Type II bipolar disorder is an underdiagnosed disease which can be easily confused with depression. Contrarily to what happens in type I bipolar disorder, depressive symptoms and, above all, manic symptoms alternated in this form of the disease are not evident and difficult to identify. In fact, patients suffering from it usually go to the doctor because they are depressed, without thinking that they have also had slight manic episodes (euphoria and other cognition disorders). Medical centre lack tools to identify successfully this pathology, which can take 8-10 years to be correctly diagnosed. Furthermore, antidepressant treatment can be counterproductive in patients with type II bipolar disorder. Dr. Eduard Vieta, of the group Biological Basis of the Psychic Disorder and Nuclear Psychiatry of the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), has coordinated a study in order to validate the Spanish version of the test Hypomania symptom check list (HCL-32), which is being developed in an ample international collaboration.
The last issue of Journal of Affective Disorders published results confirming the usefulness of this simple questionnaire of 32 questions to distinguish major depression from bipolar disorder. In 2005, researchers from IDIBAPS collaborated in the international design of this test (J Affect Disord, 2005; 88(2):217-33). The main difference between HCL-32 and the test used until today -the Mood disorder questionnaire (MDQ)- is the open character of the questions, facilitating the patient’s sincerity. In these questions lay essential information to assess retrospectively the energy/activity levels of patients and problems of disinhibition, self-control and attention they have suffered in the past. This new study compares the sensitivity of both questionnaires, and concludes that the HCL-32 is more precise than the MDQ in the identification of type II bipolar disorder patients. This work has been supported by GlaxoSmithKline (GSK) and had the participation of PSYNCRO, a neuropsychological research enterprise, located in the Parc Científic de Barcelona (PCB), which has worked in collaboration with the Department of Psychology of the Universitat de Girona.
A total of 237 people from 15 different psychiatric departments (see annex list), filled out the HCL-32. Except those belonging to the control group (60), the rest were correctly diagnosed, stable and receiving a correct treatment for their pathology, which could be type I (62) and type II (56) bipolar disorder, or major depression (58). This test was able to identify more than 80% of patients with bipolar disorder. Although it could not distinguish between types I and II, this decision is relatively easy to take from the clinical data of the patient. For the first time, a tool to identify bipolar disorder is available for patients going to the medical centre claiming depression. Although it is necessary to go on with studies in patients of wider populations, the HCL-32 test can provide very useful information to psychiatrists and even to primary-care physicians.
Further information please contact: Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) Communication Department Marc de Semir, Head of Communication (mdesemir@clinic.ub.es) Àlex Argemí, Sientific writer
Annex
List of involved health centres:
- Programme of Bipolar Disorders. Institut Clínic de Neurociències. Hospital Clínic, IDIBAPS, Universitat de Barcelona, Barcelona Stanley Foundation Center. Barcelona.
- Psychiatry Unit. Hospital Universitario “Marqués de Valdecilla”. Santander
- Institute of Psychiatric Care, Mental Health and Toxicomanic Hospital del Mar. Barcelona
- Psychiatry Department. Hospital Virgen Macarena. Sevilla,
- Psychiatry Unit. Hospital General y Universitario. Guadalajara.
- Psychiatry Unit. Hospital Mútua de Terrassa. Terrasa (Barcelona).
- Psychiatry Unit. Hospital Regional Universitario Infanta Cristina. Badajoz.
- Mental Health Centre. Mieres (Asturias).
- Psychiatry Unit. Hospital Universitario San Juan. Alicante.
- Psychiatry and Mental Health Unit. Hospital General de Vic. Vic (Barcelona).
- Psychiatry Unit II. Hospital General Universitario Gregorio Marañón. Madrid.
- Psychiatry Unit. Hospital Donostia. San Sebastián (Guipúzcoa).
- Psychiatry Unit. Hospital Clínico. Salamanca.
- Psychiatry Unit. Hospital de la Princesa. Madrid.
- Unit of Psychiatric Hospitalisation. Hospital General de Jerez de la Fontera. Jerez de la Frontera (Cádiz).
- Neurosciences Area. Medical Department. GlaxoSmithKline S.A. Tres Cantos (Madrid)
- University of Zurich, Switzerland
Journal
Journal of Affective Disorders