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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 (PubMed)

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

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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. 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. (PubMed)

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

4. Characterization and structure of hypomania in a British nonclinical adolescent sample. (PubMed)

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

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2016 Journal of Affective Disorders

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

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

6. Ten-year updated meta-analysis of the clinical characteristics of pediatric mania and hypomania. (PubMed)

Ten-year updated meta-analysis of the clinical characteristics of pediatric mania and hypomania. The phenomenology and diagnosis of pediatric bipolar disorder has been controversial. We aimed to update a 2005 meta analysis of the prevalence of manic symptoms in youth, in order to determine whether the picture of pediatric mania has changed as research on pediatric bipolar disorder has grown.We conducted literature reviews in PsycINFO and PubMed; studies with the prevalence of manic symptoms (...) mania, and aid in diagnosis.© 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

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2016 Bipolar disorders

7. Evaluation of the 13-item Hypomania Checklist and a brief 3-item manic features questionnaire in primary care (PubMed)

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

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2017 BJPsych bulletin

8. 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. (PubMed)

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

9. 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

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

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. (...) 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

2015 Journal of Affective Disorders

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

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

2015 Journal of Affective Disorders

12. 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)). (PubMed)

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

13. The Hypomania Checklist (HCL) - systematic review of its properties to screen for bipolar disorders. (PubMed)

The Hypomania Checklist (HCL) - systematic review of its properties to screen for bipolar disorders. Bipolar disorders (BDs) are often not recognised with potentially drastic consequences for the individuals and their families. In clinical practice self-reports can be used to screen to enhance recognition. We therefore present a systematic review of the screening properties for the Hypomania Checklist (HCL-32).A systematic literature search was conducted to identify all relevant studies looking (...) at the screening properties of the HCL-32 in adults.Out of 196 papers 21 papers reported data on 22 independent samples. We narratively reviewed these studies. Weighted estimated Sensitivity was 80% regardless of whether a BD diagnosis was compared to unipolar depression or any other non-bipolar diagnosis. Specificity indicated that the HCL-32 was better when comparing BD to unipolar depression (65.3%) than to any other diagnostic category (57.3%). Fewer studies provided estimates for predictive powers

2014 Comprehensive psychiatry

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

-5 (APA, 2013). Also see: Figures 1 and 2. References: a The main differences between a manic and hypomanic episode in DSM-5 are: (a) duration of symptoms; and (b) presence or absence of increased goal-directed activity. In mania, symptoms occur for most of the day, for more days than not, within one week, and/or hospitalisation is required. (However, note that the utility of hospitalisation as an aspect of diagnosis has been questioned recently (Malhi and Berk, 2014). In hypomania, symptoms (...) occur for 4 consecutive days, for most of the day. Both mania and hypomania are characterised by elevated mood, and persistently increased activity. However mania specifies ‘increased goal-directed activity’, whereas hypomania simply states ‘increased activity’. b Hospitalisation or psychotic symptoms automatically warrant a diagnosis of mania rather than hypomania. c Subthreshold refers to a state in which there are several symptoms of hypomania and/or depression but these are insufficient

2015 Royal Australian and New Zealand College of Psychiatrists

15. Anxiety disorders anticipate the diagnosis of bipolar disorder in comorbid patients: Findings from an Italian tertiary clinic. (PubMed)

Disorder (PD, in 55.6%) was the most frequent AD, and first AD occurred approximately 4 years before BD diagnosis. Patients w/A versus wo/A had higher (p < 0.05) rates of BDII and first mood episode being depression versus elevation (mania/hypomania), and lifetime rates of separation anxiety disorder, substance poly-abuse and benzodiazepine abuse. In contrast, patients wo/A had higher lifetime rates of alcohol and illicit drug use.In this naturalistic sample, ADs, in particular PD, preceded BD (...) Anxiety disorders anticipate the diagnosis of bipolar disorder in comorbid patients: Findings from an Italian tertiary clinic. Studies indicate bipolar disorder (BD) syndromal symptoms are commonly preceded by sub-syndromal BD symptoms, dysregulated sleep, irritability, and anxiety. We aimed to evaluate prevalence and clinical correlates of anxiety disorders (ADs) at BD onset in outpatients with versus without at least one AD at BD onset.246 bipolar spectrum outpatients, according to the text

2019 Journal of Affective Disorders

16. Improving the psychometric utility of the hypomania checklist (HCL-32): A Rasch analysis approach. (PubMed)

Improving the psychometric utility of the hypomania checklist (HCL-32): A Rasch analysis approach. The HCL-32 is a widely-used screening questionnaire for hypomania. We aimed to use a Rasch analysis approach to (i) evaluate the measurement properties, principally unidimensionality, of the HCL-32, and (ii) generate a score table to allow researchers to convert raw HCL-32 scores into an interval-level measurement which will be more appropriate for statistical analyses.Subjects were part (...) of the Bipolar Disorder Research Network (BDRN) study with DSM-IV bipolar disorder (n=389). Multidimensionality was assessed using the Rasch fit statistics and principle components analysis of the residuals (PCA). Item invariance (differential item functioning, DIF) was tested for gender, bipolar diagnosis and current mental state. Item estimates and reliabilities were calculated.Three items (29, 30, 32) had unacceptable fit to the Rasch unidimensional model. Item 14 displayed significant DIF for gender

2013 Journal of Affective Disorders

17. Is the DSM-5 duration criterion valid for the definition of hypomania? (PubMed)

Is the DSM-5 duration criterion valid for the definition of hypomania? DSM-IV and DSM-5 impose a 4 day duration criterion for hypomanic episodes yet several studies have suggested that such an imposition may be invalid. We report a study involving a large sample pursuing the likely salience of the DSM duration criterion.We analyzed data on hypomanic symptoms provided by two bipolar screening measures - the Mood Disorders Questionnaire (MDQ) and the Mood Swings Questionnaire (MSQ) in a sample (...) in first-degree family members.The possibility of false positive BP II diagnoses, especially with brief hypomanic episodes, must be conceded while our examination of clinical symptoms was limited to two measures.This study is consistent with previous studies suggesting that the DSM duration of 4 or more days for a diagnosis of a hypomanic episode is unnecessary to the clinical definition of a BP II disorder. Its preservation is likely to exclude a substantive number of those with a true BP II condition

2013 Journal of Affective Disorders

18. The use of Mood Disorder Questionnaire, Hypomania Checklist-32 and clinical predictors for screening previously unrecognised bipolar disorder in a general psychiatric setting. (PubMed)

The use of Mood Disorder Questionnaire, Hypomania Checklist-32 and clinical predictors for screening previously unrecognised bipolar disorder in a general psychiatric setting. Bipolar disorder is often unrecognised and misdiagnosed in the general psychiatric setting. This study compared the psychometric properties of the Mood Disorder Questionnaire (MDQ) and the Hypomania Checklist-32 (HCL-32), examined the clinical predictors of bipolar disorder and determined the best approach for screening (...) previously unrecognised bipolar disorder in a general psychiatric clinic. A random sample of 340 non-psychotic outpatients with no previous diagnosis of bipolar disorder completed the MDQ and HCL-32 during their scheduled clinic visits. Mood and alcohol/substance use disorders were reassessed using a telephone-based Structured Clinical Interview for DSM-IV. We found that the HCL-32 had better psychometric performance and discriminatory capacity than the MDQ. The HCL-32's internal consistency and 4-week

2012 Psychiatry research

19. The Diagnosis and Management of Bipolar I and II Disorders: Clinical Practice Update. (PubMed)

The Diagnosis and Management of Bipolar I and II Disorders: Clinical Practice Update. Bipolar disorders, including bipolar I disorder (BP-I) and bipolar II disorder (BP-II), are common, potentially disabling, and, in some cases, life-threatening conditions. Bipolar disorders are characterized by alternating episodes of mania or hypomania and depression, or mixtures of manic and depressive features. Bipolar disorders present many diagnostic and therapeutic challenges for busy clinicians

2017 Mayo Clinic Proceedings

20. Hypomania across the binge eating spectrum. A study on hypomanic symptoms in full criteria and sub-threshold binge eating subjects. (PubMed)

, after controlling for personality variables as potential confounders.The Hypomania Checklist (HCL-32), the Beck Depression Inventory (BDI) and the Temperament and Character Inventory (TCI) were administered to 103 obese patients with binge eating.Full criteria BED subjects were more likely to be female and showed higher HCL-32 scores and lower scores in character dimensions (Self-directedness and Cooperativeness) compared to s-BED subjects. A logistic regression with Eating Disorder Diagnosis (...) Hypomania across the binge eating spectrum. A study on hypomanic symptoms in full criteria and sub-threshold binge eating subjects. Obese subjects affected by binge eating can be distinguished between those showing full criteria Binge Eating Disorder (BED) and those who show binge eating of insufficient frequency to satisfy DSM criteria, or sub-threshold BED (s-BED). The present paper aims to investigate whether subjects with BED full criteria show more hypomanic symptoms than those with s-BED

2011 Journal of Affective Disorders

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