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Self- and clinician-rated Montgomery-Asberg Depression Rating Scale: evaluation in clinical practice

Rouget, B Weber
McQuillan, A.
Dupont-Willemin, A.
Nguyen, C.
Published in Journal of affective disorders. 2010, vol. 121, no. 3, p. 268-272
Abstract BACKGROUND: Time- and cost-effective self-rating scales of depressive symptoms are particularly valuable for frequent use in large-scale effectiveness trials. The aim of the present study was to examine the psychometric properties of the French version of the self-rated Montgomery-Asberg Depression Rating Scale (MADRS-S) and determine whether it might complement the MADRS in monitoring depression severity and change over time in routine clinical practice. METHODS: Sixty-three adult outpatients with a current depressive episode completed the MADRS-S and were interviewed with the MADRS on two occasions, within a 1-month interval. RESULTS: All patients readily accepted the MADRS-S. It showed good to excellent internal consistency (Cronbach's alpha 0.85 at Time 1; 0.94 at Time 2). Its factor structure revealed that a single component explained a large proportion of variability (47.0% at Time 1; 68.8% at Time 2). Concurrent validity of the self- and clinician-rated versions was good (Pearson's correlation coefficients for total scores 0.81 at Time 1; 0.91 at Time 2). The MADRS-S was sensitive to change over the 4-week observation period (correlation of 0.71 between change scores on self- and clinician-rated instruments). LIMITATIONS: Generalizability is restricted to outpatients with moderate to severe depression, and the MADRS-S ability to measure treatment effects needs to be examined. CONCLUSIONS: The present study indicates that the MADRS-S displays favourable psychometric properties and suggests that it might be a valid complement to the MADRS, both in research settings and clinical practice.
Keywords AdultBipolar Disorder/*diagnosis/psychology*Cross-Cultural ComparisonDepressive Disorder/*diagnosis/psychologyFemaleFollow-Up StudiesHumansMaleMiddle AgedPersonality Assessment/*statistics & numerical dataPersonality Inventory/*statistics & numerical dataPsychometrics/statistics & numerical dataPsychotic Disorders/*diagnosis/psychologyReproducibility of ResultsSwitzerland
PMID: 19660815
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Research groups Médecine psychosomatique, neurosciences cliniques et mindfulness (690)
Thérapeutiques des Troubles de l'Humeur et Anxieux (689)
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BONDOLFI, Guido et al. Self- and clinician-rated Montgomery-Asberg Depression Rating Scale: evaluation in clinical practice. In: Journal of affective disorders, 2010, vol. 121, n° 3, p. 268-272. doi: 10.1016/j.jad.2009.06.037 https://archive-ouverte.unige.ch/unige:20789

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Deposited on : 2012-05-23

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