Łojko Dorota, Rybakowski Janusz, Dudek Dominika, Pawłowski Tomasz, Siwek Marcin, Kiejna Andrzej
Klinika Psychiatrii Dorosłych UM w Poznaniu.
Psychiatr Pol. 2010 Jan-Feb;44(1):39-46.
In current diagnostic classifications such as the International Classification of Diseases (ICD-10) and the American Diagnostic and Statistical Manual (DSM-IV), unipolar and bipolar mood disorders are mentioned, where the differentiating factor is occurrence of mania or hypomania. In DSM-IV, bipolar mood disorder type I (bipolar I), with the episodes of mania, and bipolar mood disorder type II (bipolar II) with hypomania, have been separated. Clinical and epidemiological studies performed in recent decades using more sensitive measures of the assessment of hypomania suggest a marked prevalence of bipolar disorders of not-bipolar I type, amounting to about 3-5% of population. In 2005, Angst and collaborators introduced the Hypomania Check List-32 scale (HCL-32) aimed at a better identification of the occurrence of hypomania symptoms in patients with affective disorders. The studies carried out in many countries have demonstrated a significant sensitivity and specificity of the scale and its usefulness for the assessment of bipolar affective disorders. In the present paper, the Polish version of HCL-32 scale is presented. This version has been already employed in the all-country Polish project TRES-DEP where the features of bipolarity were assessed in depressive patients in whom treatment with antidepressant drugs was unsuccessful.
在当前的诊断分类中，如《国际疾病分类》（ICD - 10）和《美国诊断与统计手册》（DSM - IV），提到了单相和双相情感障碍，其区分因素是躁狂或轻躁狂的发作情况。在DSM - IV中，已将伴有躁狂发作的双相情感障碍I型（双相I型）和伴有轻躁狂发作的双相情感障碍II型（双相II型）区分开来。近几十年来进行的临床和流行病学研究采用了更敏感的轻躁狂评估方法，结果表明非双相I型双相情感障碍的患病率显著，约占人口的3 - 5%。2005年，安格斯特及其合作者推出了轻躁狂检查表 - 32量表（HCL - 32），旨在更好地识别情感障碍患者中轻躁狂症状的发生情况。在许多国家开展的研究已证明该量表具有显著的敏感性和特异性，且对双相情感障碍的评估很有用。本文介绍了HCL - 32量表的波兰语版本。该版本已在波兰全国性项目TRES - DEP中使用，在该项目中对使用抗抑郁药物治疗无效的抑郁症患者的双相特征进行了评估。
