauren M
authors: LM
authors: Weinstock
authors: Heather M
authors: HM
authors: Hower
authors: Boris
authors: B
authors: Birmaher
authors: Tina R
authors: TR
authors: Goldstein
authors: Benjamin I
authors: BI
authors: Goldstein
authors: Jeffrey I
authors: JI
authors: Hunt
authors: Michael
authors: M
authors: Strober
authors: David A
authors: DA
authors: Axelson
authors: Mary Kay
authors: MK
authors: Gill
authors: Martin B
authors: MB
authors: Keller
mesh_terms: D000293:Adolescent; D001714:Bipolar Disorder / Q000503:physiopathology* / Q000523:psychology; D002648:Child; D005260:Female; D033062:Friends / Q000523:psychology; D006801:Humans; D007398:Interpersonal Relations; D008137:Longitudinal Studies; D008297:Male; D010287:Parent-Child Relations; D012720:Severity of Illness Index; D012801:Sibling Relations