Validity Test of Hypomania Checklist: Suicide Ideation as A Criterion

DOI

10.2991/assehr.k.201209.005How to use a DOI?

Keywords

Bipolar Disorder, Hypomania, HCL-33, HCL, Suicide Ideation

Abstract

This study aims to look at the construct validity of the Indonesian version of HCL-33, namely (1) factor loading per dimension and overview of HCL-33 Mean (positive response) in Bipolar Disorder participants and MDD participants. In addition, this study (2) wanted to see the reliability (Alpha Cronbach), (3) the description of the recommended number of HCL items after being adapted into Indonesian based on validity and reliability tests, (4) to see the participants’ demographic information based on the adapted HCL, (5) to test the criterion validity of HCL through sensitivity and specificity tests, (6) to test the criterion validity of HCL with suicide ideation as measured by SSI and (7) to test the construct validity (discriminant evidence) of HCL against depression as measured by BDI-II. In diagnosing Bipolar Disorder, information about Hypomania or Mania and Depression is needed. Hypomania or mania can be measured using HCL-33, while Depression is measured using BDI-II. Patients with Bipolar Disorder experience episodes of hypomania, episodes of mania, and episodes of depression but spend more time in their lives in depressive episodes. Episodes of mania and hypomania are states of increased mood and increased motor energy that are limited in different duration of time and differ in severity. While depressive episodes are sad or depressed moods, reduced interest or pleasure in various activities for at least two weeks, and there are changes in attitude and behaviour than usual, which causes damage to social functions, work, and other functional areas. The suicide ideation can lead to suicide is one of the symptoms of depression. As a result, there is a high number of deaths in the world due to suicide in patients with Bipolar Disorder. However, the diagnosis of Bipolar Disorder is difficult because there is no information about mania or hypomania from the patient, the clinician who does not ask about mania or hypomania episodes, and the patient shows symptoms of depression when meeting with the clinician so that diagnosis errors often become unipolar depression. Research on 158 samples who diagnosed with Bipolar Disorder by Psychiatrists from the Indonesian Bipolar Disorder community, namely BCI (Bipolar Care Indonesia) and the control group is participants without diagnosis of Bipolar Disorder. Sampling is done by non-random namely purposive samples in patients who have been diagnosed with Bipolar Disorder and convenience samples in the control group consist of participants who are not diagnosed with Bipolar Disorder. The data analysis method uses the quantitative correlational method. The results found reliability (Alpha Cronbach) of 0.84 in the dimension I “Active/Elated” and 0.77 in the second dimension “Irritable/Risk-taking”. The result of the criterion validity is the sensitivity of 91.4% in Bipolar Disorder. While the specificity test of 80% was found in this study. HCL has good construct validity (discriminant evidence) against depression as measured by BDI-II which there is no significant correlation with BDI-II (p> 0.05). Test of the criterion validity with the suicide ideation resulting there is a significant positive correlation of HCL score of dimension II “Irritable / Risk-taking” with the suicide ideation as measured by SSI (p <0.05). In conclusion, the Indonesian version of HCL has good validity and reliability in hypomania and mania screening especially in depressed participants and clinicians in Indonesia should use the adapted HCL recommended by researcher in the process of diagnosing Bipolar Disorder so that appropriate treatment can be given as early as possible. The aim is to prevent the severity of Bipolar Disorder which can lead to the suicide ideation which can lead to suicide.

Copyright

© 2020, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Felinda Stefika
AU  - Ediasri Toto Atmodiwirjo
AU  - P. Tommy
AU  - Y. S. Suyasa
PY  - 2020
DA  - 2020/12/12
TI  - Validity Test of Hypomania Checklist: Suicide Ideation as A Criterion
BT  - Proceedings of the 2nd Tarumanagara International Conference on the Applications of Social Sciences and Humanities (TICASH 2020)
PB  - Atlantis Press
SP  - 25
EP  - 46
SN  - 2352-5398
UR  - https://doi.org/10.2991/assehr.k.201209.005
DO  - 10.2991/assehr.k.201209.005
ID  - Stefika2020
ER  -