Aims and method The mean delay for bipolar disorder diagnosis is 10 years. Identification of patients with previous hypomania is challenging, sometimes. The item Hypomania Checklist (HCL) – a study of the consistency between self – and external assessments in Polish bipolar patients. Compr Psychiatry. Jul;55(5) doi: /ych Epub Mar The Hypomania Checklist (HCL) – systematic review of.

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Clinical implications A brief 3-item questionnaire may be clinically useful for GPs who wish to screen for manic features in patients with MDD. Nevertheless, we would argue that there may be some use in primary care for these brief screening instruments alongside additional assessments, for example whether patients have a strong family history of mood disorder.

Essential mobile app for all GPs, with diagnostic and screening tools Download Free. A score of at least 8 items was found valid and reliable for distinguishing Bipolar Disorder and Major Depressive Disorder [ citation needed ]. The positive clinical utility — the ability of the test to confirm cases of bipolar disorder — was poor for both tests. Not how you feel today, but how you are on average. The English version of the HCL has been used as the basis for translation in other languages through the same process.

Hypomania/Mania Symptom Checklist (HCL-32)

To learn more about how we use your information, see our Privacy Policy. There may also be an issue of selection bias, because GPs were able to exclude certain participants if they felt that they were not suitable for this study As a result of this, and the fact that only one method of recruitment was used in this study, there was a relatively small final sample given the number of invitations sent, which may have led to ascertainment bias.

Then, potentially eligible patients were reviewed by their general practitioner GP for eligibility and written invitations were sent by post, with participant information sheets, on behalf of the research team.


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Therefore, a threshold of 4 points was chosen to give the best balance between these different parameters. Analyses Analyses included the Student’s t -test, chi-squared test and chi-squared test for association, and were conducted using SPSS version 21 for Windows.

Hypomania/Mania Symptom Checklist (HCL) | PsychEducation

In such a state:. Most Popular Pulse review: Method Sample Practice managers of 9 primary care practices in the west of Scotland identified from their databases patients who a had a recorded diagnosis of depression and b were either currently taking long-term antidepressants more than 12 jypomania or had had 3 or more courses of antidepressants in the past 5 years.

The hyomania operating characteristics ROC curves in Fig. This was a reasonably large study that took a systematic approach to screening patients in primary care settings. An AUC of over 0. At a higher threshold of 9 points, the sensitivity was An assessment of practice notes was also conducted to corroborate findings from the SCID-1 assessment and to clarify medication regimens. It uses short phrases and simple language, making it easy to read.

A closer look at treatment resistant depression: Compr Psychiatry ; Further studies are required in larger samples to assess the clinical usefulness of this test in screening, ideally without the issues of recruitment faced in this study It may also be helpful to develop the 3-item questionnaire further, perhaps with the addition of other items such as the duration of symptoms.

Lifetime and month prevalence of bipolar spectrum disorder in the national comorbidity survey replication. The 3-item questionnaire in particular may be useful to GPs in terms of fulfilling the NICE requirement to assess all patients with depression for a history of manic features.

Footnotes Declaration of interest None. Not how you feel today, but how you are on average is always rather stable and even is generally higher is generally lower repeatedly shows periods of ups and downs 3. To assess the likely clinical usefulness of checklisf HCL and 3-item questionnaires, in terms of differentiating between bipolar disorder and major depressive disorder MDDwe calculated sensitivity, specificity, positive predictive value PPV and negative predictive value NPV using MedCalc and verified these manually.


Hypomania checklist (HCL) | Resources | Pulse Today

We found that Eur Neuropsychopharmacol ; Can anyone detect our National Screening Committee? In addition, while the HCL is a sensitive instrument for hypomanic symptoms, it does not distinguish between bipolar Chfcklist and bipolar-II disorders [ citation needed ]. Br J Psychiatry ; Table 1 Characteristics of participants with major depressive disorder MDD and bipolar disorder.

Correspondence to Daniel J.

However, as expected, the bipolar disorder group had higher mean scores on the HCL 9. AUC area under curve: Results Of participants assessed, 24 Mental and behavioural disorders Psychological testing Psychiatric instruments: X-linked intellectual disability Lujan—Fryns syndrome. For the HCL, a threshold score of 8 points hypo,ania a sensitivity of By using this site, you agree to the Terms of Use and Privacy Policy. Support Center Support Center.

Similarly, an AUC of 0.

There were no significant differences between the bipolar disorder group and the MDD group in terms of age, gender distribution and socioeconomic status assessed using the Scottish Index of Multiple Deprivation, SIMD Table 1. From Wikipedia, the free hyypomania. What about a period of time when you were physically much more active than usual, for example, when you had lots of different projects on the go at the same time?

J Affect Disord ; Prevalence and burden of checklisy disorders in European countries.

Therefore, a threshold of 4 points was chosen to give the best balance between different statistical parameters. The meaning and use of the area under a receiver operating characteristic ROC curve. Please review our privacy policy.