Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-25T20:34:25.389Z Has data issue: false hasContentIssue false

A Rating Scale for Mania: Reliability, Validity and Sensitivity

Published online by Cambridge University Press:  29 January 2018

R. C. Young
Affiliation:
Department of Psychiatry, Washington University School of Medicine, 4940 Aubudon Avenue, St Louis, Missouri 63110, U.S.A.
J. T. Biggs
Affiliation:
Department of Psychiatry, Washington University School of Medicine, 4940 Aubudon Avenue, St Louis, Missouri 63110, U.S.A.
V. E. Ziegler
Affiliation:
Department of Psychiatry, Washington University School of Medicine, 4940 Aubudon Avenue, St Louis, Missouri 63110, U.S.A.
D. A. Meyer
Affiliation:
Department of Psychiatry, Washington University School of Medicine, 4940 Aubudon Avenue, St Louis, Missouri 63110, U.S.A.

Summary

An eleven item clinician-administered Mania Rating Scale (MRS) is introduced, and its reliability, validity and sensitivity are examined. There was a high correlation between the scores of two independent clinicians on both the total score (0.93) and the individual item scores (0.66 to 0.92). The MRS score correlated highly with an independent global rating, and with scores of two other mania rating scales administered concurrently. The score also correlated with the number of days of subsequent stay in hospital. It was able to differentiate statistically patients before and after two weeks of treatment and to distinguish levels of severity based on the global rating.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1978 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Supported in part by U.S. Public Health Service Grant MH 05804.

References

Bech, P., Bolwig, T. G., Dein, E., Jacobsen, O. & Gram, L. F. (1975) Quantitative rating of manic states. Acta Psychiatrica Scandinavica, 52, 16.CrossRefGoogle ScholarPubMed
Beigel, A. & Murphy, D. L. (1971) Assessing clinical characteristics of the manic state. American Journal of Psychiatry, 128, 688–94.CrossRefGoogle ScholarPubMed
Beigel, A., Murphy, D. L. & Bunney, W. E. (1971) The manic state rating scale. Archives of General Psychiatry, 25, 256–62.CrossRefGoogle Scholar
Blackburn, J. M., London, J. B. & Ashworth, C. M. (1977) A new scale for measuring mania. Psychological Medicine, 7, 453–8.CrossRefGoogle ScholarPubMed
Carlson, G. A. & Goodwin, F. K. (1973) The stages of mania: a longitudinal analysis of the manic episode. Archives of General Psychiatry, 28, 221–8.CrossRefGoogle Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G. & Munoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.CrossRefGoogle ScholarPubMed
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery & Psychiatry, 23, 5662.CrossRefGoogle ScholarPubMed
Hamilton, M. (1974) General problems of psychiatric rating scales. Psychological Measurements in Psychopharmacology. Modern Problems in Pharmacopsychiatry 7 (ed. Pichot, P.). Basel: Karger.Google Scholar
Hamilton, M. (1976) Clinical evaluation of depression: clinical criteria and rating scales, including a Guttman scale. In Depression (ed. Gallant, D. M.). New York: Spectrum.Google Scholar
Murphy, D. L. & Beigel, A. (1974) Depression, elation, and lithium carbonate responses in manic patient subgroups. Archives of General Psychiatry, 31, 643–8.CrossRefGoogle ScholarPubMed
Murphy, D. L., Beigel, A., Weinbartner, H. & Bunney, W. E. (1974) The quantification of manic behaviour. Psychological Measurements in Psychopharmacology. Modern Problems in Pharmacopsychiatry 7 (ed. Pichot, P.). Basel: Karger.Google Scholar
Overall, J. E. & Gorham, D. R. (1962) The brief psychiatric rating scale. Psychological Reports, 10, 799812.CrossRefGoogle Scholar
Petterson, V., Fyro, B. & Sedval, G. (1973) A new scale for the longitudinal rating of manic states. Acta Psychiatrica Scandinavica, 49, 248–56.CrossRefGoogle ScholarPubMed
Shopsin, B., Gershon, S., Thompson, H. & Collins, P. (1975) Psychoactive drugs in mania. Archives of General Psychiatry, 32, 3442.CrossRefGoogle ScholarPubMed
Siegel, S. (1956) Non-parametric Statistics for the Behavioural Sciences. New York: McGraw-Hill.Google Scholar
Winokur, G., Clayton, P. J. & Reich, T. (1969) Manic Depressive Illness. St Louis: C. V. Mosby.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.