Clin Psychopharmacol Neurosci.  2017 Nov;15(4):352-360. 10.9758/cpn.2017.15.4.352.

Psychometric Properties of the Hypomania Checklist-32 in Korean Patients with Mood Disorders

Affiliations
  • 1Department of Psychiatry, Naju National Hospital, Naju, Korea.
  • 2Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland.
  • 3Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Korea. wmbahk@catholic.ac.kr
  • 4Hangang Mental Clinic, Gimpo, Korea.
  • 5Department of Psychiatry, Jeju National University Hospital, Jeju, Korea.
  • 6Department of Psychiatry, Chung-Ang University College of Medicine, Seoul, Korea.
  • 7Department of Psychiatry, National Center for Mental Health, Seoul, Korea.
  • 8Department of Psychiatry, Kyungpook National University School of Medicine, Daegu, Korea.
  • 9Department of Psychiatry, Iksan Hospital, Iksan, Korea.
  • 10Choimyongsu Psychiatric Clinic, Jeonju, Korea.
  • 11Department of Psychiatry, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.

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.

Keyword

HCL-32-R2; Validation; Sensitivity; Specificity; Bipolar disorder; Major depression

MeSH Terms

Bipolar Disorder
Depression
Depressive Disorder, Major
Diagnostic and Statistical Manual of Mental Disorders
Humans
Mood Disorders*
Psychometrics*
Sensitivity and Specificity
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