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

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.