The Farsi version of the Hypomania Check-List 32 (HCL-32): applicability and indication of a four-factorial solution.

Abstract

BACKGROUND:

Data from the Iranian population for hypomania core symptom clusters are lacking. The aim of the present study was therefore to apply the Farsi version of the Hypomania-Check-List 32 (HCL-32), and to explore its factorial structure.

METHODS:

A total of 163 Iranian out-patients took part in the study; 61 suffered from Major Depressive Disorder (MDD), and 102 suffered from Bipolar Disorders (BP). Participants completed the Mood Disorder Questionnaire (MDQ) and the Hypomania Checklist (HCL-32). Exploratory factor analyses were used to examine the properties of the HCL-32. A ROC-curve analysis was performed to calculate sensitivity and specificity.

RESULTS:

The HCL-32 differentiated between patients with MDD and with BP. Psychometric properties were satisfactory: sensitivity: 73%; specificity: 91%. MDQ and HCL-32 did correlate highly. No differences were found between patients suffering from BP I and BP II.

DISCUSSION:

Instead of the two-factorial structure of the HCL-32 reported previously, the present pattern of factorial results suggest a distinction between four factors: two broadly positive dimensions of hypomania ("physically and mentally active"; "positive social interactions") and two rather negative dimensions ("risky behavior and substance use"; "difficulties in social interaction and impatience").

CONCLUSION:

The Farsi version of the HCL-32 proved to be applicable, and therefore easy to introduce within a clinical context. The pattern of results suggests a four factorial solution.

• Authors: Mohammad Haghighi, Hafez Bajoghli, Jules Angst, Edith Holsboer-Trachsler, Serge Brand
• Journal: BMC psychiatry (BMC Psychiatry) Vol. 11 Pg. 14 (Jan 20 2011) ISSN: 1471-244X [Electronic] England
• PMID: 21251272 (Publication Type: Comparative Study, Journal Article)

Topics

• Adult
• Bipolar Disorder (diagnosis, psychology)
• Checklist
• Depressive Disorder, Major (diagnosis, psychology)
• Diagnosis, Differential
• Ethnicity (psychology, statistics & numerical data)
• Factor Analysis, Statistical
• Female
• Humans
• Iran (ethnology)
• Language
• Male
• Psychometrics
• Self Report
• Sensitivity and Specificity
• Surveys and Questionnaires