01 - Scoring & cutoffs
MADRS: Scoring, Cutoffs & Interpretation
10-item clinician-rated scale measuring the severity of depressive episodes.
Usage conditions apply. Clinician-rated scale, free to use for educational purposes and routine clinical assessment. Please reproduce it in full and keep the original attribution.
Rate each item from 0 to 6 based on a clinical interview, choosing the description that best fits the patient over the past week.
Anchored at 0 · 2 · 4 · 6 - in between: 1, 3, 5
Apparent sadness
Despondency, gloom and despair reflected in speech, facial expression and posture.
Reported sadness
Reports of depressed mood, regardless of whether it is reflected in appearance.
Inner tension
Feelings of ill-defined discomfort, edginess, inner turmoil, mental tension mounting to panic, dread or anguish.
Reduced sleep
Reduced duration or depth of sleep compared to the patient's own normal pattern when well.
Reduced appetite
Feeling of loss of appetite compared with when well.
Concentration difficulties
Difficulties in collecting one's thoughts mounting to incapacitating lack of concentration.
Lassitude
Difficulty in getting started or slowness in initiating and performing everyday activities.
Inability to feel
Reduced interest in the surroundings, or in activities that normally give pleasure.
Pessimistic thoughts
Thoughts of guilt, inferiority, self-reproach, sinfulness, remorse and ruin.
Suicidal thoughts
Feeling that life is not worth living, that a natural death would be welcome, and thoughts or plans of suicide.
Rate each item from 0 to 6 based on a clinical interview, choosing the description that best fits the patient over the past week.
Anchored at 0 · 2 · 4 · 6 - in between: 1, 3, 5
Apparent sadness
Despondency, gloom and despair reflected in speech, facial expression and posture.
Reported sadness
Reports of depressed mood, regardless of whether it is reflected in appearance.
Inner tension
Feelings of ill-defined discomfort, edginess, inner turmoil, mental tension mounting to panic, dread or anguish.
Reduced sleep
Reduced duration or depth of sleep compared to the patient's own normal pattern when well.
Reduced appetite
Feeling of loss of appetite compared with when well.
Concentration difficulties
Difficulties in collecting one's thoughts mounting to incapacitating lack of concentration.
Lassitude
Difficulty in getting started or slowness in initiating and performing everyday activities.
Inability to feel
Reduced interest in the surroundings, or in activities that normally give pleasure.
Pessimistic thoughts
Thoughts of guilt, inferiority, self-reproach, sinfulness, remorse and ruin.
Suicidal thoughts
Feeling that life is not worth living, that a natural death would be welcome, and thoughts or plans of suicide.
02 - The clinician's brief
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