{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T16:47:35Z","timestamp":1754153255937,"version":"3.41.2"},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","issue":"3","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Pol"],"published-print":{"date-parts":[[2025,6,30]]},"abstract":"<jats:p>Zaburzenia afektywne dwubiegunowe (ChAD) wyst\u0119puj\u0105ce u dzieci i m\u0142odzie\u017cy mog\u0105 mie\u0107 inny przebieg kliniczny ni\u017c te diagnozowane u doros\u0142ych przy jednoczesnym braku odmiennych kryteri\u00f3w w stosowanych klasyfikacjach diagnostycznych. W\u015br\u00f3d pacjent\u00f3w poni\u017cej 18 roku \u017cycia znacznie cz\u0119\u015bciej obserwuje si\u0119 dra\u017cliwo\u015b\u0107, atypowy przebieg epizodu depresji, epizody mieszane czy bardzo szybk\u0105 zmiana faz. Na trudno\u015bci diagnostyczne nak\u0142adaj\u0105 si\u0119 tak\u017ce te wynikaj\u0105ce z konieczno\u015b\u0107 r\u00f3\u017cnicowania ChAD z innymi zaburzeniami rozpoczynaj\u0105cymi si\u0119 w okresie dzieci\u0119co-m\u0142odzie\u017cowym z jednoczesnym uwzgl\u0119dnieniem mo\u017cliwo\u015bci ich wsp\u00f3\u0142wyst\u0119powania. Dotyczy to g\u0142\u00f3wnie zaburze\u0144 hiperkinetycznych, zachowania, osobowo\u015bci borderline czy uzale\u017cnienia od substancji psychoaktywnych.  Oko\u0142o 50% pacjent\u00f3w prezentuje objawy ChAD przed 18 rokiem \u017cycia, a \u015bredni czas od ich pojawienia si\u0119 do postawienia w\u0142a\u015bciwej diagnozy wynosi 5-10 lat. Nierozpoznane ChAD mog\u0105 mie\u0107 negatywny wp\u0142yw na rozw\u00f3j kompetencji emocjonalnych, spo\u0142ecznych i poznawczych co istotnie wp\u0142ywa na funkcjonowanie pacjenta tak\u017ce w \u017cyciu doros\u0142ym. Dlatego tak wa\u017cne jest aby specjali\u015bci pracuj\u0105cy z dzie\u0107mi i m\u0142odzie\u017c\u0105 byli \u015bwiadomi odmienno\u015b\u0107 przebiegu klinicznego ChAD i potrafili postawi\u0107 w\u0142a\u015bciw\u0105 diagnoz\u0119 z uwzgl\u0119dnieniem kontekstu biologicznego, rozwojowego i systemowego.<\/jats:p>","DOI":"10.12740\/pp\/191028","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T19:14:50Z","timestamp":1753211690000},"page":"345-357","source":"Crossref","is-referenced-by-count":0,"title":["Bipolar disorder in children, adolescents, and young adults. Part 1. Clinical symptoms and differential diagnosis. Recommendations under the patronage of the Executive Board of the Polish Psychiatric Association, National Consultants in the field of Psychiatry and National Consultants in Child and Adolescent Psychiatry"],"prefix":"10.12740","volume":"59","author":[{"given":"Ma\u0142gorzata","family":"Janas-Kozik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominika","family":"Dudek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Ga\u0142ecki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Remberk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandra","family":"Lewandowska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0141-4593","authenticated-orcid":false,"given":"Marta","family":"Tyszkiewicz-Nwafor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5036","published-online":{"date-parts":[[2025,6,30]]},"container-title":["Psychiatria Polska"],"original-title":["Zaburzenia dwubiegunowe u dzieci, m\u0142odzie\u017cy oraz m\u0142odych doros\u0142ych. Cz\u0119\u015b\u0107 1. Objawy kliniczne i diagnostyka r\u00f3\u017cnicowa. Rekomendacje pod patronatem Zarz\u0105du G\u0142\u00f3wnego Polskiego Towarzystwa Psychiatrycznego oraz Konsultant\u00f3w Krajowych w dziedzinie psychiatrii i psychiatrii dzieci i m\u0142odzie\u017cy"],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-191028-127184","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-191028-127184","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T19:14:51Z","timestamp":1753211691000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/Bipolar-disorder-in-children-adolescents-and-young-adults-Part-1-Clinical-symptoms,191028,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,30]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"alternative-id":["191028"],"URL":"https:\/\/doi.org\/10.12740\/pp\/191028","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"type":"print","value":"0033-2674"},{"type":"electronic","value":"2391-5854"}],"subject":[],"published":{"date-parts":[[2025,6,30]]}}}