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Hypomania: a transcultural perspective

Lookup NU author(s): Dr Thomas Meyer



This study examined the transcultural robustness of a screening instrument for hypomania, the Hypomania Checklist-32. first revised version(HCL-32 R1) It was carried out in 2606 patients from twelve countries in five geographic regions (Northern, Southern and Eastern Europe, South America and East Asia) In addition, GAMIAN Europe contributed data from its members Exploratory and confirmatory factor analyses were used to examine the transregional stability of the measurement properties of the HCL-32 R 1, including the influence of sex and age as covariates A cross cultures, a two-factor structure was confirmed the first factor (F 1) reflected the more positive aspects of hypomania (being more active, elated, self-confident, and cognitively, enhanced), the second factor (F2) reflected the more negative aspects (being irritable, impulsive, careless. more substance use). The measurement properties of the HCL-32 R1 were largely invariant across cultures Only few items showed transcultural differences in their relation to hypomania as measured by the test F2 was higher among men and in more severe manic syndromes, F1 was highest in North and East Europe and lowest in South America Vie scores decreased slightly with age The frequency of the 32 items showed remarkable similarities across geographic areas, with two exceptions. South Europeans had lower symptom frequencies in general and East Europeans higher rates of substance use These findings support the international applicability of the HCL-32 R1 as a screening instrument for hypomania

Publication metadata

Author(s): Angst J, Meyer TD, Adolfsson R, Skeppar P, Carta M, Benazzi F, Lu RB, Wu YH, Yang HC, Yuan CM, Morselli P, Brieger P, Katzmann J, Leao IAT, del Porto JA, Moreno DH, Moreno RA, Soares OT, Vieta E, Gamma A

Publication type: Article

Publication status: Published

Journal: World Psychiatry

Year: 2010

Volume: 9

Issue: 1

Pages: 41-49

Print publication date: 01/02/2010

Date deposited: 19/05/2011

ISSN (print): 1723-8617

ISSN (electronic):

Publisher: Elsevier Masson



Funder referenceFunder name
Glaxo Smith-Kline
Mood Disorders Unit (GRUDA) of the Department and Institute of Psychiatry
scientific and technological bureau of Shezhen in China
Spanish Ministry of Science and Innovation
Eli Lilly Foundation
School of Medicine of the University of Sao Paulo
3200-050881 97/1Swiss National Science Foundation
NSC98-2314-B-006-022-MY3National Science Council