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Pediatric Bipolar Disorder Study at UCLA
This study is currently recruiting participants.
Verified by National Institute of Mental Health (NIMH), August 2009
First Received: August 18, 2009   Last Updated: September 4, 2009   History of Changes
Sponsor: National Institute of Mental Health (NIMH)
Collaborator: The State Family Fund
Information provided by: National Institute of Mental Health (NIMH)
ClinicalTrials.gov Identifier: NCT00961935
  Purpose

The UCLA Semel Institute for Neuroscience in Los Angeles, CA, is conducting a study looking at similarities and differences in how the brain works between bipolar disorder and attention deficit hyperactivity disorder (ADHD).


Condition Intervention
Bipolar Disorder
Other: Neurocognitive Tasks
Other: EEG
Other: fMRI

Study Type: Observational
Study Design: Cross-Sectional
Official Title: Examining Neurocognitive Profiles of Bipolar Disorder and Attention-Deficit Hyperactivity Disorder

Resource links provided by NLM:


Further study details as provided by National Institute of Mental Health (NIMH):

Biospecimen Retention:   None Retained

Biospecimen Description:

Estimated Enrollment: 100
Study Start Date: August 2008
Estimated Study Completion Date: September 2011
Estimated Primary Completion Date: August 2011 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
Pediatric Bipolar
children and adolescents with bipolar disorder
Other: Neurocognitive Tasks
Completed during Visit 1. Requires up to 4 hours. No treatment provided.
Other: EEG
Completed during Visit 2. Requires up to 3 hours. No treatment provided.
Other: fMRI
Completed during Visit 3. Requires up to 2 hours. No treatment provided.

Detailed Description:

Children between the ages of 7 and 16 years old, with a diagnosis of Bipolar I, Bipolar II, or Bipolar NOS, are currently being recruited for this study looking at similarities and differences in how the brain works between bipolar disorder and attention deficit hyperactivity disorder (ADHD). The study involves a comprehensive evaluation at intake, cognitive assessment, EEG, and functional MRI, done over the course of 2 or 3 visits. Participants will be paid $125 for their participation; parents will be compensated $25 per visit for travel expenses. This study does not provide treatment. However, with participants' consent, the assessment information can be shared with the child's clinician or psychiatrist and a letter with the results from cognitive testing can be prepared, which can be useful in school planning. Referrals for treatment can also be provided.

  Eligibility

Ages Eligible for Study:   7 Years to 16 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

Community Sample

Criteria

Inclusion Criteria:

  • Subject suffers clinically impairing symptoms of mood lability.
  • Child has resided with primary caretaker for at least 6 months.
  • Caretaker speaks sufficient English to complete all study evaluations and measures.

Exclusion Criteria:

  • Lifetime history of mental retardation, autism, or primary diagnosis of psychosis.
  • Subject is pregnant or nursing.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00961935

Contacts
Contact: Patricia Walshaw, Ph.D. 310-825-0357 pwalshaw@mednet.ucla.edu
Contact: Rebecca Voaklander 310-825-9818 rvoaklander@mednet.ucla.edu

Locations
United States, California
UCLA Semel Institute for Neuroscience and Human Behavior Recruiting
Los Angeles, California, United States, 90095
Principal Investigator: Patricia Walshaw, Ph.D.            
Sponsors and Collaborators
The State Family Fund
Investigators
Principal Investigator: Patricia Walshaw, Ph.D. University of California, Los Angeles
  More Information

Additional Information:
Publications:
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Bearden CE, Hoffman KM, Cannon TD. The neuropsychology and neuroanatomy of bipolar affective disorder: a critical review. Bipolar Disord. 2001 Jun;3(3):106-50; discussion 151-3. Review.
Blumberg HP, Leung HC, Skudlarski P, Lacadie CM, Fredericks CA, Harris BC, Charney DS, Gore JC, Krystal JH, Peterson BS. A functional magnetic resonance imaging study of bipolar disorder: state- and trait-related dysfunction in ventral prefrontal cortices. Arch Gen Psychiatry. 2003 Jun;60(6):601-9.
Carlson GA. Mania and ADHD: comorbidity or confusion. J Affect Disord. 1998 Nov;51(2):177-87. Review.
Carlson GA. Juvenile mania versus ADHD. J Am Acad Child Adolesc Psychiatry. 1999 Apr;38(4):353-4. No abstract available.
Casey BJ, Castellanos FX, Giedd JN, Marsh WL, Hamburger SD, Schubert AB, Vauss YC, Vaituzis AC, Dickstein DP, Sarfatti SE, Rapoport JL. Implication of right frontostriatal circuitry in response inhibition and attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 1997 Mar;36(3):374-83.
Castellanos FX, Giedd JN, Eckburg P, Marsh WL, Vaituzis AC, Kaysen D, Hamburger SD, Rapoport JL. Quantitative morphology of the caudate nucleus in attention deficit hyperactivity disorder. Am J Psychiatry. 1994 Dec;151(12):1791-6.
Faraone SV, Biederman J, Wozniak J, Mundy E, Mennin D, O'Donnell D. Is comorbidity with ADHD a marker for juvenile-onset mania? J Am Acad Child Adolesc Psychiatry. 1997 Aug;36(8):1046-55.
Geller B, Luby J. Child and adolescent bipolar disorder: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry. 1997 Sep;36(9):1168-76. Review. Erratum in: J Am Child Adolesc Psychiatry 1997 Nov;36(11):1642.
Geller B, Tillman R, Craney JL, Bolhofner K. Four-year prospective outcome and natural history of mania in children with a prepubertal and early adolescent bipolar disorder phenotype. Arch Gen Psychiatry. 2004 May;61(5):459-67.
Geller B, Williams M, Zimerman B, Frazier J, Beringer L, Warner KL. Prepubertal and early adolescent bipolarity differentiate from ADHD by manic symptoms, grandiose delusions, ultra-rapid or ultradian cycling. J Affect Disord. 1998 Nov;51(2):81-91.
Geller B, Zimerman B, Williams M, Delbello MP, Bolhofner K, Craney JL, Frazier J, Beringer L, Nickelsburg MJ. DSM-IV mania symptoms in a prepubertal and early adolescent bipolar disorder phenotype compared to attention-deficit hyperactive and normal controls. J Child Adolesc Psychopharmacol. 2002 Spring;12(1):11-25.
Gruber SA, Rogowska J, Yurgelun-Todd DA. Decreased activation of the anterior cingulate in bipolar patients: an fMRI study. J Affect Disord. 2004 Oct 15;82(2):191-201.
Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, Williamson D, Ryan N. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry. 1997 Jul;36(7):980-8.
Kent L, Craddock N. Is there a relationship between attention deficit hyperactivity disorder and bipolar disorder? J Affect Disord. 2003 Feb;73(3):211-21.
Kovatchev B, Cox D, Hill R, Reeve R, Robeva R, Loboschefski T. A psychophysiological marker of attention deficit/hyperactivity disorder (ADHD)--defining the EEG consistency index. Appl Psychophysiol Biofeedback. 2001 Jun;26(2):127-40.
Mostofsky SH, Cooper KL, Kates WR, Denckla MB, Kaufmann WE. Smaller prefrontal and premotor volumes in boys with attention-deficit/hyperactivity disorder. Biol Psychiatry. 2002 Oct 15;52(8):785-94.
[No authors listed] National Institute of Mental Health research roundtable on prepubertal bipolar disorder. J Am Acad Child Adolesc Psychiatry. 2001 Aug;40(8):871-8. Review.
Quraishi S, Frangou S. Neuropsychology of bipolar disorder: a review. J Affect Disord. 2002 Dec;72(3):209-26. Review.
Pennington BF, Ozonoff S. Executive functions and developmental psychopathology. J Child Psychol Psychiatry. 1996 Jan;37(1):51-87. Review.
Sax KW, Strakowski SM, Zimmerman ME, DelBello MP, Keck PE Jr, Hawkins JM. Frontosubcortical neuroanatomy and the continuous performance test in mania. Am J Psychiatry. 1999 Jan;156(1):139-41.
Walcott CM, Landau S. The relation between disinhibition and emotion regulation in boys with attention deficit hyperactivity disorder. J Clin Child Adolesc Psychol. 2004 Dec;33(4):772-82.
Wilder-Willis KE, Sax KW, Rosenberg HL, Fleck DE, Shear PK, Strakowski SM. Persistent attentional dysfunction in remitted bipolar disorder. Bipolar Disord. 2001 Apr;3(2):58-62.
Wozniak J, Biederman J, Kiely K, Ablon JS, Faraone SV, Mundy E, Mennin D. Mania-like symptoms suggestive of childhood-onset bipolar disorder in clinically referred children. J Am Acad Child Adolesc Psychiatry. 1995 Jul;34(7):867-76.

Responsible Party: University of California, Los Angeles ( Patricia Walshaw )
Study ID Numbers: P50 MH077248-02, DNBBS B2-MBP
Study First Received: August 18, 2009
Last Updated: September 4, 2009
ClinicalTrials.gov Identifier: NCT00961935     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Institute of Mental Health (NIMH):
bipolar disorder
child bipolar disorder
adolescent bipolar disorder
pediatric bipolar disorder
fMRI
MRI
EEG
neurocognitive tasks

Additional relevant MeSH terms:
Affective Disorders, Psychotic
Pathologic Processes
Disease
Attention Deficit Disorder with Hyperactivity
Mental Disorders
Bipolar Disorder
Mental Disorders Diagnosed in Childhood
Mood Disorders
Attention Deficit and Disruptive Behavior Disorders

ClinicalTrials.gov processed this record on November 20, 2009