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比较双相情感障碍患者的 32 项轻躁狂清单(HCL-32)的两个简短版本。

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

机构信息

Faculty of Health and Life Sciences, De Montfort University, Leicester, United Kingdom.

Unit of Psychiatry, Faculty of Health Sciences, University of Macau, Macao SAR, China.

出版信息

Perspect Psychiatr Care. 2019 Jul;55(3):396-400. doi: 10.1111/ppc.12323. Epub 2018 Nov 19.

Abstract

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.

摘要

目的

比较轻躁狂清单-20 项(HCL-20)与 HCL-16 在敏感性、特异性、阳性预测值(PPV)、阴性预测值(NPV)方面的差异。

设计与方法

共纳入 350 例双相障碍(BD)或重性抑郁障碍(MDD)患者。比较 HCL-20 与 HCL-16 对 BD 及其亚型的敏感性、特异性、PPV、NPV 和曲线下面积。

结果

HCL-16 在敏感性+特异性方面优于 HCL-20。对于区分 BD 和 BD-I 患者与 MDD 患者,HCL-16 的敏感性优于 HCL-20,而 HCL-20 的特异性优于 HCL-16。

实践意义

我们的结果表明,HCL-20 和 HCL-16 均具有良好的筛查能力,但考虑到 HCL-16 的长度,其性能相对更优。

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