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The 33-item Hypomania Checklist (HCL-33): A new self-completed screening instrument for bipolar disorder
Feng Y.4; Xiang Y.-T.10; Huang W.4; Wang G.4; Feng L.4; Tian T.-F.4; Geng Y.4; Ungvari G.S.9; Chiu H.F.K.6; Tse A.W.Y.6; Angst J.3
2016-01-15
Source PublicationJournal of Affective Disorders
ISSN15732517 01650327
Volume190Pages:214-220
Abstract

Background Bipolar disorder (BD) is often misdiagnosed as major depressive disorder (MDD). This study tested the psychometric properties and the accuracy of the Chinese version of the 33-item Hypomania Checklist (HCL-33) to identify BD in Chinese clinical settings. Methods A total of 350 depressed patients were consecutively interviewed in a major psychiatric hospital in China. The patients' socio-demographic and clinical characteristics were recorded using standardized protocol and data collection procedures. The HCL-33 was completed by patients to detect symptoms characteristic of mania and hypomania. DSM-IV diagnoses were established using the Mini International Neuropsychiatric Interview (MINI). Results The HCL-33 showed high internal consistency with two-factorial dimensions. The optimal cut-off point on the HCL-33 to differentiate BD from MDD was 15, while cut-off points of 14 and 13 differentiated BD-I and BD-II from MDD, respectively. The maximum sensitivity was 0.62, 0.67 and 0.72 for differentiating BD, BD-I and BD-II from MDD, respectively. Conclusions The HCL-33 is a useful tool for screening for BD in Chinese depressed patients. The routine clinical use of the HCL-33 as a screening instrument for BD in Chinese patients is recommended.

KeywordBipolar Disorder Major Depressive Disorder Screening
DOI10.1016/j.jad.2015.09.057
URLView the original
Indexed BySCI
Language英语
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000366463000032
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Cited Times [WOS]:20   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Affiliation1.Harbin First Specialist Hospital
2.National Clinical Research Center for Geriatric Disorders
3.Psychiatrische Universitätsklinik Zürich
4.Beijing An Ding Hospital, Capital Medical University
5.University of Western Australia
6.Chinese University of Hong Kong
7.Capital Medical University China
8.Capital Medical University, Beijing Institute For Brain Disorders
9.University of Notre Dame Australia
10.Universidade de Macau
Recommended Citation
GB/T 7714
Feng Y.,Xiang Y.-T.,Huang W.,et al. The 33-item Hypomania Checklist (HCL-33): A new self-completed screening instrument for bipolar disorder[J]. Journal of Affective Disorders,2016,190:214-220.
APA Feng Y..,Xiang Y.-T..,Huang W..,Wang G..,Feng L..,...&Angst J..(2016).The 33-item Hypomania Checklist (HCL-33): A new self-completed screening instrument for bipolar disorder.Journal of Affective Disorders,190,214-220.
MLA Feng Y.,et al."The 33-item Hypomania Checklist (HCL-33): A new self-completed screening instrument for bipolar disorder".Journal of Affective Disorders 190(2016):214-220.
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