한국형 양극성장애 약물치료 알고리듬 2014 : 소아 청소년

Abstract

Objectives : Clinicians who treat children and adolescents with bipolar disorder desperately need current treatment guidelines. Therefore, we decided to develop first the algorithms for children and adolescents with bipolar disorder when we revise the Korean Medication Algorithm Project for Bipolar Disorder (KMAP-BP) 2010. Method : We performed the survey using questionnaire comprising 16 questions according to each situation in children and adolescents with bipolar disorder. Twenty-three members of the review committee completed the survey. The executive committee analyzed the results and discussed the final production of algorithm considering scientific evidences. Results : The first-line strategy for manic episode in children and adolescents with bipolar disorder is combina-tion of mood stabilizer and an atypical antipsychotic. There was no first-line strategy including expert consensus for depressive episode in children and adolescents with bipolar disorder and at high risk for bipolar disorder. Conclusion : We developed the algorithm for children and adolescents with bipolar disorder first in KMAP-BP 2014. We expect this algorithm may provide clinicians good information and help about the treatment of children and adolescents with bipolar disorder.