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Montgomery–Åsberg Depression Rating Scale

{{Short description|Diagnostic questionnaire to measure the severity of depressive episodes}}

{{Infobox diagnostic

| name = Montgomery–Åsberg Depression Rating Scale

| purpose = severity of depression

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The Montgomery–Åsberg Depression Rating Scale (MADRS) is a ten-item{{Cite journal | last1 = Williams | first1 = J. B. W. | last2 = Kobak | first2 = K. A. | doi = 10.1192/bjp.bp.106.032532 | title = Development and reliability of a structured interview guide for the Montgomery-Asberg Depression Rating Scale (SIGMA) | journal = The British Journal of Psychiatry | volume = 192 | issue = 1 | pages = 52–58 | year = 2008 | pmid = 18174510| url = http://bjp.rcpsych.org/content/bjprcpsych/192/1/52.full.pdf | doi-access = free }} diagnostic questionnaire which mental health professionals use to measure the severity of depressive episodes in patients with mood disorders. It was designed in 1979 by British and Swedish researchers (Stuart Montgomery and 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.{{cite journal |author=Montgomery SA, Asberg M|date=April 1979 |title=A new depression scale designed to be sensitive to change |journal=British Journal of Psychiatry |volume=134|pages=382–89 |pmid=444788 |doi=10.1192/bjp.134.4.382 |issue=4|s2cid=22246215 }} There is, however, a high degree of statistical correlation between scores on the two measures.[https://web.archive.org/web/20071010055043/http://ajgponline.org/cgi/content/abstract/15/10/899 Relationship Between the Hamilton Depression Rating Scale and the Montgomery–Åsberg Depression Rating Scale in Depressed Elderly: A Meta-analysis] from the American Journal of Geriatric Psychiatry

Interpretation

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.[http://instruct.uwo.ca/kinesiology/9641/Assessments/Psychological/MADRS.html Test: 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:

  • {{cite journal | last1 = Müller-Thomsen | first1 = T | last2 = Arlt | first2 = S | last3 = Mann | first3 = U | last4 = Maß | first4 = R | last5 = Ganzer | first5 = S | year = 2005 | title = Detecting depression in Alzheimer's disease: evaluation of four different scales | journal = Archives of Clinical Neuropsychology | volume = 20 | issue = 2| pages = 271–6 | doi = 10.1016/j.acn.2004.03.010 | pmid = 15708735 | doi-access = free }}
  • McDowell, I. (2006). Measuring Health: A guide to rating scales and questionnaires 3rd Ed. New York: Oxford University Press.

Higher MADRS score indicates more severe depression.

Usual cutoff points are:

  • 0 to 6: normal{{Cite journal | last1 = Herrmann | first1 = N. | last2 = Black | first2 = S. E. | last3 = Lawrence | first3 = J. | last4 = Szekely | first4 = C. | last5 = Szalai | first5 = J. P. | title = The Sunnybrook Stroke Study : A Prospective Study of Depressive Symptoms and Functional Outcome | doi = 10.1161/01.STR.29.3.618 | journal = Stroke | volume = 29 | issue = 3 | pages = 618–624 | year = 1998 | pmid = 9506602| doi-access = free }} /symptom absent
  • 7 to 19: mild depression
  • 20 to 34: moderate depression
  • 35 to 60: severe depression.

MADRS-S

A self-rating version of this scale (MADRS-S) is often used in clinical practice and correlates reasonably well with expert ratings.{{cite journal | last1 = Cunningham | first1 = JL | display-authors = etal | year = 2011 | title = Agreement between physicians' and patients' ratings on the Montgomery Åsberg Depression Rating Scale | journal = Journal of Affective Disorders | volume = 135 | issue = 1–3| pages = 148–53 | pmid = 21856017 | doi=10.1016/j.jad.2011.07.005}} The MADRS-S instrument has nine questions, with an overall score ranging from 0 to 54 points.{{cite journal | last1 = Svanborg | first1 = P | last2 = Åsberg | first2 = M | year = 2001 | title = A comparison between the Beck Depression Inventory (BDI) and the self-rating version of the Montgomery Åsberg Depression Rating Scale (MADRS) | journal = Journal of Affective Disorders | volume = 64 | issue = 2–3| pages = 203–216 | doi=10.1016/S0165-0327(00)00242-1| pmid = 11313087 }}

See also

References

{{Reflist}}

External links

  • [https://psychology-tools.com/montgomery-asberg-depression-rating-scale/ Automatically scored digital version of the MADRS]
  • [https://imrg.ir][https://web.archive.org/web/20170429143753/http://www.psy-world.com/madrs.htm Full version of the Montgomery–Åsberg Depression Rating Scale]
  • [https://web.archive.org/web/20170222051853/https://www.fda.gov/ohrms/dockets/ac/07/briefing/2007-4273b1_04-DescriptionofMADRSHAMDDepressionR(1).pdf Side-by-side comparison of the MADRS and HAMD]

{{Depression rating scales}}

{{DEFAULTSORT:Montgomery-Asberg Depression Rating Scale}}

Category:Depression screening and assessment tools