A Preliminary Study of the Effects of Treatment with Lithium Versus Quetiapine on Attention of Adolescents with Bipolar Disorder.

Objectives: Despite attentional deficits being a prominent feature of bipolar disorder, there are limited data on the effects of common treatments for bipolar disorder on attention. Thus, we sought to compare the effects of lithium versus quetiapine on attention in adolescents with bipolar disorder....

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Published in:Journal of Child & Adolescent Psychopharmacology Vol. 30; no. 7; pp. 465 - 470
Main Authors: Streicher, Joshua V., Wen, Hongbo, Blom, Thomas J., Tallman, Maxwell J., Strawn, Jeffrey R., Klein, Christina, Patino, L. Rodrigo, DelBello, Melissa P.
Format: research tables/charts Journal Article
Published: Mary Ann Liebert, Inc. Sep2020
Online Access:View this record in EBSCOhost
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      dt: Sep2020
      vid: 30
      iid: 7
      pid: 1365
      pub: Mary Ann Liebert, Inc.
      place: New Rochelle, New York
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        145473159
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        10.1089/cap.2019.0169
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        atl: A Preliminary Study of the Effects of Treatment with Lithium Versus Quetiapine on Attention of Adolescents with Bipolar Disorder.
      aug:
        au:
          Streicher, Joshua V.
          Wen, Hongbo
          Blom, Thomas J.
          Tallman, Maxwell J.
          Strawn, Jeffrey R.
          Klein, Christina
          Patino, L. Rodrigo
          DelBello, Melissa P.
        affil: Division of Bipolar Disorders Research, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
      sug:
        subj:
          Bipolar Disorder Drug Therapy
          Lithium Therapeutic Use
          Antipsychotic Agents Therapeutic Use
          Attention Drug Effects
          Double-Blind Studies
          Adolescence
          Ohio
          Female
          Male
          Funding Source
          Human
          Adolescent: 13-18 years
          Female
          Male
      ab: Objectives: Despite attentional deficits being a prominent feature of bipolar disorder, there are limited data on the effects of common treatments for bipolar disorder on attention. Thus, we sought to compare the effects of lithium versus quetiapine on attention in adolescents with bipolar disorder. Methods: Adolescents ages 10-17 with bipolar disorder, type I, who were experiencing a manic or mixed episode, were recruited from outpatient settings and the inpatient psychiatric units at Cincinnati Children's Hospital Medical Center during their first manic episode. Healthy comparison subjects were recruited from outreach programs in the community. Patients were randomized to lithium or quetiapine, administered in a double-dummy, double-blinded manner for 6 weeks. Attentional deficits were assessed in all groups using the Identical Pairs Continuous Performance Task at baseline and at week 6. Results: Patients with bipolar disorder (n = 79) had impaired attention relative to the healthy group (n = 57) at both baseline and after 6 weeks of treatment. The lithium-treated group (n = 30) had poorer attentional performance than the healthy group at week 6. There was a difference in change in performance between lithium- and quetiapine-treated (n = 49) groups. Conclusion: Youth with bipolar disorder may have impaired attention relative to their healthy peers. Conclusions are limited by the high dropout rate in the lithium-treated group.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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