Łojko Dorota, Dudek Dominika, Angst Jules, Siwek Marcin, Michalak Michał, Rybakowski Janusz
Klinika Psychiatrii Dorosłych UM w Poznaniu.
Zakład Zaburzeń Afektywnych Katedry Psychiatrii UJ CM.
Psychiatr Pol. 2016 Dec 23;50(6):1085-1092. doi: 10.12740/PP/66358.
The Hypomania Checklist (HCL) has become an important tool for the assessment of hypomanic symptoms in patients with mood disorders and in the general population. The HCL-33 scale, containing 33 symptom items, is a new instrument which, in addition to the self-administered questionnaire, has a version for external rating. The aim of this study is to evaluate the consistency between the self - and external assessments using the HCL-33 in Polish patients with bipolar disorder.
The data from 81 euthymic bipolar patients recruited in Poznan and Krakow centers were analyzed. All the patients filled out the HCL-33 questionnaire, and, for each patient, the HCL-33 questionnaire-external assessment was completed by his/her significant other.
Of the 33 symptom items, sufficient agreement (significance of kappa factor < 0.05) was found for 13 out of the 19 questions of the "active/elated" (factor 1) and for all 14 items of the "irritable/risk-taking" (factor 2). Insignificant consistency was found for 6 items of factor 1 and the question regarding the longest period of hypomania. The inter-rater agreement between patient and significant other was not affected by gender, living together or subtype of relationship with the patient.
The results show significant consistency between self - and external assessments for 27 symptom items (82%) of the HCL-33. The future status of the items showing insufficient consistency should be discussed. Limitation of the study is a small number of subjects recruited from only two centers which may not be representative for the Polish population.
轻躁狂检查表（HCL）已成为评估心境障碍患者及普通人群轻躁狂症状的重要工具。HCL - 33量表包含33个症状条目，是一种新的工具，除了自填式问卷外，还有一个用于外部评定的版本。本研究的目的是评估波兰双相情感障碍患者使用HCL - 33进行自我评估与外部评估之间的一致性。
对在波兹南和克拉科夫中心招募的81名处于缓解期的双相情感障碍患者的数据进行分析。所有患者均填写HCL - 33问卷，并且，对于每位患者，由其重要他人完成HCL - 33问卷的外部评定。
在33个症状条目中，“活跃/欣快”（因子1）的19个问题中有13个以及“易激惹/冒险”（因子2）的所有14个条目都有足够的一致性（kappa系数显著性<0.05）。因子1的6个条目以及关于轻躁狂最长持续时间的问题一致性不显著。患者与重要他人之间的评定者间一致性不受性别、是否同居或与患者关系亚型的影响。
结果显示，HCL - 33的27个症状条目（82%）的自我评估与外部评估之间具有显著一致性。应讨论一致性不足的条目的未来状况。本研究的局限性在于仅从两个中心招募了少量受试者，这可能不代表波兰人群。
