Montgomery-Asberg Depression Scale (MADRS)

The MADRS is a is a ten-item diagnostic questionnaire that psychiatrists use to measure the severity of depressive episodes in patients with mood disorders.

The template below will calculate the final score, based on the answers.

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{#inputForm -[title=Montgomery-Asberg Depression Scale (MADRS)][hideSectionVisibility=1]#}# Montgomery-Asberg Depression Scale (MADRS):
{#input 0 - No sadness.::[1]1{#varSet -[counter=1][start=1][name=Total][hide=1]#}::[2 - Looks dispirited but does brighten up without difficulty.]2 - Looks dispirited but does brighten up without difficulty.{#varSet -[counter=1][start=2][name=Total][hide=1][inc=2]#}::[3]3{#varSet -[counter=1][start=3][name=Total][hide=1][inc=3]#}::[4 - Appears sad and unhappy most of the time.]4 - Appears sad and unhappy most of the time.{#varSet -[counter=1][start=4][name=Total][hide=1][inc=4]#}::[5]5{#varSet -[counter=1][start=5][name=Total][hide=1][inc=5]#}::[6 - Looks miserable all the time. Extremely despondent.]6 - Looks miserable all the time. Extremely despondent.{#varSet -[counter=1][start=6][name=Total][hide=1][inc=6]#} -[prepend=1. Apparent Sadness: ][desc=1. Apparent Sadness - Representing despondency, gloom and despair, (more than just ordinary transient low spirits) reflected in speech, facial expression, and posture. Rate on depth and inability to brighten up: ]#}
{#input 0 - Occasional sadness in keeping with the circumstances.::[1]1{#varSet -[counter=1][start=1][name=Total][hide=1]#}::[2 - Sad or low but brightens up without difficulty.]2 - Sad or low but brightens up without difficulty.{#varSet -[counter=1][start=2][name=Total][hide=1][inc=2]#}::[3]3{#varSet -[counter=1][start=3][name=Total][hide=1][inc=3]#}::[4 - Pervasive feelings of sadness or gloominess. The mood is still influenced by external circumstances.]4 - Pervasive feelings of sadness or gloominess. The mood is still influenced by external circumstances.{#varSet -[counter=1][start=4][name=Total][hide=1][inc=4]#}::[5]5{#varSet -[counter=1][start=5][name=Total][hide=1][inc=5]#}::[6 - Continuous or unvarying sadness, misery or despondency.]6 - Continuous or unvarying sadness, misery or despondency.{#varSet -[counter=1][start=6][name=Total][hide=1][inc=6]#} -[prepend=2. Reported Sadness: ][desc=2. Reported Sadness - Representing reports of depressed mood, regardless of whether it is reflected in appearance or not. Includes low spirits, despondency or feeling of being beyond help without hope. Rate according to intensity, duration and the extent to which the mood is reported to be influenced by events: ]#}
{#input 0 - Occasional sadness in keeping with the circumstances.::[1]1{#varSet -[counter=1][start=1][name=Total][hide=1]#}::[2 - Sad or low but brightens up without difficulty.]2 - Sad or low but brightens up without difficulty.{#varSet -[counter=1][start=2][name=Total][hide=1][inc=2]#}::[3]3{#varSet -[counter=1][start=3][name=Total][hide=1][inc=3]#}::[4 - Pervasive feelings of sadness or gloominess. The mood is still influenced by external circumstances.]4 - Pervasive feelings of sadness or gloominess. The mood is still influenced by external circumstances.{#varSet -[counter=1][start=4][name=Total][hide=1][inc=4]#}::[5]5{#varSet -[counter=1][start=5][name=Total][hide=1][inc=5]#}::[6 - Continuous or unvarying sadness, misery or despondency.]6 - Continuous or unvarying sadness, misery or despondency.{#varSet -[counter=1][start=6][name=Total][hide=1][inc=6]#} -[prepend=3. Inner Tension: ][desc=3. Inner Tension - Representing feelings of ill-defined discomfort, edginess, inner turmoil mounting to either panic, dread or anguish. Rate according to intensity, frequency, duration and the extent of reassurance called for: ]#}
{#input 0 - Sleeps as usual.::[1]1{#varSet -[counter=1][start=1][name=Total][hide=1]#}::[2 - Slight difficulty dropping off to sleep or slightly reduced light or fitful sleep.]2 - Slight difficulty dropping off to sleep or slightly reduced light or fitful sleep.{#varSet -[counter=1][start=2][name=Total][hide=1][inc=2]#}::[3]3{#varSet -[counter=1][start=3][name=Total][hide=1][inc=3]#}::[4 - Sleep reduced or broken by at least two hours.]4 - Sleep reduced or broken by at least two hours.{#varSet -[counter=1][start=4][name=Total][hide=1][inc=4]#}::[5]5{#varSet -[counter=1][start=5][name=Total][hide=1][inc=5]#}::[6 - Less than two or three hours sleep.]6 - Less than two or three hours sleep.{#varSet -[counter=1][start=6][name=Total][hide=1][inc=6]#} -[prepend=4. Reduced Sleep: ][desc=4. Reduced Sleep - Representing the experience of reduced duration or depth of sleep compared to the subject's own normal pattern when well: ]#}
{#input 0 - Normal or increased appetite.::[1]1{#varSet -[counter=1][start=1][name=Total][hide=1]#}::[2 - Slightly reduced appetite.]2 - Slightly reduced appetite.{#varSet -[counter=1][start=2][name=Total][hide=1][inc=2]#}::[3]3{#varSet -[counter=1][start=3][name=Total][hide=1][inc=3]#}::[4 - No appetite. Food is tasteless.]4 - No appetite. Food is tasteless.{#varSet -[counter=1][start=4][name=Total][hide=1][inc=4]#}::[5]5{#varSet -[counter=1][start=5][name=Total][hide=1][inc=5]#}::[6 - Needs persuasion to eat.]6 - Needs persuasion to eat.{#varSet -[counter=1][start=6][name=Total][hide=1][inc=6]#} -[prepend=5. Reduced Appetite: ][desc=5. Reduced Appetite - Representing the feeling of loss of appetite compared with when well. Rate by loss of desire for food or the need to force oneself to eat: ]#}
{#input 0 - No difficulties in concentrating.::[1]1{#varSet -[counter=1][start=1][name=Total][hide=1]#}::[2 -Occasional difficulties in collecting one's thoughts. ]2 - Occasional difficulties in collecting one's thoughts.{#varSet -[counter=1][start=2][name=Total][hide=1][inc=2]#}::[3]3{#varSet -[counter=1][start=3][name=Total][hide=1][inc=3]#}::[4 - Difficulties in concentrating and sustaining thought which reduces ability to read or hold a conversation.]4 - Difficulties in concentrating and sustaining thought which reduces ability to read or hold a conversation.{#varSet -[counter=1][start=4][name=Total][hide=1][inc=4]#}::[5]5{#varSet -[counter=1][start=5][name=Total][hide=1][inc=5]#}::[6 - Unable to read or converse without great initiative.]6 - Unable to read or converse without great initiative.{#varSet -[counter=1][start=6][name=Total][hide=1][inc=6]#} -[prepend=6. Concentration Difficulties: ][desc=6. Concentration Difficulties - Representing difficulties in collecting one's thoughts mounting to incapacitating lack of concentration. Rate according to intensity, frequency, and degree of incapacity produced: ]#}
{#input 0 - Hardly no difficulty in getting started. No sluggishness.::[1]1{#varSet -[counter=1][start=1][name=Total][hide=1]#}::[2 - Difficulties in starting activities.]2 - Difficulties in starting activities.{#varSet -[counter=1][start=2][name=Total][hide=1][inc=2]#}::[3]3{#varSet -[counter=1][start=3][name=Total][hide=1][inc=3]#}::[4 - Difficulties in starting simple routine activities which are carried out with effort.]4 - Difficulties in starting simple routine activities which are carried out with effort.{#varSet -[counter=1][start=4][name=Total][hide=1][inc=4]#}::[5]5{#varSet -[counter=1][start=5][name=Total][hide=1][inc=5]#}::[6 - Complete lassitude. Unable to do anything without help.]6 - Complete lassitude. Unable to do anything without help.{#varSet -[counter=1][start=6][name=Total][hide=1][inc=6]#} -[prepend=7. Lassitude: ][desc=7. Lassitude - Representing a difficulty getting started or slowness initiating and performing everyday activities: ]#}
{#input 0 - Normal interest in the surroundings and in other people.::[1]1{#varSet -[counter=1][start=1][name=Total][hide=1]#}::[2 - Reduced ability to enjoy usual interest.]2 - Reduced ability to enjoy usual interest.{#varSet -[counter=1][start=2][name=Total][hide=1][inc=2]#}::[3]3{#varSet -[counter=1][start=3][name=Total][hide=1][inc=3]#}::[4 - Loss of interest in surroundings. Loss of feelings for friends and acquaintances.]4 - Loss of interest in surroundings. Loss of feelings for friends and acquaintances.{#varSet -[counter=1][start=4][name=Total][hide=1][inc=4]#}::[5]5{#varSet -[counter=1][start=5][name=Total][hide=1][inc=5]#}::[6 - The experience of being emotionally paralyzed, inability to feel anger, grief or pleasure and a complete or even painful failure to feel for close relatives and friends.]6 - The experience of being emotionally paralyzed, inability to feel anger, grief or pleasure and a complete or even painful failure to feel for close relatives and friends.{#varSet -[counter=1][start=6][name=Total][hide=1][inc=6]#} -[prepend=8. Inability to Feel: ][desc=8. Inability to Feel - Representing the subjective experience of reduced interest in the surroundings, or activities that normally give pleasure. The ability to react with adequate emotion to circumstances or people is reduced: ]#}
{#input 0 - No pessimistic thoughts.::[1]1{#varSet -[counter=1][start=1][name=Total][hide=1]#}::[2 - Fluctuating ideas of failure, self-reproach or self-depreciation.]2 - Fluctuating ideas of failure, self-reproach or self-depreciation.{#varSet -[counter=1][start=2][name=Total][hide=1][inc=2]#}::[3]3{#varSet -[counter=1][start=3][name=Total][hide=1][inc=3]#}::[4 - Persistent self-accusations, or definite but still rational ideas of guilt or sin. Increasingly pessimistic about the future.]4 - Persistent self-accusations, or definite but still rational ideas of guilt or sin. Increasingly pessimistic about the future.{#varSet -[counter=1][start=4][name=Total][hide=1][inc=4]#}::[5]5{#varSet -[counter=1][start=5][name=Total][hide=1][inc=5]#}::[6 - Delusions of ruin, remorse or unredeemable sin. Self-accusations which are absurd and unshakable.]6 - Delusions of ruin, remorse or unredeemable sin. Self-accusations which are absurd and unshakable.{#varSet -[counter=1][start=6][name=Total][hide=1][inc=6]#} -[prepend=9. Pessimistic Thoughts: ][desc=9. Pessimistic Thoughts - Representing thoughts of guilt. Inferiority, self-reproach, sinfulness, remorse and ruin: ]#}
{#input 0 - Enjoys life or takes it as it comes.::[1]1{#varSet -[counter=1][start=1][name=Total][hide=1]#}::[2 - Weary of life. Only fleeting suicidal thoughts.]2 - Weary of life. Only fleeting suicidal thoughts.{#varSet -[counter=1][start=2][name=Total][hide=1][inc=2]#}::[3]3{#varSet -[counter=1][start=3][name=Total][hide=1][inc=3]#}::[4 - Probably better off dead. Suicidal thoughts are common, and suicide is considered as a possible solution, but without specific plans or intention.]4 - Probably better off dead. Suicidal thoughts are common, and suicide is considered as a possible solution, but without specific plans or intention.{#varSet -[counter=1][start=4][name=Total][hide=1][inc=4]#}::[5]5{#varSet -[counter=1][start=5][name=Total][hide=1][inc=5]#}::[6 - Explicit plans for suicide when there is an opportunity. Active preparations for suicide.]6 - Explicit plans for suicide when there is an opportunity. Active preparations for suicide.{#varSet -[counter=1][start=6][name=Total][hide=1][inc=6]#} -[prepend=10. Suicidal Thoughts: ][desc=10. Suicidal Thoughts - Representing the feeling that life is not worth living, that a natural death would be welcome, suicidal thoughts, and the preparations for suicide. Suicidal attempts should not in themselves influence the rating: ]#}

== Score: {#var Total#} (0-6 = Recovered; 7-19= Mild; 20-34 = Moderate; 34-60 = Severe)

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Courtesy of Dr. Niels Nielsen

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