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    Depression · 10 items · 0–60 · Montgomery & Asberg 1979

    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.

    MADRS0 / 10

    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

    01

    Apparent sadness

    Despondency, gloom and despair reflected in speech, facial expression and posture.

    Item score-
    02

    Reported sadness

    Reports of depressed mood, regardless of whether it is reflected in appearance.

    Item score-
    03

    Inner tension

    Feelings of ill-defined discomfort, edginess, inner turmoil, mental tension mounting to panic, dread or anguish.

    Item score-
    04

    Reduced sleep

    Reduced duration or depth of sleep compared to the patient's own normal pattern when well.

    Item score-
    05

    Reduced appetite

    Feeling of loss of appetite compared with when well.

    Item score-
    06

    Concentration difficulties

    Difficulties in collecting one's thoughts mounting to incapacitating lack of concentration.

    Item score-
    07

    Lassitude

    Difficulty in getting started or slowness in initiating and performing everyday activities.

    Item score-
    08

    Inability to feel

    Reduced interest in the surroundings, or in activities that normally give pleasure.

    Item score-
    09

    Pessimistic thoughts

    Thoughts of guilt, inferiority, self-reproach, sinfulness, remorse and ruin.

    Item score-
    10

    Suicidal thoughts

    Feeling that life is not worth living, that a natural death would be welcome, and thoughts or plans of suicide.

    Item score-
    0 of 10 answered0 / 60

    02 - The clinician's brief

    01 - Scoring & cutoffs

    How scoring works.

    Score
    Severity
    Interpretation
    0–6
    Normal / absent
    Symptoms absent or within the normal range.
    7–19
    Mild depression
    Mild depressive episode.
    20–34
    Moderate depression
    Moderate depressive episode. A treatment plan should be considered.
    35–60
    Severe depression
    Severe depressive episode. Active treatment and close risk review are indicated.

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