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Grant support

Supported by an Emili Letang grant from the Hospital Clinic of Barcelona (DH). Indirectly it was supported by a Josep Font Research Grant from the Hospital Clinic of Barcelona (JU), by the Instituto de Salud Carlos III through the Centro para la Investigacion Biomedica en Red de Salud Mental (CIBERSAM) (to JU, IP, JS, EV), Grup Consolidat de Recerca de la Generalitat de Catalunya (2014 SGR 398) (JS,EV) and by a grant from the CNPq, Programa Ciencias em Fronteiras, bolsa Atracao de Jovens Talentos and L'Oreal Brasil, Academia Brasileira de Ciencias, and Comissao Nacional da UNESCO, "For Women in Science" (ARR).

Analysis of institutional authors

Bonnín Roig, Caterina Del MarAuthorSánchez Moreno, JoséAuthorHidalgo Mazzei, Diego AlbertoAuthorVieta Pascual, EduardAuthorIglesias, JAuthorPacchiarotti, IsabellaAuthor

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September 23, 2015
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e-HCL-32: A Useful, Valid and User Friendly Tool in the Screening of Bipolar II Disorder

Publicated to:Comprehensive Psychiatry. 56 (56): 283-288 - 2015-01-01 56(56), DOI: 10.1016/j.comppsych.2014.09.008

Authors: Hidalgo-Mazzei, Diego; Mateu, Ainoa; Undurraga, Juan; Rosa, Adriane R; Pacchiarotti, Isabella; del Mar Bonnin, Caterina; Sanchez-Moreno, Jose; Colom, Francesc; Vieta, Eduard

Affiliations

Colegio Univ Cardenal Cisneros, Div Psicol, Madrid 28006, Spain - Author
Ctr Neurociencias Cuba, Havana 11600, Cuba - Author
Univ Autonoma Madrid, Fac Psicol, Dept Psicol Biol & Salud, E-28049 Madrid, Spain - Author
Univ Barcelona, Bipolar Disorders Program, Inst Neurosci, Hosp Clin Barcelona,IDIBAPS,CIBERSAM, Catalonia, Spain - Author
Univ Barcelona, Dept Psychiat & Psychol, Inst Neurosci, Hosp Clin Barcelona,IDIBAPS,CIBERSAM, Catalonia, Spain - Author
Univ Desarrollo, Dept Psychiat, Clin Alemana, Santiago, Chile - Author
Univ Fed Rio Grande do Sul, Grad Program Med Psychiat, Porto Alegre, RS, Brazil - Author
Univ Fed Rio Grande do Sul, Lab Mol Psychiat, Hosp Clin Porto Alegre, INCT Translat Med CNPq, Porto Alegre, RS, Brazil - Author
Univ Manchester, Ctr Clin & Cognit Neurosci, Inst Brain Behav & Mental Hlth, Manchester M13 9PL, Lancs, England - Author
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Abstract

Bipolar type II (BDII) is a frequent disorder with high morbidity and mortality, characterized by depressive and hypomanic episodes. Early diagnosis can be effective in improving long-term prognosis. However, diagnosing BDII is challenging due to the difficulty in detecting past hypomanic episodes. The HCL-32 is a widely used and reliable screening instrument for the detection of past hypomanic episodes. Making this tool available to more patients could help diagnose and treat undetected cases of BDII earlier. New technologies such as the Internet have been previously used for this purpose with favorable outcomes. Accordingly, the objective of this study is to evaluate the acceptability, validity, reliability and equivalence of an online version of this questionnaire.From May 2012 to March 2013, 52 participants attending an outpatient mental health clinic completed a paper version of the HCL-32 (HCL-32) and its online version (e-HCL-32) within two weeks. After its completion, they were asked to answer a brief satisfaction survey.No differences were found (HCL-32 mean total score=17.73 (SD=7.37), e-HCL-32 mean total score=18.28 (SD=7.09). T=-1.720, p=0.092, 95% CI=-1.21 to 0.09) between the results of the paper and pencil HCL-32 compared to its online version (e-HCL-32). The psychometric properties of the online version of the hypomania checklist (e-HCL-32) were good and comparable to the paper and pencil version. 80% of participants found online questionnaires to be easier to answer and more user-friendly.The results of this study support the use of an online screening tool for the detection of previous hypomanic episodes (necessary for BDII diagnosis) as it showed to have a similar validity and reliability to the traditional paper and pencil method.Copyright © 2014 Elsevier Inc. All rights reserved.

Keywords

acceptabilitydepressionfeasibilityimpairmentinternet-based psychoeducationreliabilityself-management interventionspanishversionAdultAgedBipolar disorderFemaleHumansHypomania checklist hcl-32InternetMaleMiddle agedPatient satisfactionPsychiatric status rating scalesPsychometricsReproducibility of resultsUser-computer interfaceYoung adult

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Comprehensive Psychiatry due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2015, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Clinical Psychology.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 2.27, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-04, the following number of citations:

  • WoS: 11
  • Scopus: 7
  • Europe PMC: 5
  • Google Scholar: 17

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-04:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 76.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 79 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 2.85.
  • The number of mentions on the social network X (formerly Twitter): 4 (Altmetric).

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Brazil; Chile; Cuba; United Kingdom.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Olivares, EI) and Last Author (Pacchiarotti, Isabella).