Jessica Barton, Mikaela K. Dimick, Vanessa Timmins, Eric A. Youngstrom, Benjamin I. Goldstein
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引用次数: 0
Abstract
Aim
Despite substantial evidence in adults, data on sexual behaviour in youth with bipolar disorder (BD) are limited. We therefore examined this topic in youth with BD.
Method
The study included 625 youth (n = 246 BD, n = 233 high risk for BD [BD-risk] and 146 healthy controls [HC]), ages 13–20 years. Semi-structured interviews evaluated diagnoses and treatment, as well as sexual activity, risky sexual behaviour (RSB) and reasons for RSB. Analyses compared lifetime sexual activity and RSB across the three groups and evaluated correlates of sexual activity and RSB within BD and BD-risk.
Results
Lifetime sexual activity and RSB were significantly higher amongst both BD and BD-risk youth versus HC. In univariate analyses, several overlapping clinical and suicide risk factors were associated with lifetime sexual activity amongst both BD and BD-risk youth. In multivariate analysis amongst BD youth, comorbid substance use disorder (SUD), post-traumatic stress disorder, and family history of anxiety were associated with lifetime sexual activity. In BD-risk youth, older age, lifetime depression severity, comorbid SUD and interpersonal chaos were associated with lifetime sexual activity. Affective lability and family history of suicide attempt were associated with RSB.
Conclusions
Lifetime sexual activity was two-fold greater, and RSB was over fifteen-fold greater, amongst BD and BD-risk youth versus HCs. Understanding which demographic and clinical factors are associated with lifetime sexual activity amongst BD and BD-risk youth may enable us to identify youth more likely to engage in RSB and help us develop treatments and preventative strategies to avoid RSB accordingly.
期刊介绍:
Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.