Mental Disorders in Offspring of Parents with Bipolar Disorder / 신경정신의학

OBJECTIVES: Information on the specificity of associations between parents with bipolar disorder (BPD) and risk of psychopathology in their offspring is limited. The aim of this study was to examine the prevalence of mental disorders in the offspring of individuals with BPD in South Korea. METHODS: The sample consisted of 100 child and adolescent offspring (aged 6.0-18.9 years) from 65 nuclear families having at least one parent with BPD. Probands, offspring, and biological co-parents were interviewed using a semi-structured diagnostic interview and the offspring were evaluated using the Korean version of the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version (K-SADS-PL). RESULTS: Sixty one of the 100 participants met the criteria for at least one mental disorder. Of these, 35 participants had a mood disorder, 35 had an anxiety disorder, and 29 had attention-deficit hyperactivity disorder (ADHD). Thirty nine of the offspring had no psychiatric diagnosis. Of the 35 with a mood disorder, 16 (45.7%) had comorbid ADHD and 18 (51.4%) had comorbid anxiety disorders. CONCLUSION: Offspring of parents with BPD are at high risk for mental disorders. These findings further support the heredity of BPD and indicate the need for early identification and treatment.

Mental Disorders in Offspring of Parents with Bipolar Disorder / 신경정신의학

OBJECTIVES: Information on the specificity of associations between parents with bipolar disorder (BPD) and risk of psychopathology in their offspring is limited. The aim of this study was to examine the prevalence of mental disorders in the offspring of individuals with BPD in South Korea. METHODS: The sample consisted of 100 child and adolescent offspring (aged 6.0-18.9 years) from 65 nuclear families having at least one parent with BPD. Probands, offspring, and biological co-parents were interviewed using a semi-structured diagnostic interview and the offspring were evaluated using the Korean version of the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version (K-SADS-PL). RESULTS: Sixty one of the 100 participants met the criteria for at least one mental disorder. Of these, 35 participants had a mood disorder, 35 had an anxiety disorder, and 29 had attention-deficit hyperactivity disorder (ADHD). Thirty nine of the offspring had no psychiatric diagnosis. Of the 35 with a mood disorder, 16 (45.7%) had comorbid ADHD and 18 (51.4%) had comorbid anxiety disorders. CONCLUSION: Offspring of parents with BPD are at high risk for mental disorders. These findings further support the heredity of BPD and indicate the need for early identification and treatment.

The Effects of a Psychosocial Rehabilitation Approach on the Social Adjustment of People with Psychiatric Disabilities / 신경정신의학

OBJECTIVES: The aims of this study were to explore ways in which social adjustment (SA) is enhanced and to investigate the structure of relationships among mental health state (MHS), the de-velopment of personal skills (DPS), and the development of environmental resources (DER) through structural equation modelling. METHODS: The research data were gathered by collecting self-administered questionnaires from 689 service users recruited from 62 mental health organizations in South Korea. RESULTS: Firstly, in the result of path estimates of measurement and theoretical model, especially MHS, the DER had a significant effect on the SA, the DER had a significant effect on the DPS, and the DPS had a significant effect on the SA. In contrast, MHS showed no significant effect on the DPS, and the DER showed no significant effect on the SA. Secondly, MHS and the DPS had direct effects on the SA, while the DER had indirect effects on the SA. Finally, the DER full mediating effects of between MHS and DPS ; another full mediating effects of DPS between DER and SA. CONCLUSION: Several intervention strategies for improving social adjustment were identified and presented. I found that much of your results section was difficult to understand without access to your full paper. For example, I have no details of your theoretical model and was unsure what form of structural equation modeling you used. My editing, especially of the way in which you reported your results, may therefore be inaccurate and certainly less helpful than I would have liked. Please accept my apologies for this.