Psychometric Properties of the Hypomania Checklist-32 in Korean Patients with Mood Disorders
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (32)
- Ather Muneer, "Staging Models in Bipolar Disorder: A Systematic Review of the Literature", Clinical Psychopharmacology and Neuroscience, 14(2), pp.117~130 (2016), 대한정신약물학회
- Carta MG, "Epidemiological and clinical aspects of bipolar disorders : controversies or a common need to redefine the aims and methodological aspects of surveys", Clin Pract Epidemiol Ment Health, 1, pp.4~ (2005)
- Hirschfeld RM, "Perceptions and impact of bipolar disorder : how far have we really come? Results of the national depressive and manic-depressive association 2000 survey of individuals with bipolar disorder", J Clin Psychiatry, 64, pp.161~174 (2003)
- Angst J, "The HCL-32 : towards a self-assessment tool for hypomanic symptoms in outpatients", J Affect Disord, 88, pp.217~233 (2005)
- Carvalho AF, "Screening for bipolar spectrum disorders : A comprehensive meta-analysis of accuracy studies", J Affect Disord, 172, pp.337~346 (2015)
- Ather Muneer, "Pharmacotherapy of Bipolar Disorder with Quetiapine: A Recent Literature Review and an Update", Clinical Psychopharmacology and Neuroscience, 13(1), pp.25~35 (2015), 대한정신약물학회
- Angst J, "Classification of mood disorders", Psychiatr Pol, 49, pp.663~671 (2015)
- Sheehan DV, "The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10", J Clin Psychiatry, 59(Suppl 20), pp.22~33 (1998)
- First MB, "Structured clinical interview for DSM-IV axis I disorders, clinician version (SCID-CV)" (1996), American Psychiatric Press, Inc
- Hirschfeld RM, "Development and validation of a screening instrument for bipolar spectrum disorder : the Mood Disorder Questionnaire", Am J Psychiatry, 157, pp.1873~1875 (2000)
- Nassir Ghaemi S, "Sensitivity and specificity of a new bipolar spectrum diagnostic scale", J Affect Disord, 84, pp.273~277 (2005)
- Angst J, "Prevalence and characteristics of undiagnosed bipolar disorders in patients with a major depressive episode : the BRIDGE study", Arch Gen Psychiatry, 68, pp.791~798 (2011)
- Gamma A, "Transcultural validity of the Hypomania Checklist-32(HCL-32)in patients with major depressive episodes", Bipolar Disord, 15, pp.701~712 (2013)
- 오미영, "한국판 HCL-32의 타당화", Korean Journal of Clinical Psychology, 28(2), pp.321~338 (2009), 한국임상심리학회
- Doyoun An, "Exploratory Factor Analysis and Confirmatory Factor Analysis of the Korean Version of Hypomania Checklist-32", PSYCHIATRY INVESTIGATION, 8(4), pp.334~339 (2011), 대한신경정신의학회
- Montgomery SA, "A new depression scale designed to be sensitive to change", Br J Psychiatry, 134, pp.382~389 (1979)
- 안용민, "한글판 Montgomery-Åsberg 우울증 평가 척도의 표준화 연구", 신경정신의학, 44(4), pp.466~476 (2005), 대한신경정신의학회
- Young RC, "A rating scale for mania: reliability, validity and sensitivity", Br J Psychiatry, 133, pp.429~435 (1978)
- 정희연, "Young조증 평가 척도의 한국판 표준화 연구", 신경정신의학, 42(2) (2003), 대한신경정신의학회
- Jon DI, "Validity and reliability of the Korean version of the Mood Disorder Questionnaire", Compr Psychiatry, 50, pp.286~291 (2009)
- Angst J, "Hypomania : a transcultural perspective", World Psychiatry, 9, pp.41~49 (2010)
- Portney LG, "Foundations of clinical research:applications to practice" (2000), Prentice Hall Health
- Fornaro M, "Factor structure and reliability of the Italian adaptation of the Hypomania Check List-32, second revision (HCL-32-R2)", J Affect Disord, 178, pp.112~120 (2015)
- Feng Y, "The 33-item Hypomania Checklist(HCL-33) : A new self-completed screening instrument for bipolar disorder", J Affect Disord, 190, pp.214~220 (2016)
- Mitchell PB, "Diagnostic guidelines for bipolar depression : a probabilistic approach", Bipolar Disord, 10, pp.144~152 (2008)
- Fornaro M, "Factor structure and reliability of the Arabic adaptation of the Hypomania Check List-32, second revision (HCL-32-R2)", Compr Psychiatry, 59, pp.141~150 (2015)
- Mosolov SN, "Validation of the Russian version of the Hypomania Checklist(HCL-32)for the detection of bipolar II disorder in patients with a current diagnosis of recurrent depression", J Affect Disord, 155, pp.90~95 (2014)
- Yang HC, "Hypomanic symptoms assessed by the HCL-32 in patients with major depressive disorder : a multicenter trial across China", J Affect Disord, 143, pp.203~207 (2012)
- Meyer TD, "The Hypomania Checklist(HCL)-systematic review of its properties to screen for bipolar disorders", Compr Psychiatry, 55, pp.1310~1321 (2014)
- Yang HC, "Validity of the 32-item Hypomania Checklist(HCL-32)in a clinical sample with mood disorders in China", BMC Psychiatry, 11, pp.84~ (2011)
- Wu YS, "Validation of the Chinese version of the hypomania checklist(HCL-32)as an instrument for detecting hypo(mania)in patients with mood disorders", J Affect Disord, 106, pp.133~143 (2008)
- Vieta E, "Cross validation with the mood disorder questionnaire(MDQ)of an instrument for the detection of hypomania in Spanish : the 32 item hypomania symptom check list(HCL-32)", J Affect Disord, 101, pp.43~55 (2007)