Comparing two short versions of the 32-item Hypomania Checklist (HCL-32) for patients with bipolar disorder

Yuan-Yuan Wang, Yuan Feng, Fei Wang, Wei Huang, Chee H. Ng, Gabor S. Ungvari, Gang Wang, Yu-Tao Xiang

Research output: Contribution to journalArticle


Purpose To compare the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) between Hypomania Checklist-20 (HCL-20) and HCL-16. Design and Methods Altogether, 350 subjects with bipolar disorders (BD) or major depressive disorders (MDD) were included. The sensitivity, specificity, PPV, NPV, and area under the curve between the HCL-20 and the HCL-16 for BD and its subtypes were compared. Findings The HCL-16 demonstrated superior performance in terms of sensitivity + specificity than HCL-20. For discriminating BD and BD-I patients from MDD patients, HCL-16 showed better sensitivity than HCL-20, while HCL-20 showed better specificity than HCL-16. Practice Implications Our results showed that both HCL-20 and HCL-16 have a fair screening ability, but HCL-16 showed a relatively superior performance considering its length.

Original languageEnglish
Pages (from-to)396-400
Number of pages5
JournalPerspectives in Psychiatric Care
Issue number3
Publication statusPublished - Jul 2019

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