ArticleClinical psychology in Europe2024
Assessing Diagnostic Precision: Adaptations of the Hopkins Symptom Checklist (HSCL-5/10/25) Among Tertiary-Level Students in Norway.
Article in Clinical psychology in Europe, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Severity of depression and anxiety symptoms is reflected in physiological and behavioral metrics collected from a consumer-grade wearable ring.BMC medicine · 2026Article
- Sleep Across the Pandemic in Norwegian University and College Students: A National Repeated Cross-Sectional Analysis (2010-2023).Journal of sleep research · 2026Article
- Trends in anxiety and depressive symptoms among adults in Norway based on eight population-based surveys from 1995 to 2024.Discover mental health · 2026Article
- Suicide attempts, self-harm and suicidal ideation among Norwegian university students with eating disorders and disordered eating: the SHoT study 2018 and 2022.BMC psychiatry · 2026Observational
- From loneliness to depression: A longitudinal diagnostic study among Norwegian university students.Social psychiatry and psychiatric epidemiology · 2026Article
- Psychometric validation and optimal cut-point determination of the Hausa WHO-5 well-being index for depression screening among internally displaced persons.Global mental health (Cambridge, England) · 2026Article
- Health disparities and socioeconomic challenges faced by the Khawaja Sira (intersex and gender-diverse) community in Islamabad, Pakistan: A descriptive cross-sectional study.PLOS global public health · 2026Article
- Physical exercise and risk of common mental disorders among higher education students: A national prospective study.PloS one · 2026Article
- Compositional Associations of 24-h Movement Behaviors With Depressive and Anxiety Symptoms in Middle-Aged Adults.Depression and anxiety · 2026Article
- Mind at rest, mind at risk: A prospective population-based study of sleep and subsequent mental disorders.Sleep medicine: X · 2025Article
- The association between financial strain, psychological distress and subsequent depression: findings from a Norwegian national study.BJPsych open · 2025Article
- Mental and somatic health burdens of hypochondriacal disorder in higher education: national study among Norwegian students.BJPsych open · 2025Article
- The Ability of the Hopkins Symptom Checklist-5 to Identify Generalized Anxiety Disorder and Major Depressive Disorder in the General Population.International journal of environmental research and public health · 2025Article
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9 authors.
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Abstract
Background: Universities worldwide are witnessing a surge in mental health problems among students, particularly in anxiety and depression. The Hopkins Symptom Checklist (HSCL) is a popular screening tool, but its reliability in identifying mental disorders remains debated. The aim of this study was to evaluate the criterion validity of the HSCL-25, HSCL-10, and HSCL-5 using 30-day prevalence of major depressive episode (MDE) and generalized anxiety disorder (GAD) from a self-administered electronic version of the Composite International Diagnostic Interview, fifth version (CIDI 5.0), as the benchmark. Method: Data stem from a national survey targeting students in higher education in Norway. In a 2023 follow-up study on mental disorders, 5,568 participants completed both the HSCL-25 and the CIDI. Sex-specific optimal thresholds for all HSCL versions in relation to MDE and GAD (from CIDI) were determined using the Youden Index maximization. Results: The optimal cut-off values for detecting MDE or GAD with the HSCL-25 were 1.96 for males and 2.20 for females, displaying a good balance between sensitivity and specificity. Similar high and balanced sensitivity and specificity patterns were found for both the HSCL-10 and HSCL-5. However, all HSCL versions overestimated prevalence rates compared to the self-administered CIDI. Conclusions: All three HSCL versions showed high criterion validity. The data indicate that HSCL may be better as a screening tool than for precise estimation of MDE and GAD prevalence. For improved diagnostic accuracy, future HSCL versions should incorporate functional impairment assessment. This update would bring the HSCL into closer alignment with clinical diagnostic standards.
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