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Aims and method The mean delay for bipolar disorder diagnosis is 10 years. Identification of patients with previous hypomania is challenging, sometimes. The item Hypomania Checklist (HCL) – a study of the consistency between self – and external assessments in Polish bipolar patients. Compr Psychiatry. Jul;55(5) doi: /ych Epub Mar The Hypomania Checklist (HCL) – systematic review of.

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X-linked intellectual disability Lujan—Fryns syndrome. Most Commented Pulse review: Neuroticstress -related and somatoform. Discussion One of the goals of this study was to estimate how common DMS-IV bipolar disorders might be in a sample of primary care patients taking antidepressant medication, specifically those patients who were either taking antidepressant therapy for more than 12 months or who had had multiple courses of antidepressants over checklkst preceding 5 years.

Hypomania checklist (HCL-32)

Journal of Public Health. It is possible that the addition in our study of participants who had previously been prescribed multiple courses of antidepressants led to a higher prevalence estimate for bipolar checkliat, because unrecognised bipolar disorder is more common in patients with more severe and enduring depression.

The end game was always to dismantle general practice.

The sample comprised patients with a recorded diagnosis of depression, either on long-term antidepressant therapy or with previous multiple courses of antidepressants. However, as expected, the bipolar disorder group had higher mean scores on the HCL 9. A closer look at treatment resistant depression: Arch Gen Psychiatry ; At the lower threshold of 7 points, the sensitivity hypomsnia The Hypomania Checklist HCL has become an important tool for the assessment of hypomanic symptoms in patients with mood disorders and in the general population.


Much worse than usual Worse than usual A little worse than usual Neither better nor worse than usual A little better than usual Better than usual Much better than usual. Footnotes Declaration of interest None.

Hypomania checklist (HCL) | Resources | Pulse Today

Journal of Affective Disorders. This is a function of the low prevalence of bipolar disorder in primary care setting, but represents a potential limitation in terms of the usefulness of these instruments to GPs in everyday clinical practice.

At a higher threshold of 9 points, the sensitivity was Mental and behavioural disorders Psychological testing Psychiatric instruments: Compr Psychiatry ; cuecklist I plan more activities or projects. The growing attraction of early retirement 15 comments. At a lower threshold of 3 points, sensitivity was Neuroticstress -related and somatoform Anxiety disorder Hypomahia Agoraphobia Social anxiety Social phobia Anthropophobia Specific social phobia Specific phobia Claustrophobia.

To assess the likely clinical usefulness of the HCL and 3-item questionnaires, in terms of differentiating between bipolar disorder and major depressive disorder MDDwe calculated sensitivity, specificity, positive predictive value PPV and negative predictive value NPV using MedCalc and verified these manually.

Checklkst potential limitation is that the 3-item questionnaire had no requirement for a minimum duration of symptoms.

Hypomania Checklist

Improving the diagnosis of bipolar disorder: To learn more about how we use your information, see our Privacy Policy. We also aimed to compare the HCL and a brief 3-item questionnaire in terms of their ability to differentiate between patients with MDD and bipolar disorder.

There were no significant differences between the bipolar disorder group and the MDD group in terms of age, gender distribution and socioeconomic status assessed using the Scottish Index of Multiple Deprivation, SIMD Table 1. Existing measures for bipolar hypokania focused on identifying personality factors and symptom severity instead of the episodic nature of hypomania or the possible negative consequences in behavioral, affective, or cognitive changes associated.


Schizoaffective disorder Schizophreniform disorder Brief reactive psychosis. In samples of primary care patients, Hughes et al 10 found a prevalence of 7. There may also be an issue of selection bias, because GPs were able to exclude certain participants if they felt that they were not suitable for this study As a result of this, and the fact that only one method of recruitment was used in this study, there was a relatively small final sample given the number of invitations sent, which may have led to ascertainment bias.

The negative clinical utility a measure of screening and excluding bipolar disorder, was slightly better for the 3-item questionnaire than the HCL at our threshold values: Adjustment disorder with depressed mood.

Lifetime and month prevalence of bipolar spectrum disorder in the national comorbidity survey replication.

Delirium Post-concussion syndrome Organic brain syndrome. The receiver operating characteristics ROC curves in Fig. Sharpen your skills and further your career with Pulse Pulse learning.

GP workforce grew by in three months, official data reveal 12 comments.