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Hypomania Diagnosis

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1. Hypomania Symptoms Across Psychiatric Disorders: Screening Use of the Hypomania Check-List 32 at Admission to an Outpatient Psychiatry Clinic Full Text available with Trip Pro

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

2018 Frontiers in Psychiatry

2. Hypomania Diagnosis

Hypomania Diagnosis Hypomania Diagnosis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hypomania Diagnosis Hypomania Diagnosis Aka (...) : Hypomania Diagnosis , Hypomanic Episode Diagnosis From Related Chapters II. Criteria: Major (all must be present) Persistent abnormally elevated or expansive mood May present as irritability in some cases Distinct period lasts at least 4 days Does not meet criteria for mixed disorder Not due to Functional change that uncharacteristic of the patient at baseline and one that is observable by others Symptoms are not severe enough to cause a marked of functioning Contrast with III. Criteria: Minor (3

2018 FP Notebook

3. Comparison of suicide attempts in individuals with major depressive disorder with and without history of subthreshold hypomania: A nationwide community sample of Korean adults<sup>✰</sup><sup>,</sup><sup>✰✰</sup>. (Abstract)

in subjects with and without major depressive disorder (MDD).Face-to-face interviews were completed for 12,526 adults, randomly selected through a one-person-per-household method, using the Korean version of the Composite International Diagnostic Interview (K-CIDI) and a questionnaire relative to lifetime suicide attempts (LSA).Of the 12,526 participants, 11,701 did not have MDD, and 825 were diagnosed with MDD. The MDD with subthreshold hypomania group (n = 72) revealed significantly higher rates of LSA (...) Comparison of suicide attempts in individuals with major depressive disorder with and without history of subthreshold hypomania: A nationwide community sample of Korean adults,✰✰. Subthreshold hypomania is defined as a distinct period of elevated, expansive or irritable mood lasting for at least four days, but insufficient to fulfill the criteria of hypomania. This study aimed to investigate the association between suicidality and subthreshold hypomania

2019 Journal of Affective Disorders

4. Exploration of the psychometric properties of the 33-item Hypomania Checklist - external assessment (HCL-33-EA). Full Text available with Trip Pro

Exploration of the psychometric properties of the 33-item Hypomania Checklist - external assessment (HCL-33-EA). Misdiagnosis of bipolar disorder (BD) is common in clinical practice, leading to inappropriate treatment and detrimental consequences. The 33-item Hypomania Checklist (HCL-33) is a newly developed screening instrument for hypomanic symptoms in patients with BD. The 33-item Hypomania Checklist-external assessment (HCL-33-EA) is a version of the HCL-33 for carers of patients with mood (...) disorders. In this study, the psychometric properties of the HCL-33-EA in a Chinese population were explored.A total of 182 inpatients and 240 carers were recruited in this study. Patients were diagnosed with bipolar depression or major depressive disorder (MDD) according to the International Classification of Diseases (ICD-10). The patients completed the HCL-33, while their carers filled out the HCL-33-EA.The HCL-33-EA showed high internal consistency (Cronbach's alpha = 0.876) with two-factorial

2019 Journal of Affective Disorders

5. Psychometric Properties of the Hypomania Checklist-32 in Korean Patients with Mood Disorders Full Text available with Trip Pro

Psychometric Properties of the Hypomania Checklist-32 in Korean Patients with Mood Disorders 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.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

2017 Clinical Psychopharmacology and Neuroscience

6. Sensory profiles as potential mediators of the association between hypomania and hopelessness in 488 major affective outpatients. (Abstract)

sample consisted of 488 euthymic affective disorder patients of which 283 diagnosed with unipolar and 162 with bipolar disorder with an age ranging from 18 to 65 years (mean = 47.82 ± 11.67).Lower registration of sensory input and sensory sensitivity significantly correlated with elevated self-reported depression, hopelessness, and irritable/risk-taking hypomania while sensation seeking and avoiding significantly correlated with elevated depression and hopelessness but not with irritable/risk-taking (...) Sensory profiles as potential mediators of the association between hypomania and hopelessness in 488 major affective outpatients. Extreme sensory processing patterns may contribute to the pathophysiology of major affective disorders. We aimed to examine whether significant correlations exist between sensory profiles, hypomania, self-reported depression, and hopelessness and whether sensory profiles may be potential mediators of the association between hypomania and depression/hopelessness.The

2017 Journal of Affective Disorders

7. Comparing the screening property of the shortened versions of the Hypomania Checklist-32 (HCL-32): Cross-validation in Korean patients with bipolar disorder and major depressive disorder. (Abstract)

Comparing the screening property of the shortened versions of the Hypomania Checklist-32 (HCL-32): Cross-validation in Korean patients with bipolar disorder and major depressive disorder. To date, shortened versions of the Hypomania Checklist-32 (HCL-32) were proposed to overcome the limitation of a lengthy format; however, a cross-validation study is currently needed to identify which shorter version may function optimally in a clinical sample.In a Korean patient sample with bipolar disorder (...) (BD) and major depressive disorder (MDD) (BD-I n = 84, BD = II n = 145, MDD n = 285), we examined the reliability and screening property of three shorter versions of the HCL (HCL-20, -16, -8) in comparison with the full HCL-32. Diagnosis was confirmed by the structured clinical interview (SCID-I).All three shortened HCLs demonstrated a fair screening ability (Area Under the Curve = .72~.74) to discriminate BD patients from MDD patients, which was comparable to that of the HCL-32. When sensitivity

2017 Journal of Affective Disorders

8. Evaluation of the 13-item Hypomania Checklist and a brief 3-item manic features questionnaire in primary care Full Text available with Trip Pro

Evaluation of the 13-item Hypomania Checklist and a brief 3-item manic features questionnaire in primary care Aims and method The mean delay for bipolar disorder diagnosis is 10 years. Identification of patients with previous hypomania is challenging, sometimes resulting in misdiagnosis. The aims of this study were: (a) to estimate the proportion of primary care patients with depression currently taking antidepressants who have undiagnosed bipolar disorder and (b) to compare a brief 3-item (...) manic features questionnaire with the Hypomania Checklist (HCL-13). The sample comprised patients with a recorded diagnosis of depression, either on long-term antidepressant therapy or with previous multiple courses of antidepressants. Results Of 149 participants assessed, 24 (16.1%) satisfied criteria for bipolar disorder. Areas under the curve (AUC) for the 3-item questionnaire and the HCL-13 were similar (0.79 and 0.72, respectively) but positive predictive values (PPV) were low. Clinical

2017 BJPsych bulletin

9. Hypomania Checklist-32 - cross-validation of shorter versions screening for bipolar disorders in an epidemiological study. Full Text available with Trip Pro

Hypomania Checklist-32 - cross-validation of shorter versions screening for bipolar disorders in an epidemiological study. Self-reports such as Hypomania Checklist (HCL-32) can be used to enhance recognition of bipolar disorders, but they are often too long and only validated in clinical samples. The objectives of this study are therefore to test whether (i) the HCL-32 can be used for screening in the community and (ii) whether two previously suggested shorter versions would do as well.Data (...) stemmed from the CoLaus|PsyColaus, a prospective cohort study which included randomly selected residents aged 35-66 years from an urban area. Participants underwent semistructured interviews to assess DSM-IV disorders and 1712 of them completed the HCL-32.Forty individuals (2.3%) were diagnosed as having BD. Compared to others, participants with BD scored significantly higher on the HCL-32. The HCL-32 had a sensitivity of 0.78 and specificity of 0.68. Very similar figures were found for two previously

2017 Acta Psychiatrica Scandinavica

10. 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. (Abstract)

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. There are no validated screening tools for Bipolar Disorder (BD) in Russia.To validate the Russian version of the HCL-32 for the detection of Bipolar II disorder (BD II) in patients with Recurrent Depressive Disorder (RDD).409 patients with a current diagnosis of RDD were recruited. The diagnosis was confirmed

2013 Journal of Affective Disorders

11. Alterations in regional homogeneity of resting-state brain activity in patients with major depressive disorder screening positive on the 32-item hypomania checklist (HCL-32). Full Text available with Trip Pro

Alterations in regional homogeneity of resting-state brain activity in patients with major depressive disorder screening positive on the 32-item hypomania checklist (HCL-32). Bipolar disorder (BD) is difficult to diagnose in the early stages of the illness, with the most frequent misdiagnosis being major depressive disorder (MDD). We aimed to use a regional homogeneity (ReHo) approach with resting-state functional magnetic resonance imaging (rs-fMRI) to investigate the features of spontaneous (...) brain activity in MDD patients screening positive on the 32-item Hypomania Checklist (HCL-32).Nineteen MDD patients screening positive (HCL-32(+); 9 males; 24.9±5.7 years) and 18 patients screening negative (HCL-32(-); 9 males; 27.1±6.7 years), together with 24 healthy controls (HC; 11 males; 26.4±3.9 years) were studied. ReHo maps were compared and an receiver operating characteristic (ROC) analysis was conducted to confirm the utility of the identified ReHo differences in classifying

2016 Journal of Affective Disorders

12. Major Depressive Disorder with subthreshold hypomania (mixed features): Clinical characteristics of patients entered in a multiregional, placebo-controlled study. (Abstract)

Major Depressive Disorder with subthreshold hypomania (mixed features): Clinical characteristics of patients entered in a multiregional, placebo-controlled study. Major depressive disorder (MDD) associated with subthreshold hypomanic symptoms (mixed features), has been identified as a distinct nosological entity in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). We identified the predominant manic symptoms present at baseline in a multiregional, placebo (...) these symptoms are not generally counted as part of the "mixed" depression diagnosis as they may overlap with criteria for MDD. Thus, five clinical symptoms characterized the manic presentation in the majority of patients diagnosed as having MDD with "mixed" features in this first placebo-controlled trial examining the use of a psychotropic medication (lurasidone) in this population. Our findings support the designation of MDD with mixed features specifier and suggest that this subpopulation of depressed

2016 Progress in neuro-psychopharmacology & biological psychiatry

13. Characterization and structure of hypomania in a British nonclinical adolescent sample. Full Text available with Trip Pro

Characterization and structure of hypomania in a British nonclinical adolescent sample. This study aimed to test the validity of using the Hypomania Checklist-16 [HCL-16] to measure hypomania in a British adolescent community sample. Limited research is available concerning the characterization of hypomania among community adolescent samples, particularly in the UK, despite its potential importance for early intervention policy development.To explore the structure and characterization (...) of hypomania in a British adolescent nonclinical cohort, over 1400 17 year olds (Mean=17.05 years; SD=0.88) completed the HCL-16 along with measures of different psychological and psychopathological dimensions.Principal components analysis revealed a 2-component solution for the HCL-16, described as active-elated and irritable/risk-taking. Hypomanic symptoms were significantly correlated with many psychopathological dimensions. There were distinct correlation patterns for the two HCL-16 subscales

2016 Journal of Affective Disorders

14. Hypomania Diagnosis

Hypomania Diagnosis Hypomania Diagnosis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hypomania Diagnosis Hypomania Diagnosis Aka (...) : Hypomania Diagnosis , Hypomanic Episode Diagnosis From Related Chapters II. Criteria: Major (all must be present) Persistent abnormally elevated or expansive mood May present as irritability in some cases Distinct period lasts at least 4 days Does not meet criteria for mixed disorder Not due to Functional change that uncharacteristic of the patient at baseline and one that is observable by others Symptoms are not severe enough to cause a marked of functioning Contrast with III. Criteria: Minor (3

2015 FP Notebook

15. The 33-item Hypomania Checklist (HCL-33): A new self-completed screening instrument for bipolar disorder. (Abstract)

and clinical characteristics were recorded using standardized protocol and data collection procedures. The HCL-33 was completed by patients to detect symptoms characteristic of mania and hypomania. DSM-IV diagnoses were established using the Mini International Neuropsychiatric Interview (MINI).The HCL-33 showed high internal consistency with two-factorial dimensions. The optimal cut-off point on the HCL-33 to differentiate BD from MDD was 15, while cut-off points of 14 and 13 differentiated BD-I and BD-II (...) The 33-item Hypomania Checklist (HCL-33): A new self-completed screening instrument for bipolar disorder. Bipolar disorder (BD) is often misdiagnosed as major depressive disorder (MDD). This study tested the psychometric properties and the accuracy of the Chinese version of the 33-item Hypomania Checklist (HCL-33) to identify BD in Chinese clinical settings.A total of 350 depressed patients were consecutively interviewed in a major psychiatric hospital in China. The patients' socio-demographic

2015 Journal of Affective Disorders

16. Seasonal variations in rates of hospitalisation for mania and hypomania in psychiatric hospitals in NSW. (Abstract)

Seasonal variations in rates of hospitalisation for mania and hypomania in psychiatric hospitals in NSW. A number of studies have established that manic patients have higher rates of hospitalization in spring. There appears to be no data evaluating whether there is any seasonal variation in hospitalization for those with hypomania.Data were obtained for 27,255 individuals hospitalized in NSW psychiatric hospitals over a 14-year period (2000-2014) for ICD-10 diagnosed mania or hypomania (...) increase in July, and followed by a more gradual increase until December.Hospitalization rates do not necessarily provide an accurate estimate of the onset of hypo/manic episodes, while the validity of those assigned a diagnosis of hypomania could not be established, allowing the possibility that many may have had manic episodes.Findings indicate that hypomania shows a similar seasonal pattern to mania.Copyright © 2015 Elsevier B.V. All rights reserved.

2015 Journal of Affective Disorders

17. Factor structure and reliability of the Italian adaptation of the Hypomania Check List-32, second revision (HCL-32-R2). (Abstract)

Factor structure and reliability of the Italian adaptation of the Hypomania Check List-32, second revision (HCL-32-R2). To assess the psychometric properties of the Italian adaptation of the Hypomania-Check-List 32-item, second revision (HCL-32-R2) for the detection of bipolarity in major depressive disorder (MDD) treatment-seeking outpatients.A back-to-back Italian adaption of the "Bipolar Disorders: Improving Diagnosis, Guidance, and Education" English module of the HCL-32-R2 was administered (...) between March 2013 and October 2014 across twelve collaborating sites in Italy. Diagnostic and Statistical Manual Fourth edition (DSM-IV) diagnoses were made adopting the mini-international neuropsychiatric interview, using bipolar disorder (BD) patients as controls.In our sample (n=441, of whom, BD-I=68; BD-II=117; MDD=256), using a cut-off of 14 allowed the HCL-32-R2 to discriminate DSM-IV-defined MDD patients between "true unipolar" (HCL-32-R2(-)) and "sub-threshold bipolar depression" (HCL-32-R2

2015 Journal of Affective Disorders

18. Cross validation with the mood disorder questionnaire (MDQ) of an instrument for the detection of hypomania in Brazil: The 32 item hypomania symptom check-list, first Revision (HCI-32-R(1)). (Abstract)

Cross validation with the mood disorder questionnaire (MDQ) of an instrument for the detection of hypomania in Brazil: The 32 item hypomania symptom check-list, first Revision (HCI-32-R(1)). Bipolar disorders are frequently diagnosed and treated as unipolar depression initially and accurate diagnosis is often delayed by 8 to 10years. It has been demonstrated that the bipolar spectrum disorders are associated with notable disability and that the current diagnostic gold standard, the Structured (...) Clinical Interview for DSM-IV (SCID) is not sufficiently sensitive to the diagnosis of hypomania or subthreshold manic states. There is a need for better and simpler ways to identify these conditions.Hirschfeld et al. (2000) developed and tested a self-report scale for bipolar disorder: the Mood Disorder Questionnaire (MDQ). Recently, another scale has been developed by Angst to assess hypomanic symptoms and to increase the detection of suspected and of manifest, but undertreated, cases of bipolar

2012 Journal of Affective Disorders

19. Guidance on the clinical management of depressive and bipolar disorders, specifically focusing on diagnosis and treatment strategies

. An individual is diagnosed with BD I if he/she has experienced a full manic episode. One manic episode is sufficient to qualify for the diagnosis, but most individuals will also have experienced one or more major depressive episodes, which often precede the onset of mania. BD II is diagnosed if an individual has experienced both an episode of major depression and hypomania in their lifetime, but has never had a manic episode. The phases and stages of bipolar disorder are associated with varying degrees (...) of major depressive disorder (MDD) Section 3: Clinical management of bipolar disorder (BD) Section 4: Clinical management of mood disorders with complex presentations and in special populations Scope. Ever since Kraepelin separated manic-depressive insanity from dementia praecox, the nosological status of mood disorders has been in flux (Kraepelin, 1899). In practice, two diagnostic questions that clinicians commonly face are: (1) How to diagnose depression; and (2) When to diagnose bipolar disorder

2015 Royal Australian and New Zealand College of Psychiatrists

20. An evaluation of the DSM-5 rules defining mania and hypomania with identical symptom criteria. (Abstract)

on five (non-DSM) MSQ items.Bipolar sub-type was not formally assessed by a structured diagnostic interview. The degree to which assigned MSQ items corresponded with DSM items might not necessarily have high equivalence. The study would have been enriched by evaluating a number of other symptom constructs.Findings suggest several optional approaches to differentiating mania and hypomania. The model we favor is one with a core set of features integral to mania and hypomania that is complemented (...) An evaluation of the DSM-5 rules defining mania and hypomania with identical symptom criteria. DSM-IV and DSM-5 provide identical symptom criteria and cut-off scores in defining mania and hypomania, a model seemingly counter-intuitive for classificatory differentiation. We designed a study to examine the impact of such DSM criteria and propose alternative models.Prevalence and severity of hypo/manic symptoms as measured by the Mood Swings Questionnaire (MSQ) were compared in age and gender

2014 Journal of Affective Disorders

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