title: Applicability of the Chinese version of the Hypomania Symptom Checklist (HCL-32) scale for outpatients of psychiatric departments in general hospitals.
abstract: OBJECTIVE
  This study aimed to determine the suitability of the Chinese version of the Hypomania Symptom Checklist (HCL-32) scale for psychiatric department outpatients with mood disorders in Chinese general hospitals, and provide a theoretical basis for the application of the HCL-32 scale.
  
  
  METHODS
  Outpatients with mood disorders receiving continuous treatment in the psychiatric medicine department of three top-ranking general hospitals in three cities completed scoring the HCL-32 scale.
  
  
  RESULTS
  A total of 1010 patients were recruited. 417 were diagnosed with bipolar disorder (236 for type I and 181 for type II) and 593 were depression. Four factors with eigenvalues >1 were considered. Factor 1 with an eigenvalue of 5.5 was labeled "active/cheerful". Factor 2 with an eigenvalue of 2.7 was labeled "adventurous/irritable." The coefficient of internal consistency reliability of the HCL-32 total scale was 0.84, and the coefficients for factors 1 and 2 were 0.84 and 0.88, respectively. With the total score of HCL-32≥14 as positive standard, the sensitivity of HCL-32 was calculated at 69.30% and the specificity was 97.81%.
  
  
  CONCLUSIONS
  Results showed that HCL-32 had a preferable reliability and validity and was suitable as auxiliary means for bipolar disorder screening in general hospitals.
authors.affiliation: Department of Psychological Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
authors.forename: Xiao
authors.initials: X
authors.lastname: Huang
authors.forename: Wenjuan
authors.initials: W
authors.lastname: Liu
authors.forename: Bin
authors.initials: B
authors.lastname: Feng
authors.forename: Qingrong
authors.initials: Q
authors.lastname: Tan
authors.forename: Jianlin
authors.initials: J
authors.lastname: Ji
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000523:psychology; D057189:Checklist; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology; D003937:Diagnosis, Differential; D005260:Female; D006769:Hospitals, General; D006801:Humans; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D011567:Psychiatric Department, Hospital; D011569:Psychiatric Status Rating Scales; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires