Montgomery – Åsberg Depression Rating Scale

The Montgomery – Åsberg Depression Rating Scale ( MADRS ) is a questionnaire for assessing the severity of a depressive syndrome . The assessment period refers to the previous week. The questionnaire consists of 10 questions. The questions are rated on a 7-point scale from 0 to 6. The total can be between 0 and 60 after adding up. The processing time is estimated at 10 to 15 minutes. The questionnaire was intended to improve weaknesses on the Hamilton scale .

Test development

The starting point for the development was the Comprehensive Psychopathological Rating Scale (CPRS). Of these, 10 questions were selected that were found to be sensitive to change in a before-and-after study in a drug study . The main reference is the original publication by the authors. There is no manual , which is why the test quality criteria have to be taken from the large number of studies.

interpretation

A higher MADRS score indicates more severe depression. Each question has a value between 0 and 6 points. The total number of points lies in a value range from 0 to 60 points.

The form contains questions about the following symptoms:

Visible sadness
Communicated sadness
Inner tension
Reduced sleep
Reduced appetite
Difficulty concentrating
Lack of drive
Feeling numb
Pessimistic thoughts
Suicidal ideation

The usual range of values is:

0 to 6 - No depression / symptom absent
7 to 19 - Mild depression
20 to 34 - Moderate depression
> 34 - Severe depression.

Individual evidence

^ Bernhard Strauss, Jörg Schumacher: Clinical interviews and rating scales . Hogrefe Verlag, 2004, ISBN 978-3-8409-1860-5 , pp. 237–240 ( limited preview in Google Book search).
↑ ^a ^b ^c
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. Quoted by:
- T Müller-Thomsen, S Arlt, U Mann, R Maß, S Ganzer: Detecting depression in Alzheimer's disease: evaluation of four different scales . In: Archives of Clinical Neuropsychology . 20, 2005, pp. 271-6.
- McDowell, I. (2006). Measuring Health: A guide to rating scales and questionnaires 3rd Ed. New York: Oxford University Press.
↑ ^a ^b ^c ^d N. Herrmann, SE Black, J. Lawrence, C. Szekely, JP Szalai: The Sunnybrook Stroke Study: A Prospective Study of Depressive Symptoms and Functional Outcome . In: Stroke . 29, No. 3, 1998, pp. 618-624. doi : 10.1161 / 01.STR.29.3.618 . PMID 9506602 .

[1] Bernhard Strauss, Jörg Schumacher: Clinical interviews and rating scales . Hogrefe Verlag, 2004, ISBN 978-3-8409-1860-5 , pp. 237–240 ( limited preview in Google Book search).

[ontario-2] 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. Quoted by:

T Müller-Thomsen, S Arlt, U Mann, R Maß, S Ganzer: Detecting depression in Alzheimer's disease: evaluation of four different scales . In: Archives of Clinical Neuropsychology . 20, 2005, pp. 271-6.

McDowell, I. (2006). Measuring Health: A guide to rating scales and questionnaires 3rd Ed. New York: Oxford University Press.

[3] T Müller-Thomsen, S Arlt, U Mann, R Maß, S Ganzer: Detecting depression in Alzheimer's disease: evaluation of four different scales . In: Archives of Clinical Neuropsychology . 20, 2005, pp. 271-6.

[4] McDowell, I. (2006). Measuring Health: A guide to rating scales and questionnaires 3rd Ed. New York: Oxford University Press.

[Herrmann1998-3] N. Herrmann, SE Black, J. Lawrence, C. Szekely, JP Szalai: The Sunnybrook Stroke Study: A Prospective Study of Depressive Symptoms and Functional Outcome . In: Stroke . 29, No. 3, 1998, pp. 618-624. doi : 10.1161 / 01.STR.29.3.618 . PMID 9506602 .