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Comparing Screening Abilities of the 33-Item Hypomania Checklist (HCL-33) and the 33-Item Hypomania Checklist External Assessment (HCL-33-EA) for the Detection of Bipolar Disorder
Wang, Yuan Yuan1; Feng, Yuan2; Fang, Meng2; Guo, Chengwei2; Ungvari, Gabor S.3,4; Hall, Brian J.5,6; Wang, Gang2; Xiang, Yu Tao7,8,9
2021-06-22
Source PublicationFrontiers in Psychiatry
ISSN1664-0640
Volume12Issue:518722
Abstract

Background: Bipolar disorder (BD) is a severe psychiatric disorder that is often misdiagnosed and under-diagnosed in clinical settings. The 33-item Hypomania Checklist (HCL-33) is a newly developed self-administered scale for BD detection, while the 33-item Hypomania Checklist-external assessment (HCL-33-EA) is a version of the HCL-33 for external rating used by patient's carer (e.g., family member or friend). We aimed to compare the screening abilities between the HCL-33 and the HCL-33-EA, and evaluate the screening consistency between the two scales. Methods: The data were collected from 269 patients with diagnosed BD (n = 84) or major depressive disorder (MDD) (n = 185). The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under the curve (AUC) between the HCL-33 and the HCL-33-EA for BD were compared against clinician diagnosis as the gold standard. Results: Using Youden's index, the optimal cut-off value of the HCL-33 is 20, while the corresponding figure for HCL-33-EA is 11. Using Youden's index, the HCL-33-EA showed a better performance than the HCL-33 (0.51 vs.0.41). The HCL-33-EA was more sensitive in correctly identifying BD patients from MDD patients than the HCL-33 (0.83 vs. 0.59), while the HCL-33 presented better specificity than the HCL-33-EA (0.82 vs. 0.68). There was significant screening consistency between the two scales (p < 0.001). Conclusions: Both scales have acceptable psychometric properties in detection BD from MDD. Use of the two scales should be considered based on the assessment purpose in clinical research or daily practice (i.e., prefer sensitivity or specificity). Noticeably, the current sample size is insufficient and future studies are recommended to further evaluate the scales.

KeywordBipolar Disorder Hcl-33 Hcl-33-ea Sensitivity Specificity
DOI10.3389/fpsyt.2021.518722
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000669662100001
Scopus ID2-s2.0-85109190586
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Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Faculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
INSTITUTE OF ADVANCED STUDIES IN HUMANITIES AND SOCIAL SCIENCES
Co-First AuthorWang, Yuan Yuan; Feng, Yuan
Corresponding AuthorWang, Gang; Xiang, Yu Tao
Affiliation1.Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, Leicester, United Kingdom
2.The National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
3.University of Notre Dame Australia, Fremantle, Australia
4.Division of Psychiatry, School of Medicine, University of Western Australia/Graylands Hospital, Perth, Australia
5.New York University Shanghai, Shanghai, China
6.School of Global Public Health, New York University, New York, United States
7.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao
8.Centre for Cognitive and Brain Sciences, University of Macau, Macao
9.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Wang, Yuan Yuan,Feng, Yuan,Fang, Meng,et al. Comparing Screening Abilities of the 33-Item Hypomania Checklist (HCL-33) and the 33-Item Hypomania Checklist External Assessment (HCL-33-EA) for the Detection of Bipolar Disorder[J]. Frontiers in Psychiatry, 2021, 12(518722).
APA Wang, Yuan Yuan., Feng, Yuan., Fang, Meng., Guo, Chengwei., Ungvari, Gabor S.., Hall, Brian J.., Wang, Gang., & Xiang, Yu Tao (2021). Comparing Screening Abilities of the 33-Item Hypomania Checklist (HCL-33) and the 33-Item Hypomania Checklist External Assessment (HCL-33-EA) for the Detection of Bipolar Disorder. Frontiers in Psychiatry, 12(518722).
MLA Wang, Yuan Yuan,et al."Comparing Screening Abilities of the 33-Item Hypomania Checklist (HCL-33) and the 33-Item Hypomania Checklist External Assessment (HCL-33-EA) for the Detection of Bipolar Disorder".Frontiers in Psychiatry 12.518722(2021).
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