Research Center for Behavioural Disorders and Substance Abuse of Hamadan University of medical sciences, Hamadan, Islamic Republic of Iran.
BMC Psychiatry. 2011 Jan 20;11:14. doi: 10.1186/1471-244X-11-14.
Data from the Iranian population for hypomania core symptom clusters are lacking. The aim of the present study was therefore to apply the Farsi version of the Hypomania-Check-List 32 (HCL-32), and to explore its factorial structure.
A total of 163 Iranian out-patients took part in the study; 61 suffered from Major Depressive Disorder (MDD), and 102 suffered from Bipolar Disorders (BP). Participants completed the Mood Disorder Questionnaire (MDQ) and the Hypomania Checklist (HCL-32). Exploratory factor analyses were used to examine the properties of the HCL-32. A ROC-curve analysis was performed to calculate sensitivity and specificity.
The HCL-32 differentiated between patients with MDD and with BP. Psychometric properties were satisfactory: sensitivity: 73%; specificity: 91%. MDQ and HCL-32 did correlate highly. No differences were found between patients suffering from BP I and BP II.
Instead of the two-factorial structure of the HCL-32 reported previously, the present pattern of factorial results suggest a distinction between four factors: two broadly positive dimensions of hypomania ("physically and mentally active"; "positive social interactions") and two rather negative dimensions ("risky behavior and substance use"; "difficulties in social interaction and impatience").
The Farsi version of the HCL-32 proved to be applicable, and therefore easy to introduce within a clinical context. The pattern of results suggests a four factorial solution.
缺乏伊朗人群轻躁狂核心症状群的数据。因此，本研究的目的是应用 Farsi 版本的 Hypomania-Check-List 32（HCL-32），并探讨其因子结构。
共有 163 名伊朗门诊患者参与了这项研究；61 名患有重度抑郁症（MDD），102 名患有双相情感障碍（BP）。参与者完成了心境障碍问卷（MDQ）和轻躁狂清单（HCL-32）。使用探索性因素分析来检验 HCL-32 的特性。进行 ROC 曲线分析以计算灵敏度和特异性。
HCL-32 区分了 MDD 和 BP 患者。心理测量特性令人满意：灵敏度为 73%，特异性为 91%。MDQ 和 HCL-32 相关性很高。BP I 和 BP II 患者之间未发现差异。
与先前报告的 HCL-32 的两因素结构不同，本研究的因子结果模式表明可以区分四个因素：两个广泛的轻躁狂积极维度（“身体和精神活跃”；“积极的社会互动”）和两个相对消极的维度（“冒险行为和物质使用”；“社交互动困难和急躁”）。
Farsi 版本的 HCL-32 证明是适用的，因此易于在临床环境中引入。结果模式表明存在四个因素的解决方案。
