TY  - JOUR
PY  - 2016//
TI  - The 33-item Hypomania Checklist (HCL-33) - a study of the consistency between self - and external assessments in Polish bipolar patients
JO  - Psychiatria Polska
A1  - Łojko, Dorota
A1  - Dudek, Dominika
A1  - Angst, Jules
A1  - Siwek, Marcin
A1  - Michalak, Michał
A1  - Rybakowski, Janusz
SP  - 1085
EP  - 1092
VL  - 50
IS  - 6
N2  - 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 "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. <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>
LA  - pl
SN  - 0033-2674
UR  - http://dx.doi.org/10.12740/PP/66358
ID  - ref1
ER  -