@article{ref1,
title="The 33-item Hypomania Checklist (HCL-33) - a study of the consistency between self - and external assessments in Polish bipolar patients",
journal="Psychiatria Polska",
year="2016",
author="Łojko, Dorota and Dudek, Dominika and Angst, Jules and Siwek, Marcin and Michalak, Michał and Rybakowski, Janusz",
volume="50",
number="6",
pages="1085-1092",
abstract="OBJECTIVES: 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. <br><br>METHODS: 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. <br><br>RESULTS: Of the 33 symptom items, sufficient agreement (significance of kappa factor < 0.05) was found for 13 out of the 19 questions of the &quot;active/elated&quot; (factor 1) and for all 14 items of the &quot;irritable/risk-taking&quot; (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. <br><br>CONCLUSIONS: 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.<p /> <p>Language: pl</p>",
language="pl",
issn="0033-2674",
doi="10.12740/PP/66358",
url="http://dx.doi.org/10.12740/PP/66358"
}