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- Angst, Jules (author)
The HCL-32 : towards a self-assessment tool for hypomanic symptoms in outpatients
- Article/chapterEnglish2005
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- Amsterdam :Elsevier,2005
- printrdacarrier
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- LIBRIS-ID:oai:DiVA.org:umu-120399
- https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-120399URI
- https://doi.org/10.1016/j.jad.2005.05.011DOI
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- Language:English
- Summary in:English
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- 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.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
- hypomania
- major depressive episodes
- bipolar disorder
- hypomania checklist
- screening questionnaire
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- Adolfsson, RolfUmeå universitet,Psykiatri(Swepub:umu)road0001 (author)
- Benazzi, Franco (author)
- Gamma, Alex (author)
- Hantouche, Elie (author)
- Meyer, Thomas D (author)
- Skeppar, Peter (author)
- Vieta, Eduard (author)
- Scott, Jan (author)
- Umeå universitetPsykiatri (creator_code:org_t)
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- In:Journal of Affective DisordersAmsterdam : Elsevier88:2, s. 217-2330165-03271573-2517
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