{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T10:41:45Z","timestamp":1792233705720,"version":"4.4.0"},"reference-count":79,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,1,9]],"date-time":"2016-01-09T00:00:00Z","timestamp":1452297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bipolar Disorders"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The phenomenology and diagnosis of pediatric bipolar disorder has been controversial. We aimed to update a 2005 meta analysis of the prevalence of manic symptoms in youth, in order to determine whether the picture of pediatric mania has changed as research on pediatric bipolar disorder has grown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted literature reviews in Psyc\n                      <jats:styled-content style=\"fixed-case\">INFO<\/jats:styled-content>\n                      and PubMed; studies with the prevalence of manic symptoms in youth were included. Two raters coded each study; kappa was 0.86\u20131.0.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty studies were meta\u2010analyzed (N = 2,226 youths). The most common symptoms across bipolar subtypes, using a random\u2010effects model, were: increased energy 79%, irritability 77%, mood lability 76%, distractibility 74%, goal\u2010directed activity 72%, euphoric\/elated mood 64%, pressured speech 63%, hyperactive 62%, racing thoughts 61%, poor judgment 61%, grandiosity 57%, inappropriate laughter 57%, decreased need for sleep 56%, and flight of ideas 54%. Symptom rates were heterogeneous across samples; potential predictors were explored but no clear patterns were found.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Debate continues about the definitions of pediatric bipolar disorder; the results of this meta\u2010analysis suggest that there is significant heterogeneity of symptom prevalence between studies, and that symptoms vary widely across individuals. Understanding the roots of this heterogeneity could broaden understanding of the complex clinical presentation of pediatric mania, and aid in diagnosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bdi.12358","type":"journal-article","created":{"date-parts":[[2016,1,10]],"date-time":"2016-01-10T14:09:58Z","timestamp":1452434998000},"page":"19-32","source":"Crossref","is-referenced-by-count":91,"title":["Ten\u2010year updated meta\u2010analysis of the clinical characteristics of pediatric mania and hypomania"],"prefix":"10.1111","volume":"18","author":[{"given":"Anna R","family":"Van Meter","sequence":"first","affiliation":[{"name":"Ferkauf Graduate School of Psychology Yeshiva University Albert Einstein College of Medicine Bronx NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Coty","family":"Burke","sequence":"additional","affiliation":[{"name":"Department of Psychology and Psychiatry University of North Carolina at Chapel Hill Chapel Hill NC 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