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The HCL-32: towards a self-assessment tool for hypomanic symptoms in outpatients
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Psykiatri.ORCID-id: 0000-0001-9785-8473
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2005 (Engelska)Ingår i: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 88, nr 2, s. 217-233Artikel i tidskrift (Refereegranskat) Published
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Abstract [en]

Background: Bipolar disorders (BP) are frequently diagnosed and treated as pure depression initially; accurate diagnosis often being delayed by 8 to 10 years. In prospective studies, the presence of hypomanic symptoms in adolescence is strongly predictive of later bipolar disorders. As such, an instrument for self-assessment of hypomanic symptoms might increase the detection of suspected and of manifest, but under-treated, cases of bipolar disorders.

Methods: The multi-lingual hypomania checklist (HCL-32) has been developed and is being tested internationally. This preliminary paper reports the performance of the scale in distinguishing individuals with BP (N=266) from those with major depressive disorder (MDD; N= 160). The samples were adult psychiatry patients recruited in Italy (N= 186) and Sweden (N=240).

Results: The samples reported similar clinical profiles and the structure for the HCL-32 demonstrated two main factors identified as "active/elated" hypomania and "risk-taking/irritable" hypomania. The HCL-32 distinguished between BP and MDD with a sensitivity of 80% and a specificity of 51%.

Limitations: Although the HCL-32 is a sensitive instrument for hypomanic symptoms, it does not distinguish between BP-1 and BP-11 disorders.

Conclusions: Future studies should test if different combinations of items. possibly recording the consequences of hypomania, can distinguish between these BP subtypes.

Ort, förlag, år, upplaga, sidor
Amsterdam: Elsevier, 2005. Vol. 88, nr 2, s. 217-233
Nyckelord [en]
hypomania, major depressive episodes, bipolar disorder, hypomania checklist, screening questionnaire
Nationell ämneskategori
Neurologi Psykiatri
Identifikatorer
URN: urn:nbn:se:umu:diva-120399DOI: 10.1016/j.jad.2005.05.011ISI: 000232477100013PubMedID: 16125784OAI: oai:DiVA.org:umu-120399DiVA, id: diva2:935411
Tillgänglig från: 2016-06-10 Skapad: 2016-05-16 Senast uppdaterad: 2018-06-07Bibliografiskt granskad

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Adolfsson, RolfVieta, EduardScott, Jan

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