The Montgomery–Åsberg Depression Rating Scale (MADRS) is a ten-item[1]diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes in patients with mood disorders. It was designed in 1979 by British and Swedish researchers (Marie Åsberg) as an adjunct to the Hamilton Rating Scale for Depression (HAMD) which would be more sensitive to the changes brought on by antidepressants and other forms of treatment than the Hamilton Scale was.[2] There is, however, a high degree of statistical correlation between scores on the two measures.[3]
The questionnaire includes questions on ten symptoms:
Apparent sadness
Reported sadness
Inner tension
Reduced sleep
Reduced appetite
Concentration difficulties
Lassitude
Inability to feel
Pessimistic thoughts
Suicidal thoughts
Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60.[4] Higher MADRS score indicates more severe depression. Usual cutoff points are:
A self-rating version of this scale (MADRS-S) is often used in clinical practice and correlates reasonably well with expert ratings.[6] The MADRS-S instrument has nine questions, with an overall score ranging from 0 to 54 points.[7]
^Williams, J. B. W.; Kobak, K. A. (2008). "Development and reliability of a structured interview guide for the Montgomery-Asberg Depression Rating Scale (SIGMA)" (PDF). The British Journal of Psychiatry. 192 (1): 52–58. doi:10.1192/bjp.bp.106.032532. PMID 18174510.
^Montgomery SA, Asberg M (April 1979). "A new depression scale designed to be sensitive to change". British Journal of Psychiatry. 134 (4): 382–89. doi:10.1192/bjp.134.4.382. PMID 444788. S2CID 22246215.
^ from the American Journal of Geriatric Psychiatry
^ abcTest: Montgomery-Åsberg Depression Rating Scale (MADRS) in BioPsychoSocial Assessment Tools for the Elderly - Assessment Summary Sheet. The University of Western Ontario, London, Ontario, Canada. In turn citing:
Müller-Thomsen, T; Arlt, S; Mann, U; Maß, R; Ganzer, S (2005). "Detecting depression in Alzheimer's disease: evaluation of four different scales". Archives of Clinical Neuropsychology. 20 (2): 271–6. doi:10.1016/j.acn.2004.03.010. PMID 15708735.
McDowell, I. (2006). Measuring Health: A guide to rating scales and questionnaires 3rd Ed. New York: Oxford University Press.
^ abcdHerrmann, N.; Black, S. E.; Lawrence, J.; Szekely, C.; Szalai, J. P. (1998). "The Sunnybrook Stroke Study : A Prospective Study of Depressive Symptoms and Functional Outcome". Stroke. 29 (3): 618–624. doi:10.1161/01.STR.29.3.618. PMID 9506602.
^Cunningham, JL; et al. (2011). "Agreement between physicians' and patients' ratings on the Montgomery Åsberg Depression Rating Scale". Journal of Affective Disorders. 135 (1–3): 148–53. doi:10.1016/j.jad.2011.07.005. PMID 21856017.
^Svanborg, P; Åsberg, M (2001). "A comparison between the Beck Depression Inventory (BDI) and the self-rating version of the Montgomery Åsberg Depression Rating Scale (MADRS)". Journal of Affective Disorders. 64 (2–3): 203–216. doi:10.1016/S0165-0327(00)00242-1. PMID 11313087.
montgomery, Åsberg, depression, rating, scale, madrs, item, diagnostic, questionnaire, which, psychiatrists, measure, severity, depressive, episodes, patients, with, mood, disorders, designed, 1979, british, swedish, researchers, marie, Åsberg, adjunct, hamilt. The Montgomery Asberg Depression Rating Scale MADRS is a ten item 1 diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes in patients with mood disorders It was designed in 1979 by British and Swedish researchers Marie Asberg as an adjunct to the Hamilton Rating Scale for Depression HAMD which would be more sensitive to the changes brought on by antidepressants and other forms of treatment than the Hamilton Scale was 2 There is however a high degree of statistical correlation between scores on the two measures 3 Montgomery Asberg Depression Rating ScalePurposeseverity of depression Contents 1 Interpretation 2 MADRS S 3 See also 4 References 5 External linksInterpretation EditThe questionnaire includes questions on ten symptoms Apparent sadness Reported sadness Inner tension Reduced sleep Reduced appetite Concentration difficulties Lassitude Inability to feel Pessimistic thoughts Suicidal thoughtsEach item yields a score of 0 to 6 the overall score thus ranges from 0 to 60 4 Higher MADRS score indicates more severe depression Usual cutoff points are 0 to 6 normal 5 symptom absent 4 7 to 19 mild depression 4 5 20 to 34 moderate depression 5 35 to 60 severe depression 5 MADRS S EditA self rating version of this scale MADRS S is often used in clinical practice and correlates reasonably well with expert ratings 6 The MADRS S instrument has nine questions with an overall score ranging from 0 to 54 points 7 See also EditComprehensive Psychopathological Rating Scale Diagnostic classification and rating scales used in psychiatryReferences Edit Williams J B W Kobak K A 2008 Development and reliability of a structured interview guide for the Montgomery Asberg Depression Rating Scale SIGMA PDF The British Journal of Psychiatry 192 1 52 58 doi 10 1192 bjp bp 106 032532 PMID 18174510 Montgomery SA Asberg M April 1979 A new depression scale designed to be sensitive to change British Journal of Psychiatry 134 4 382 89 doi 10 1192 bjp 134 4 382 PMID 444788 S2CID 22246215 Relationship Between the Hamilton Depression Rating Scale and the Montgomery Asberg Depression Rating Scale in Depressed Elderly A Meta analysis from the American Journal of Geriatric Psychiatry a b c Test Montgomery Asberg Depression Rating Scale MADRS in BioPsychoSocial Assessment Tools for the Elderly Assessment Summary Sheet The University of Western Ontario London Ontario Canada In turn citing Muller Thomsen T Arlt S Mann U Mass R Ganzer S 2005 Detecting depression in Alzheimer s disease evaluation of four different scales Archives of Clinical Neuropsychology 20 2 271 6 doi 10 1016 j acn 2004 03 010 PMID 15708735 McDowell I 2006 Measuring Health A guide to rating scales and questionnaires 3rd Ed New York Oxford University Press a b c d Herrmann N Black S E Lawrence J Szekely C Szalai J P 1998 The Sunnybrook Stroke Study A Prospective Study of Depressive Symptoms and Functional Outcome Stroke 29 3 618 624 doi 10 1161 01 STR 29 3 618 PMID 9506602 Cunningham JL et al 2011 Agreement between physicians and patients ratings on the Montgomery Asberg Depression Rating Scale Journal of Affective Disorders 135 1 3 148 53 doi 10 1016 j jad 2011 07 005 PMID 21856017 Svanborg P Asberg M 2001 A comparison between the Beck Depression Inventory BDI and the self rating version of the Montgomery Asberg Depression Rating Scale MADRS Journal of Affective Disorders 64 2 3 203 216 doi 10 1016 S0165 0327 00 00242 1 PMID 11313087 External links EditAutomatically scored digital version of the MADRS 1 Full version of the Montgomery Asberg Depression Rating Scale Side by side comparison of the MADRS and HAMD Retrieved from https en wikipedia org w index php title Montgomery Asberg Depression Rating Scale amp oldid 1169890596, wikipedia, wiki, book, books, library,
