Psychometric Properties of the Hypomania Checklist-32 in Korean Patients with Mood Disorders.
10.9758/cpn.2017.15.4.352
- Author:
Bo Hyun YOON
1
;
Jules ANGST
;
Won Myong BAHK
;
Hee Ryung WANG
;
Seung Oh BAE
;
Moon Doo KIM
;
Young Eun JUNG
;
Kyung Joon MIN
;
Hwang Bin LEE
;
Seunghee WON
;
Jeongwan HONG
;
Myong Su CHOI
;
Duk In JON
;
Young Sup WOO
Author Information
1. Department of Psychiatry, Naju National Hospital, Naju, Korea.
- Publication Type:Original Article
- Keywords:
HCL-32-R2;
Validation;
Sensitivity;
Specificity;
Bipolar disorder;
Major depression
- MeSH:
Bipolar Disorder;
Depression;
Depressive Disorder, Major;
Diagnostic and Statistical Manual of Mental Disorders;
Humans;
Mood Disorders*;
Psychometrics*;
Sensitivity and Specificity
- From:Clinical Psychopharmacology and Neuroscience
2017;15(4):352-360
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The aim of this study was to examine the validity of the Korean version of the Hypomania Checklist-32, second revision (HCL-32-R2) in mood disorder patients. METHODS: A total of 454 patients who diagnosed as mood disorder according to Structured Clinical Interview for DSM-IV Axis I Disorders, clinician version (SCID-CV) (bipolar disorder [BD] I, n=190; BD-II, n=72; and major depressive disorder [MDD], n=192) completed the Korean module of the HCL-32-R2 (KHCL-32-R2). RESULTS: The KHCL-32-R2 showed a three-factorial structure (eigenvalue >2) that accounted for 43.26% of the total variance. Factor 1 was labeled “active/elated” and included 16 items; factor 2, “irritable/distractible” and included 9 items; and factor 3 was labeled “risk-taking/indulging” and included 9 items. A score of 16 or more on the KHCL-32-R2 total scale score distinguished between BD and MDD, which yielded a sensitivity of 70% and a specificity of 70%. MDD and BD-II also could be differentiated at a cut-off of 15 with maximized sensitivity (0.67) and specificity (0.66). Cronbach’s alpha of KHCL-32-R2 and its subsets (factors 1, 2, and 3) were 0.91, 0.89, 0.81 and 0.79, respectively. Correlations between KHCL-32-R2 and Montgomery-Asberg Depression Rating Scale, Young Mania Rating Scale and Korean version of Mood Disorder Questionnaire were −0.66 (p=0.41), −0.14 (p=0.9), and 0.61 (p < 0.001), respectively. CONCLUSION: The KHCL-32-R2 may be a useful tool in distinguishing between bipolar and depressive patients in clinical settings.
