I'm Not Being Critical, You're Just Too Sensitive: Pediatric Bipolar Disorder and Families.

I'm Not Being Critical, You're Just Too Sensitive: Pediatric Bipolar Disorder and Families.
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DOI:
10.1007/s10862-020-09848-x
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发表时间:
2021-03
影响因子:
1.6
通讯作者:
Findling RL
Findling RL
中科院分区:
心理学4区
文献类型:
--
作者:
Schudlich TDDR;Ochrach C;Youngstrom EA;Youngstrom JK;Findling RL

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The present study examines the relationship between Perceived Criticism (PC) and Sensitivity to Criticism (SC) in youth with Bipolar Spectrum Disorder (BPSD), their symptomatic experiences, and family functioning. We hypothesized that findings for youth would be consistent with findings for adults indicating that PC and SC would be associated with a worse clinical presentation, and that associations between family criticism and sensitivity and youth symptoms would be stronger for youth with BPSD than with other clinical diagnoses. We examined 828 youths ages 4-18 years (M=10.9, SD=3.4) and their caregivers from diverse ethnic and socioeconomic backgrounds using the Longitudinal Expert evaluation of All Data (LEAD) diagnoses, the parent-reported General Behavior Inventory, The Perceived Criticism Scale, and the Family Assessment Device. We found significant positive association between parent reports of youth criticalness and more severe manic and depression symptoms, greater mood lability, higher suicidality, and worse overall functioning. Youth with BPSD were significantly more critical and had higher SC than youth without BPSD. Interactions between BPSD and family criticalness and sensitivity were found in their links with youth symptoms. Negative associations between criticism and sensitivity and youth global family functioning were significant only for youth with BPSD. The positive association between criticism and youth mood lability was significant only for youth with BPSD. Our findings suggest that family factors and interactional patterns impact and are influenced by functioning in youth with BPSD and that family-based treatments should be considered routinely with these youth.
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