In , the Montgomery-Asberg Depression Rating Scale (MADRS) was introduced into clinical psychiatry because the existing depression rating scales. Estudio de validación de la escala de depresión de Montgomery y Åsberg of the Montgomery-Åsberg Depression Rating Scale (MADRS) in. Se realizó un análisis factorial de la escala; se determinó la consistencia .. A three-factor model of the MADRS in Major Depressive Disorder.

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Patients were excluded if no reliable information was available at the centre, or if they presented with acute depression, mania, hypomania or mixed symptoms at inclusion, if they suffered from some other serious psychiatric condition, current drug addiction, other conditions affecting the central nervous system, organic brain disease or had suffered any cranio-cerebral trauma, dementia, or an uncontrolled serious medical condition or illness which could produce secondary depression e.

As was mentioned earlier, no reliability study with a Brazilian sample was found.

Montgomery–Åsberg Depression Rating Scale – Wikipedia

How to cite this article. The selection of our cohort probably introduced some bias in the results, as it comprises a large number of patients with good adherence to follow-up programs, a better one than it is usually found in clinical practice; this could partly explain the finding of a excala recurrence rate.

Diagnostic and Statistical Manual of Mental Disorders. Long term treatment of depression. Subsyndromal symptoms assessed in longitudinal, prospective follow-up of a cohort of patients with bipolar disorder.

The MADRS [ 10 ] is a item semi-structured scale specifically designed to indicate the severity of the depressive condition. A considerably low rate of recurrence was found in the present study compared to other prospective studies, which document a Reliability analyses have confirmed the ability to discriminate changes during treatment; interrater reliability coefficients have ranged from 0.

The use of a self-rating version of HAM-D has focused on translation procedures when preparing non-English versions of the scale. Depression in France and Brazil: The present study aims to report the prevalence and week incidence of depressive symptoms in subsample escalx type II BD patients.


A critical examination of the sensitivity of unidimensional scales derived from the Hamilton Depression Rating Scale of antidepressant drug effects. Finally, a high correlation was found between the two instruments, and was similar to those reported mavrs Dractu, Ribeiro and Calil [ 17 ].

Development of a rating scale for primary depressive illness. The diagnosis of depressive syndromes and the prediction of ECT response. The clinically most significant method for validating a depression symptom rating scale such as the HAM-D is to use experienced psychiatrists, both in the group of raters making the global assessment and in the group of raters making the rating scale assessment.

All authors have read and approved the final manuscript. Am J Psychiatry May; 5: British Journal of Psychiatry.

Rating scales in depression: limitations and pitfalls

La muestra de TB tipo II estuvo compuesta de pacientes. When comparing Dr Gestalt with Dr Scales with respect to limitations and pitfalls in using depression rating scales, it seems appropriate to use the functional analysis proposed by Emmelkamp.

American Psychiatric Press, Inc.

Importantly, the sample used by those authors included only unipolar subjects. In the example illustrated in Figure 2. The incidence of SDS was determined in type II BD patients apparently in remission at baseline assessment, who had no recurrences during the follow-up period. Comparing the HAMD 17 and the 6 item scale, they conclude that the six-item has better perform to explain a large variance and that the HAMD 17 item provides unreliable data, such as, low effect sizes and sensivity to changes.

In conclusion, type II BD is a chronic affective disorder largely dominated by minor or subclinical symptoms of depression according to the definition as 7.

A literal translation does not ensure that the test measures the same constructs as the original instrument did. A wider study of which this publication represents a patient subset was conducted in our setting with the primary objective of obtaining a cross-sectional estimation of the subclinical depressive symptoms SDS present among BD symptomatic stable patients cared for in spanish community mental health services Impact on clinical trials of antidepressants.


Long-term symptomatic status of bipolar I vs. Hamilton depression rating scale and Montgomery-Asberg depression rating scale in depressed and bipolar I patients: Br J Soc Clin Psychol. In relation to the associated factors, older patients presented a greater variability in the duration of clinical stability, with a mean difference of nearly one year in maintaining clinical stability, than those patients detected by both methods.

Likewise, the symptom of suicidal behavior should be analyzed separately when selecting the most appropriate treatment and care for the patient. American Educational Research Association. For this variable, the results suggested that SDS patients, at baseline assessment, had spent less time clinically stable in comparison with non-SDS patients. Views Read Edit View history. This is based on the fact that differences observed between type I and type II patients are consistent with those commonly described and expected The study was approved by the Independent Ethics Committee of one of the participating centers, Hospital Clinic de Barcelona 25, The study was conducted in 88 Spanish centers which enrolled a sample of consecutive outpatients attending Community-based Mental Health Services and private clinics.

The item version was employed in the present study. At baseline, type II patients were older than type I BD patients, and within this group, there was also a higher proportion of women and people living independently compared to type I BD.

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