{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T14:30:05Z","timestamp":1763389805370,"version":"3.41.0"},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","issue":"2","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"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":[[2025,4,30]]},"abstract":"Cel pracy<\/jats:title>Okre\u015blenie obrazu klinicznego zaburze\u0144 afektywnych dwubiegunowych (ZAD) u hospitalizowanych dzieci oraz m\u0142odzie\u017cy Oddzia\u0142u Klinicznego Psychiatrii i Psychoterapii Wieku Rozwojowego w Sosnowcu.<\/jats:p><\/jats:sec>Metoda<\/jats:title>Przeprowadzono analiz\u0119 dokumentacji 288 pacjent\u00f3w z ZAD poni\u017cej 18 roku \u017cycia. Zebrano szczeg\u00f3\u0142owe dane kliniczno-demograficzne oraz oceniono objawy wyst\u0119puj\u0105ce u nich podczas pobytu w szpitalu.<\/jats:p><\/jats:sec>Wyniki<\/jats:title>\u015aredni wiek zachorowania wynosi\u0142 13,6\u00b11,7 lat. 86,5% badanych mia\u0142o pierwsz\u0105 diagnoz\u0119 inn\u0105 ni\u017c ZAD\/epizod manii, a \u015bredni czas do postawienia w\u0142a\u015bciwego rozpoznania wynosi\u0142 16,9 miesi\u0119cy. U 45,5% pierwszym epizodem choroby by\u0142 epizod depresji o r\u00f3\u017cnym nasileniu, u 29,2% epizod mieszany, a u 25,3% epizod manii\/hipomanii. U 48,6 % os\u00f3b wyst\u0119powa\u0142y zaburzenia wsp\u00f3\u0142towarzysz\u0105ce. Najcz\u0119stszym powodem hospitalizacji by\u0142 epizod mieszany (47,6%). W\u015br\u00f3d objaw\u00f3w chorobowych, dra\u017cliwo\u015b\u0107 wyst\u0119powa\u0142a u ponad 80% chorych z epizodem maniakalnym lub mieszanym, ale r\u00f3wnie\u017c u oko\u0142o 60% pacjent\u00f3w z epizodem depresji. My\u015bli samob\u00f3jcze mieli niemal wszyscy chorzy w epizodzie depresji, 84,7% w epizodzie mieszanym, ale r\u00f3wnie\u017c 52,6% badanych w epizodzie manii\/hipomanii. L\u0119k wyst\u0119powa\u0142 najcz\u0119\u015bciej w epizodzie depresji (40,7%) i mieszanym (22,6%), natomiast urojenia zgodne z nastrojem w epizodzie depresji oraz manii (oko\u0142o 20 % przypadk\u00f3w). Zachowania agresywne przejawia\u0142a oko\u0142o po\u0142owa chorych w epizodzie manii i mieszanym.<\/jats:p><\/jats:sec>Wnioski<\/jats:title>W badanej populacji dzieci i m\u0142odzie\u017cy ZAD najcz\u0119\u015bciej rozpoczyna\u0142o si\u0119 epizodem depresji, towarzyszy\u0142 mu wysoki wska\u017anik zaburze\u0144 wsp\u00f3\u0142towarzysz\u0105cych oraz w wi\u0119kszo\u015bci przypadk\u00f3w pocz\u0105tkowo by\u0142o mylnie diagnozowane. Wyniki badania wskazuj\u0105 r\u00f3wnie\u017c na istotn\u0105 cz\u0119sto\u015b\u0107 niekt\u00f3rych objaw\u00f3w chorobowych w tej populacji.<\/jats:p><\/jats:sec>","DOI":"10.12740\/pp\/onlinefirst\/175719","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T10:42:49Z","timestamp":1707734569000},"page":"205-220","source":"Crossref","is-referenced-by-count":1,"title":["The clinical picture of bipolar affective disorders in children and adolescents hospitalized at the psychiatric ward in Sosnowiec"],"prefix":"10.12740","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3501-5088","authenticated-orcid":false,"given":"Lena","family":"Cicho\u0144","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ma\u0142gorzata","family":"Janas-Kozik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"El\u017cbieta","family":"Che\u0142mecka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krzysztof M.","family":"Wilczy\u0144ski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ireneusz","family":"Jelonek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janusz K.","family":"Rybakowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5036","published-online":{"date-parts":[[2025,4,30]]},"container-title":["Psychiatria Polska"],"original-title":["Obraz kliniczny zaburze\u0144 afektywnych dwubiegunowych u dzieci i m\u0142odzie\u017cy hospitalizowanych w oddziale psychiatrii w Sosnowcu"],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-175719-109445","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-175719-109445","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T21:28:54Z","timestamp":1748813334000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/The-clinical-picture-of-bipolar-affective-disorders-in-children-and-adolescents-hospitalized,175719,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,30]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"alternative-id":["175719"],"URL":"https:\/\/doi.org\/10.12740\/pp\/onlinefirst\/175719","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"type":"print","value":"0033-2674"},{"type":"electronic","value":"2391-5854"}],"subject":[],"published":{"date-parts":[[2025,4,30]]}}}