JOURNAL OF AFFECTIVE DISORDERS | 卷:207 |
Characterization and structure of hypomania in a British nonclinical adolescent sample | |
Article | |
Hosang, Georgina M.1  Cardno, Alastair G.2  Freeman, Daniel3  Ronald, Angelica4  | |
[1] Goldsmiths Univ London, Dept Psychol, London SE14 6NW, England | |
[2] Univ Leeds, Acad Unit Psychiat & Behav Sci, Leeds Inst Hlth Sci, Charles Thackrah Bldg,101 Clarendon Rd, Leeds LS2 9LJ, W Yorkshire, England | |
[3] Univ Oxford, Warneford Hosp, Dept Psychiat, Oxford OX3 7JX, England | |
[4] Birkbeck Univ London, Dept Psychol Sci, Malet St, London WC1E 7HX, England | |
关键词: Hypomania; Hypomanic Checklist; HCL; Bipolar disorder; Adolescence; Youth; | |
DOI : 10.1016/j.jad.2016.08.033 | |
来源: Elsevier | |
【 摘 要 】
Background: This study aimed to test the validity of using the Hypomania Checklist-16 [HCL-16] to measure hypomania in a British adolescent community sample. Limited research is available concerning the characterization of hypomania among community adolescent samples, particularly in the UK, despite it,: potential importance for early intervention policy development. Method: To explore the structure and characterization of hypomania in a British adolescent nonclinical cohort. over 1400 17 year olds (Mean=17.05 years; SD=0.88) completed the HCL-16 along with measures of different psychological and psychopathological dimensions. Results: Principal components analysis revealed a 2-component solution for the HCL-16, described as active elated and irritable/risk-taking. Hypomanic symptoms were significantly correlated with many psychopathological dimensions. There were distinct correlation patterns for the two HCL-16 subscales, with the irritability/ risk-taking subscale showing significantly stronger associations with psychotic-like experiences, internalizing and externalizing problems, and reduced life satisfaction relative to the active-elated dimension. Adolescents at `high-risk' for bipolar disorder reported more psychopathology relative to the comparison group. Limitations: Absence of the clinical diagnosis of bipolar disorder in the sample means that the classification of the 'high-risk' group cannot be confirmed. Conclusions: The structure of the HCL-16 in this UK adolescent sample mirrored that observed in adult and clinical cohorts. The observed links between the HCL-16 and psychopathological dimensions that have been previously associated with both hypomania and bipolar disorder lend support to the HCL-16's validity as a hypomania instrument for adolescents. Better understanding of hypomania prior to adulthood has considerable potential for informing early intervention approaches.
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