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


CONCLUSIONS
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").


CONCLUSIONS
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.
Research Center for Behavioural Disorders and Substance Abuse of Hamadan University of medical sciences, Hamadan, Islamic Republic of Iran.
Mohammad
M
Haghighi
Hafez
H
Bajoghli
Jules
J
Angst
Edith
E
Holsboer-Trachsler
Serge
S
Brand
D000328:Adult; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000523:psychology; D057189:Checklist; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000523:psychology; D003937:Diagnosis, Differential; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007492:Iran / Q000208:ethnology; D007802:Language; D008297:Male; D011594:Psychometrics; D057566:Self Report; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires
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