Avaliação da confiabilidade e validação da versão em português de uma escala de auto-avaliação de hipomania (HCL-32 hypomania checklist)

Soares, Odeilton Tadeu

doi:10.11606/d.5.2010.tde-22092010-125216

Cited by 1 publication

(4 citation statements)

References 90 publications

(65 reference statements)

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“…Regarding the general psychometric properties of the European Portuguese adaptation of the HCL-32, we found that the scale has good internal consistency (Cronbach's α = 0.86), equivalent to that found for the original versions of the scale (0.82 in an Italian sample and 0.86 in a Swedish sample) ( 11 ) and higher than the Brazilian Portuguese version of HCL-32 (0.79) ( 18 ). Furthermore, a PCA supported a two-factor solution (“active/elated” with 26 items and “risk-taking/irritable” with 9 items) already verified in the original HCL-32 and most other versions ( 11 – 13 , 15 , 16 , 36 ), with only a few studies proposing 3-factor or 4-factor solutions ( 37 ), most likely due to sample differences such as size or clinical status.…”

Section: Discussionsupporting

confidence: 49%

“…In the original study by Angst et al ( 11 ) these two subscales were similarly defined, but screening benefits were not identified. Soares ( 18 ), on the other hand, using the Brazilian Portuguese version of HCL-32, found that factor 2 (“risk-taking/irritable”) rendered good specificity and sensitivity, suggesting the possibility of language or cultural specificities for Portuguese-speaking patients. However, these authors did not propose its use as a subscale due to concerns regarding the presence of irritability and risk taking behaviors in other psychiatric disorders.…”

Section: Discussionmentioning

confidence: 99%

“…Permission to use and adapt the HCL-32 to European Portuguese was granted by a member of the team that developed the original scale ( 11 ) (Rolf Adolfsson) and authors of the Brazilian Portuguese version ( 18 ) (Ricardo Moreno). A team of Portuguese-English bilingual mental health experts, with European Portuguese as the native language, performed several independent adaptations of the validated Brazilian HCL-32 to European Portuguese.…”

Section: Methodsmentioning

confidence: 99%

“…Pearson's correlation coefficient ( r ) was used to assess the relationship between HCL-32 and self-report measures of anxiety and depression. Internal consistency of the European Portuguese HCL-32 was assessed using Cronbach's alpha (α) and, based on the two-factor model found in previous studies ( 11 , 18 ), a Principal Component Analysis (PCA) with varimax orthogonal rotation was conducted to assess factorial structure. To test temporal stability of HCL-32 in the clinical sample, single measures intra-class correlation coefficient (ICC) was employed.…”

Section: Methodsmentioning

confidence: 99%

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Hypomania Symptoms Across Psychiatric Disorders: Screening Use of the Hypomania Check-List 32 at Admission to an Outpatient Psychiatry Clinic

et al. 2018

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Introduction: Hypomania symptoms are best described as a continuum, ranging beyond Bipolar Spectrum Disorders (BSD). Other nosological entities, such as major depressive disorder, schizoaffective disorder, or borderline personality disorder, may also share symptoms with BSD, raising challenges for differential diagnosis. While the Hypomania Checklist-32 is one of the most widely used tools for screening hypomania, there is limited evidence describing its use in a real-world outpatient psychiatric clinical setting.Methods: Here we tested the psychometric properties of a European Portuguese adaptation of the HCL-32, establishing its factor structure, reliability and construct validity. Furthermore, we analyzed differences in hypomanic symptoms among several clinical groups and in a non-clinical sample. Data was obtained retrospectively in an ecological setting from a clinical sample of an outpatient psychiatry and psychology clinic, comprising 463 Portuguese individuals, 326 of whom had a psychiatric diagnosis, namely BSD (n = 66), major depressive disorder (n = 116), or other psychiatric disorders (n = 144). A separate non-clinical sample was also collected among healthy volunteers (n = 62). A battery of self-report measures of affective symptoms was applied, and in a subset of patients, diagnosis was established using a structured diagnostic interview.Results: Psychometric properties of the HCL-32 were adequate, with good internal consistency (Cronbach's α = 0.86) and test-retest stability (ICC = 0.86), and two subscores (“active/elated” and “risk-taking/irritable”) defined by Principal Component Analysis. Receiver Operating Characteristic curve analysis demonstrated that the test score discriminated moderately between patients with BSD and other clinical samples as well as healthy volunteers, with a cut-off score of 17 for the total score of the HCL-32 rendering the best combination of sensitivity and specificity. When compared to the HCL-32 total score, the risk-taking/irritable subscore seems to provide additional benefit in discriminating between different clinical groups, namely regarding specificity in the discrimination from patients with a diagnosis of major depressive disorder that was low for the full scale and the alternate subscale.Conclusions: HCL-32 can be used as a screening tool for BSD among adult patients presenting in an outpatient psychiatric clinical setting.

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