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Logo of bmcpsycBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Psychiatry
BMC Psychiatry. 2011; 11: 14.
Published online Jan 20, 2011. doi:  10.1186/1471-244X-11-14
PMCID: PMC3036591
The Farsi version of the Hypomania Check-List 32 (HCL-32): Applicability and indication of a four-factorial solution
Mohammad Haghighi,#1 Hafez Bajoghli,#2 Jules Angst,3 Edith Holsboer-Trachsler,4 and Serge Brandcorresponding author4
1Research Center for Behavioural Disorders and Substance Abuse of Hamadan University of medical sciences, Hamadan, Islamic Republic of Iran
2Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
3Zurich University Psychiatric Hospital, Zurich, Switzerland
4Psychiatric Hospital of the University of Basel, Basel, Switzerland
corresponding authorCorresponding author.
#Contributed equally.
Mohammad Haghighi: haghighi/at/; Hafez Bajoghli: hafez_bajoghli/at/; Jules Angst: jules.angst/at/; Edith Holsboer-Trachsler: edith.holsboer/at/; Serge Brand: serge.brand/at/
Received September 17, 2010; Accepted January 20, 2011.
Data from the Iranian population for hypomania core symptom clusters are lacking. The aim of the present study was therefore to apply the Farsi version of the Hypomania-Check-List 32 (HCL-32), and to explore its factorial structure.
A total of 163 Iranian out-patients took part in the study; 61 suffered from Major Depressive Disorder (MDD), and 102 suffered from Bipolar Disorders (BP). Participants completed the Mood Disorder Questionnaire (MDQ) and the Hypomania Checklist (HCL-32). Exploratory factor analyses were used to examine the properties of the HCL-32. A ROC-curve analysis was performed to calculate sensitivity and specificity.
The HCL-32 differentiated between patients with MDD and with BP. Psychometric properties were satisfactory: sensitivity: 73%; specificity: 91%. MDQ and HCL-32 did correlate highly. No differences were found between patients suffering from BP I and BP II.
Instead of the two-factorial structure of the HCL-32 reported previously, the present pattern of factorial results suggest a distinction between four factors: two broadly positive dimensions of hypomania ("physically and mentally active"; "positive social interactions") and two rather negative dimensions ("risky behavior and substance use"; "difficulties in social interaction and impatience").
The Farsi version of the HCL-32 proved to be applicable, and therefore easy to introduce within a clinical context. The pattern of results suggests a four factorial solution.
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