The Hypomania Checklist (HCL-32): its factorial structure and association to indices of impairment in German and Swedish nonclinical samples
The Hypomania Checklist (HCL-32): its factorial structure and association to indices of impairment in German and Swedish nonclinical samples
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DOI：
10.1016/j.comppsych.2006.07.001
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发表时间：
2007-01-01
影响因子：
7.3
通讯作者：
Angst, Jules
中科院分区：
文献类型：
--
作者：
Meyer, Thomas D.;Hammelstein, Philipp;Angst, Jules
背景：双相情感障碍通常不被认识。开发了几种工具，但没有一种主要针对轻躁狂。轻躁狂检查表（HCL）旨在识别门诊患者的双极性。使用德国和瑞典的样本，我们调查了非临床样本的因子结构是否与门诊样本的因子结构相似。此外，我们还测试了可能有轻度躁狂终生史的人是否报告了更多的抑郁或其他损伤迹象，以及当前的抑郁是否与终生轻度躁狂有关。方法：在德国的研究中，参与者完成了HCL-32作为在线问卷，其中还包括有关终身和当前抑郁症的问题（n = 695），而瑞典的数据则依赖于由代表性人群样本（n = 408）的ranclorn样本完成的HCL-32的纸笔版本。HCL-32的因子结构在两种样品中非常相似，并且与Angst等人（J Affect Disord 2005;88：217-33）提出的因子结构非常相似。报告“高点”（>= 4天并经历负面后果）的人不仅支持更多的HCL-32症状，而且当前和以前的抑郁症和心理治疗率也更高。当前抑郁水平也与终生轻躁狂symptoms.Discussion和局限性：轻躁狂的“积极相关”和“冒险/易怒”因素可以区分与HCL-32在临床和非临床样本。根据我们的研究结果，HCL-32甚至可能在非临床样本中用作筛查工具，而不仅仅是在抑郁症门诊患者中。然而，我们的数据不允许估计HCL-32的敏感性和特异性，因为没有包括结构化的临床访谈。(c)2007爱思唯尔公司All rights reserved.
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. (c) 2007 Elsevier Inc. All rights reserved.