Brain Imaging and Computer Games in Children With Either Bipolar Disorder, ADHD, Anxiety or Healthy Controls

Study Overview
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Brief Summary
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The purpose of this research is to learn more about how children with mental health problems, including bipolar disorder (BD), attention deficit hyperactivity disorder (ADHD), and generalized anxiety disorder (GAD), differ from children without these problems. The investigators want to understand how these 4 groups of children differ in brain activity, function, and structure.

Detailed Description
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This study has 2 visits (total time  6 hours): Visit #1 (2-3 hours), includes: (a) detailed description of study and study consent, (b) interviews about the child's mental health, mood, and behavior, and (c) a screening IQ test (word games, playing with blocks). If a child fits our study criteria, they will play some special computer games, provide a spit sample for DNA, and parents/children will complete questionnaires. All children fitting our study criteria, will also be invited to complete visit #2 (2 hours) consisting of a special MRI brain scan at Brown University (Providence, RI). To make sure all children feel comfortable in the MRI, they will spend time in our practice MRI (i.e., MRI simulator) that looks and sounds just like the real MRI. During the actual MRI, children will play a computerized game in which they can win and lose points. The MRI lasts one and a half hours (at most). Participants are compensated for their time.

Official Title
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Brain/Behavior Alterations in Pediatric Psychopathology

Conditions
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Bipolar Disorder, Attention Deficit Disorder With Hyperactivity, Attention Deficit Disorder Without Hyperactivity, Generalized Anxiety Disorder, Healthy

Participation Criteria
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Eligibility Criteria
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General Inclusion Criteria: English- speaking,children & adolescents between the ages of 7- 17 consenting parent/guardian General Exclusion Criteria: estimated IQ less than 70 substance/alcohol use or dependence within the last 2 months Autism Spectrum Disorders or primary psychosis medical/neurological conditions that mimic the psychiatric disorders of interest implanted metal (NO BRACES or COCHLEAR IMPLANT) For inclusion in the Bipolar group, participants: have to meet Diagnostic and Statistical Manual, 4th Edition Text Revision (DSM-IV-TR) criteria for BD Type I, including at least one lifetime episode of mania For inclusion in the ADHD/ADD group, participants: meet DSM-IV-TR criteria for any subtype of ADHD or ADD can not currently meet diagnostic criteria for bipolar, depressive or anxiety disorders For inclusion in the Generalized Anxiety Group (GAD), participants: have to meet DSM-IV-TR criteria for GAD can not currently meet diagnostic criteria for Obsessive Compulsive Disorder (OCD) or Post-Traumatic Stress Disorder (PTSD) For inclusion in the Healthy Control group, participants: can not have a past/current history of psychiatric or substance use disorders can not have a first-degree relative (parents, brothers/sisters) with a history of psychiatric illness

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Bipolar Disorder<br>Children, 7- 17 years-old, who meet diagnostic criteria for bipolar disorder, Type 1 | |
| ADHD/ADD<br>Children, 7-17 years-old, who meet diagnostic criteria for attention deficit/hyperactivity disorder (ADHD) OR attention deficit disorder (without hyperactivity) | |
| Generalized Anxiety Disorder (GAD)<br>Children, 7-17 years-old, who meet diagnostic criteria for Generalized Anxiety Disorder (GAD) | |
| Health Controls<br>Children, ages 7-17 years-old, without a history of psychiatric diagnosis | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Behavioral performance on computerized tasks |  | Day 1 | 
| MRI data (neural activation) during behavioral task | structural, functional and diffusion tensor imaging data will be collected during the second day of the study. | Day 2 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Genetic material | Genetic samples (spit sample) will be examined in relation to neural activation, function, and structure as well as behavioral performance on computerized tasks. | Day 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Bipolar disorder, Mood disorders, ADHD, Attention Deficit Disorder with Hyperactivity, Attention Deficit Disorder without Hyperactivity, Anxiety disorders, Generalized anxiety disorder, Magnetic resonance imaging, Mental disorders, Mental disorders diagnosed in childhood, affective neuroscience, emotion, MRI, fMRI, neurocognitive tasks, imaging, Healthy controls, typical development