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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Rating scales in depression: limitations and pitfalls

This predominantly depressive nature of BD is now accepted following results of important prospective cohort studies In the macroanalysis of the choice of treatment, it must therefore be concluded that rating scales with a factor profile such as the HAM-D seem to be superior to the DSM-IV diagnosis of major depression, but the DSM-IV depression symptoms individually can give important information about choice of treatment.

Vieta E, Suppes T. American Psychiatric Press, Inc. Conclusion This study allows that the use of a shorter version of Mxdrs might be an adequate possibility, and also that madr symptoms were similar among groups.

Rating scales in depression: limitations and pitfalls

By contrast, patients with major depressive disorder present with a group of consistent symptoms that escaal throughout most of the day, almost every day, for at least 2 weeks [ 2 ]. The sample comprised 91 adult patients experiencing a major depressive episode: A prospective investigation of the natural history of the long-term weekly symptomatic status of bipolar II disorder.

The estimated prevalence of SDS was valid and specific for the studied population and differs maadrs what would have been found in non-clinical samples i. British Journal of Psychiatry.


Greater impairment in baseline functional status was found in the SDS group, involving more difficulties related to social, occupational or school life. This result might indicate that, during treatment, when core symptoms are more easily to be detected, MADRS is more indicated to detect change differences.

Some studies reveal correlation coefficients between 0. Regarding clinical aspects, type II BD patients were older at the age of first episode, on average suffered more episodes per year, and the past history of depressive episodes was more common than in type I BD.

Depressive symptoms evaluated by the HDRS scale were specific for type II BD patients; this group of patients showed more intense depressive symptoms when compared with the results obtained in the CS group. The spearman-brown prophecy did not increase the reliability coefficients. For example, they may not think it relevant eg, feelings of guiltthey may be embarrassed eg, loss of libido or they may be too polite to mention to the interviewer that they believe they are suffering from a physical illness Sadock B, Sadock V, editors.

Other results relevant to MDD diagnosis are related to items 7 work activities and 8 psychomotor retardation. The study objective and procedures were explained to all subjects. Consequently, this heterogeneity has serious limitations for the predictive validity of the diagnosis concerning choice of treatment. The aim of this study was to assess the prevalence and the impact of subclinical depressive symptoms SDS on the functional outcome of bipolar II BD outpatients in remission.

Additionally, the best discriminative item between stable remitter and non remitter was work and activities and depressed mood.

Measuring the severity of depression and remission in primary care: Detection of subsyndromal depression in bipolar disorder: Received Aug 3; Accepted Mar Assessment of symptom change from improvement curves on the Hamilton depression scale in trials with antidepressants.


Validity studies are primary conditions to a test, considering that ensures the degree to which an empirical evidence is supported [ 2223 ]. Furthermore, escalq symptoms can be confounded with physical disorders, such as sleep disturbances and changes in weight or libido; these complicating factors madra underdiagnosis and confusion with bipolar disorder [ 3 – 7 ].

Prevalence and clinical correlates of residual depressive fscala in bipolar II disorder. Pharmacological treatment of depressive disorders: Only ambulatory patients were included and since no inpatient population was studied, this group may not be representative of a non-epidemiologically selected sample of patients with BD.

Montgomery–Åsberg Depression Rating Scale – Wikipedia

The selection of our cohort probably introduced some bias in the escla, 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 low recurrence rate. One of the limitations of depression rating scales as claimed by Montgomery and Asberg 4 was that they are only rarely consistent in finding differences between active drugs, even when the known mechanisms of action are different.

The Hamilton Depression Rating Scale: As was mentioned earlier, no reliability study with a Brazilian sample was found.