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Validation of the 33-Item Hypomania Checklist-External Assessment in Screening Adolescents for Bipolar Disorder
Chen, Xu1; Cai, Hong2,3,4; Bai, Wei2,3,4; Sha, Sha1; Cheung, Teris5; Ungvari, Gabor S.6,7; Feng, Yuan1; Xiang, Yu Tao2,3,4; Angst, Jules8
2022-06-15
Source PublicationFrontiers in Psychiatry
ISSN1664-0640
Volume13Pages:897357
Abstract

Background: Bipolar disorder (BD) is often misdiagnosed, leading to poor treatment outcomes. Thus, accurate assessment of BD is of great importance, including in BD adolescents. The aim of the study was to explore the psychometric properties of the 33-item Hypomania Checklist-External Assessment (HCL-33-EA) in depressed adolescents. Methods: The study was conducted between March and November 2020 in Beijing, China. Depressed adolescents aged between 13 and 17 years (N = 260) with BD (N = 147) or major depressive disorder (MDD) (N = 113) diagnosed according to the International Classification of Diseases, Tenth Revision (ICD-10) were recruited. Patients’ hypomanic symptoms were assessed by their carers using the HCL-33-EA. Results: The HCL-33-EA showed high internal consistency (Cronbach’s alpha = 0.82) with two factorial dimensions. The Receiver Operating Characteristic (ROC) curve analysis revealed an area under the ROC curve (AUC) value of 0.61 (95% confidence interval (CI): 0.54–0.67). The optimal cut-off score of 7 generated the best combination of sensitivity (0.81) and specificity (0.37) for discriminating between adolescents with BD and MDD. Conclusion: The HCL-33-EA, with a two-factor structure, seems to be a useful tool for screening for BD in depressed adolescents. However, the high sensitivity and low specificity of the HCL-33-EA at the optimal cut-off value of 7 indicate that the HCL-33-EA needs to be further refined for young patients.

KeywordValidation Hcl-33-ea Major Depressive Disorder Bipolar Disorder Adolescents
DOI10.3389/fpsyt.2022.897357
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000817793700001
Scopus ID2-s2.0-85133503991
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Document TypeJournal article
CollectionFaculty of Health Sciences
Institute of Translational Medicine
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Co-First AuthorChen, Xu; Cai, Hong; Bai, Wei
Corresponding AuthorFeng, Yuan; Xiang, Yu Tao
Affiliation1.The National Clinical Research Center for Mental Disorders and Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital and The Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
2.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Faculty of Health Sciences, Institute of Translational Medicine, University of Macau, Macao
3.Centre for Cognitive and Brain Sciences, University of Macau, Macao
4.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao
5.School of Nursing, Hong Kong Polytechnic University, Kowloon, China
6.Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia
7.Section of Psychiatry University of Notre Dame Australia, Fremantle, Australia
8.Zurich University Psychiatric Hospital, Zurich, Switzerland
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Chen, Xu,Cai, Hong,Bai, Wei,et al. Validation of the 33-Item Hypomania Checklist-External Assessment in Screening Adolescents for Bipolar Disorder[J]. Frontiers in Psychiatry, 2022, 13, 897357.
APA Chen, Xu., Cai, Hong., Bai, Wei., Sha, Sha., Cheung, Teris., Ungvari, Gabor S.., Feng, Yuan., Xiang, Yu Tao., & Angst, Jules (2022). Validation of the 33-Item Hypomania Checklist-External Assessment in Screening Adolescents for Bipolar Disorder. Frontiers in Psychiatry, 13, 897357.
MLA Chen, Xu,et al."Validation of the 33-Item Hypomania Checklist-External Assessment in Screening Adolescents for Bipolar Disorder".Frontiers in Psychiatry 13(2022):897357.
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