Comparison of Hypomanic Symptoms Between Bipolar I and Bipolar II Disorders: A Network Perspective
BackgroundHypomanic symptoms between bipolar-I disorder (BD-I) and bipolar-II disorder (BD-II) are often indistinguishable in clinical practice. This study compared the network structure of hypomanic symptoms between patients with BD-I and BD-II.MethodsThe 32-item Hypomania Checklist (HCL-32) was us...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.881414/full |
| _version_ | 1818005664032620544 |
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| author | Wei Bai Wei Bai Wei Bai Yuan Feng Sha Sha Qinge Zhang Teris Cheung Dexing Zhang Zhaohui Su Chee H. Ng Yu-Tao Xiang Yu-Tao Xiang Yu-Tao Xiang |
| author_facet | Wei Bai Wei Bai Wei Bai Yuan Feng Sha Sha Qinge Zhang Teris Cheung Dexing Zhang Zhaohui Su Chee H. Ng Yu-Tao Xiang Yu-Tao Xiang Yu-Tao Xiang |
| author_sort | Wei Bai |
| collection | DOAJ |
| description | BackgroundHypomanic symptoms between bipolar-I disorder (BD-I) and bipolar-II disorder (BD-II) are often indistinguishable in clinical practice. This study compared the network structure of hypomanic symptoms between patients with BD-I and BD-II.MethodsThe 32-item Hypomania Checklist (HCL-32) was used to assess hypomanic symptoms. Network model was generated in BD-I and BD-II patients. Centrality index of strength was used to quantify the importance of each symptom in the network. The Network Comparison Test (NCT) was used to assess the differences in hypomanic symptoms between BD-I and BD-II patients.ResultsAltogether, 423 patients with BD (BD-I: 191 and BD-II: 232) were included. The most central symptom was HCL17 “I am more flirtatious and/or am more sexually active” (strength BD–I = 5.21) and HCL12 “I have more ideas, I am more creative” (strength BD–II = 6.84) in BD-I and BD-II samples, respectively. The results of NCT showed that four nodes (HCL12 “I have more ideas, I am more creative,” HCL17 “I am more flirtatious and/or am more sexually active,” HCL23 “My thoughts jump from topic to topic,” and HCL31 “I drink more alcohol”) were significantly different between the BD-I and BD-II samples. Two edges (HCL3 “I am more self-confident”–HCL17 “I am more flirtatious and/or am more sexually active,” and HCL10 “I am physically more active (sport, etc.)”–HCL24 “I do things more quickly and/or more easily”) were significantly stronger in BD-I compared to BD-II patients.ConclusionThe network structure of hypomanic symptoms is different between BD-I and BD-II patients. Interventions targeting the respective central symptoms and edges should be developed for BD-I and BD-II separately. |
| first_indexed | 2024-04-14T04:47:08Z |
| format | Article |
| id | doaj.art-24179a6433b143df99bb4bcf3b3041f2 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-14T04:47:08Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-24179a6433b143df99bb4bcf3b3041f22022-12-22T02:11:25ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-05-011310.3389/fpsyt.2022.881414881414Comparison of Hypomanic Symptoms Between Bipolar I and Bipolar II Disorders: A Network PerspectiveWei Bai0Wei Bai1Wei Bai2Yuan Feng3Sha Sha4Qinge Zhang5Teris Cheung6Dexing Zhang7Zhaohui Su8Chee H. Ng9Yu-Tao Xiang10Yu-Tao Xiang11Yu-Tao Xiang12Unit of Psychiatry, Department of Public Health and Medicinal Administration, Faculty of Health Sciences, Institute of Translational Medicine, University of Macau, Macao, Macao SAR, ChinaCenter for Cognition and Brain Sciences, University of Macau, Macao, Macao SAR, ChinaInstitute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao, Macao SAR, ChinaThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & The Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing, ChinaThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & The Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing, ChinaThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & The Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing, ChinaSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, ChinaFaculty of Medicine, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaSchool of Public Health, Southeast University, Nanjing, ChinaDepartment of Psychiatry, The Melbourne Clinic and St Vincent’s Hospital, University of Melbourne, Melbourne, VIC, AustraliaUnit of Psychiatry, Department of Public Health and Medicinal Administration, Faculty of Health Sciences, Institute of Translational Medicine, University of Macau, Macao, Macao SAR, ChinaCenter for Cognition and Brain Sciences, University of Macau, Macao, Macao SAR, ChinaInstitute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao, Macao SAR, ChinaBackgroundHypomanic symptoms between bipolar-I disorder (BD-I) and bipolar-II disorder (BD-II) are often indistinguishable in clinical practice. This study compared the network structure of hypomanic symptoms between patients with BD-I and BD-II.MethodsThe 32-item Hypomania Checklist (HCL-32) was used to assess hypomanic symptoms. Network model was generated in BD-I and BD-II patients. Centrality index of strength was used to quantify the importance of each symptom in the network. The Network Comparison Test (NCT) was used to assess the differences in hypomanic symptoms between BD-I and BD-II patients.ResultsAltogether, 423 patients with BD (BD-I: 191 and BD-II: 232) were included. The most central symptom was HCL17 “I am more flirtatious and/or am more sexually active” (strength BD–I = 5.21) and HCL12 “I have more ideas, I am more creative” (strength BD–II = 6.84) in BD-I and BD-II samples, respectively. The results of NCT showed that four nodes (HCL12 “I have more ideas, I am more creative,” HCL17 “I am more flirtatious and/or am more sexually active,” HCL23 “My thoughts jump from topic to topic,” and HCL31 “I drink more alcohol”) were significantly different between the BD-I and BD-II samples. Two edges (HCL3 “I am more self-confident”–HCL17 “I am more flirtatious and/or am more sexually active,” and HCL10 “I am physically more active (sport, etc.)”–HCL24 “I do things more quickly and/or more easily”) were significantly stronger in BD-I compared to BD-II patients.ConclusionThe network structure of hypomanic symptoms is different between BD-I and BD-II patients. Interventions targeting the respective central symptoms and edges should be developed for BD-I and BD-II separately.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.881414/fullChineseHCL-32bipolar disordernetwork analysiscomparison |
| spellingShingle | Wei Bai Wei Bai Wei Bai Yuan Feng Sha Sha Qinge Zhang Teris Cheung Dexing Zhang Zhaohui Su Chee H. Ng Yu-Tao Xiang Yu-Tao Xiang Yu-Tao Xiang Comparison of Hypomanic Symptoms Between Bipolar I and Bipolar II Disorders: A Network Perspective Frontiers in Psychiatry Chinese HCL-32 bipolar disorder network analysis comparison |
| title | Comparison of Hypomanic Symptoms Between Bipolar I and Bipolar II Disorders: A Network Perspective |
| title_full | Comparison of Hypomanic Symptoms Between Bipolar I and Bipolar II Disorders: A Network Perspective |
| title_fullStr | Comparison of Hypomanic Symptoms Between Bipolar I and Bipolar II Disorders: A Network Perspective |
| title_full_unstemmed | Comparison of Hypomanic Symptoms Between Bipolar I and Bipolar II Disorders: A Network Perspective |
| title_short | Comparison of Hypomanic Symptoms Between Bipolar I and Bipolar II Disorders: A Network Perspective |
| title_sort | comparison of hypomanic symptoms between bipolar i and bipolar ii disorders a network perspective |
| topic | Chinese HCL-32 bipolar disorder network analysis comparison |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.881414/full |
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