PMID- 22801289 OWN - NLM STAT- MEDLINE DCOM- 20150819 LR - 20211021 IS - 2617-2402 (Electronic) IS - 0333-7308 (Print) IS - 0333-7308 (Linking) VI - 49 IP - 2 DP - 2012 TI - Stress and support for parents of youth with bipolar disorder. PG - 104-10 AB - BACKGROUND: This article reviews stress related to parenting a youth with bipolar disorder (BD), maladaptive coping, immunologic and physical functioning related to chronic stress; presents preliminary findings about the association between immune parameters and health conditions, mental health indices and interpersonal functioning in parents of children with mood disorders; and provides recommendations for stress management based on clinical trials of family-based psychoeducational psychotherapy (PEP). DATA: Interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-alpha), C-reactive protein (CRP), Epstein Barr Virus (EBV), nutritional markers and measures of physical health, mental health and interpersonal functioning were collected from 26 parents of mood disordered children. Higher CRP was associated with more perceived stress, more depression, increased incidence of illness/ physical conditions, and lower albumin levels. Elevated IL-6 was associated with higher nicotine use. LIMITATIONS: Sample size and demographics were restricted, limiting generalizability. CONCLUSION: Pilot data are consistent with literature from adult caregivers, and suggest caregivers who are more stressed also evidence some signs of immune abnormality. Evidence-based strategies to support parents are discussed. FAU - Nadkarni, Redha B AU - Nadkarni RB AD - Behavioral Health Services, Nationwide Children's Hospital, Columbus, Ohio, U.S.A. FAU - Fristad, Mary A AU - Fristad MA LA - eng GR - R01 MH061512/MH/NIMH NIH HHS/United States GR - R01MH061512/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - Israel TA - Isr J Psychiatry Relat Sci JT - The Israel journal of psychiatry and related sciences JID - 8108287 SB - IM MH - Adult MH - Bipolar Disorder/*nursing MH - Caregivers/psychology MH - Child MH - Family Therapy/methods MH - Humans MH - Parents/*psychology MH - Pilot Projects MH - *Social Support MH - Stress, Psychological/etiology/*immunology/therapy PMC - PMC4348006 MID - NIHMS608678 EDAT- 2012/07/18 06:00 MHDA- 2015/08/20 06:00 PMCR- 2015/03/03 CRDT- 2012/07/18 06:00 PHST- 2012/07/18 06:00 [entrez] PHST- 2012/07/18 06:00 [pubmed] PHST- 2015/08/20 06:00 [medline] PHST- 2015/03/03 00:00 [pmc-release] PST - ppublish SO - Isr J Psychiatry Relat Sci. 2012;49(2):104-10.