MADRS v.1
The purpose of the test is to give a detailed assessment of a patients current state of mind, that can be used as a tool to evaluate depression and suicidal tendencies. The rating should be based on a clinical interview moving from broadly phrased questions about symptoms to more detailed ones which allow a precise rating of severity. The interviewer must decide whether the rating lies on the defined scale steps (0, 2, 4, 6) or between them (1, 3, 5) and then report the appropriate number. The items should be rated with regards to how the patient has done over the past week.
Calculation of the MADRS score. To assess severity of depression in patients with mood disorders.
Use to assess severity of depression in patients with mood disorders. The Montgomery-Åsberg Depression Rating Scale was developed from the Comprehensive Psychopathological Rating Scale, and consists of ten items; - Apparent sadness - Reported sadness - Inner tension - Reduced sleep - Reduced appetite - Concentration difficulties - Lassitude - Inability to feel - Pessimistic thoughts - Suicidal thoughts The rating should be based on a clinical interview moving from broadly phrased questions about symptoms to more detailed ones which allow a precise rating of severity. The interviewer must decide whether the rating correlates to the defined scale steps (0, 2, 4, 6) or the ones between them (1, 3, 5). The items should be rated with regards to how the patient has done over the past week.
Should not be used alone to make a definitive assessment but strongly positive results must be investigated further expeditiously.
Svanborg P, Asberg M: A comparison between the Beck Depression Inventory (BDI) and the self-rated version of the Montgomery-Asberg Depression Rating Scale (MADRS). J Affect Dis 2001, 64(2-3):203-16. Svanborg, P. & Åsberg, M. (1994). A new self-rating scale for depression and anxiety states based om the comprehensive psyckopathological rating scale. ACTA Psychiatrica Scandinavia, 89(1), 21–28 Snaith, R.P., Harrop, F.M., Newby, D.A. (1986). Grade scores of the Montgomery-Åsberg Depression and Clinical Anxiety Scales. British Journal of Psychiatry, 148, 599-601. Montgomery SA, Asberg M. (1979). \"A new depression scale designed to be sensitive to change\". British Journal of Psychiatry 134 (4): 382–89. Cunningham, JL et al. (2011). \"Agreement between physicians' and patients' ratings on the Montgomery Åsberg Depression Rating Scale\". J. Affective Disorders 135 (1-3): 148–53. Williams JBW, Kobak KA. Development and reliability of a structured interview guide for the Montgomery–Åsberg Depression Rating Scale (SIGMA). Br J Psychiatry (2008) 192:52–8.10.1192/bjp.bp.106.032532
OBSERVATION.madrs.v1, EVALUATION.madrs_s_depression_assessment.v1
