umu.sePublications
Change search
ReferencesLink to record
Permanent link

Direct link
The Hypomania Checklist (HCL-32): its factorial structure and association to indices of impairment in German and Swedish nonclinical samples
Show others and affiliations
2007 (English)In: Comprehensive Psychiatry, ISSN 0010-440X, E-ISSN 1532-8384, Vol. 48, no 1, 79-87 p.Article in journal (Refereed) PublishedText
Abstract [en]

Background: Bipolar disorders are often not recognized. Several instruments were developed but none primarily focused on hypomania. The Hypomania Checklist (HCL) is aimed at the identification of bipolarity in outpatients. Using a German and Swedish sample, we investigated if the factor structure in nonclinical samples is similar to the one reported for outpatient samples. Furthermore, we tested if people who probably had a lifetime history of hypomania report more depression or other signs of impairment and if current depression is associated with lifetime hypomania.

Method: In the German study, participants completed the HCL-32 as an online questionnaire that also included questions about lifetime and current depression (n = 695), whereas the Swedish data relied on the paper-and-pencil version of the HCL-32 completed by a ranclorn sample from a representative population sample (n = 408).

Results: The factor structure of the HCL-32 was fairly similar in both samples and to the ones presented by Angst et al (J Affect Disord 2005;88:217-33). People reporting "highs" (>= 4 days and experiencing negative consequences) not only endorsed more HCL-32 symptoms but also had higher rates of current and former depression and psychotherapy. Level of current depression was also associated with lifetime hypomanic symptoms.

Discussion and limitation: An "active-elated' and "risk-taking/irritable" factor of hypomania can be distinguished with the HCL-32 in clinical and nonclinical samples. Based on our results, the HCL-32 might even be useful as screening toot in nonclinical samples and not only in depressed outpatients. However, our data do not allow estimating sensitivity and specificity of the HCL-32 because structured clinical interviews were not included.

Place, publisher, year, edition, pages
Philadelphia: Saunders Elsevier, 2007. Vol. 48, no 1, 79-87 p.
Keyword [en]
national comorbidity survey, bipolar spectrum disorder, major depressive disorder, psychiatric disorders, general population, mental disorders, mood disorder, II disorder, prevalence, validation
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:umu:diva-118227DOI: 10.1016/j.comppsych.2006.07.001ISI: 000242954200013PubMedID: 17145286OAI: oai:DiVA.org:umu-118227DiVA: diva2:913529
Available from: 2016-03-21 Created: 2016-03-14 Last updated: 2016-03-21Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Adolfsson, Rolf
By organisation
Psychiatry
In the same journal
Comprehensive Psychiatry
Psychiatry

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 7 hits
ReferencesLink to record
Permanent link

Direct link