Self- and clinician-rated montgomery-asberg depression rating scale: evaluation in clinical practice
Open accessAbstract
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.
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The self-rated version of MADRS has previously shown a high correlation with the clinician-rated scale.
“Nonetheless, the self-rated version of MADRS has previous shown a high correlation with the clinician-rated scale (65, 66).”
From Total Sleep Deprivation Followed by Bright Light Therapy as Rapid Relief for Depression: A Pragmatic Randomized Controlled Trial (2021) · cites this paper as [65]
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- Authors
- Bondolfi, G., Jermann, F., Rouget, B. W., Gex-Fabry, M., McQuillan, A., Dupont-Willemin, A., Aubry, J.-M., & Nguyen, C.
- Affiliations
- University Hospital of Geneva (CH)
- Corresponding author
- Bondolfi, G.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2010-03
- Volume
- 121
- Issue
- 3
- Pages
- 268-272
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2038282058
- Cited by
- 90
- References
- 26
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 10 · 2023: 7 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 6 · 2018: 3 · 2017: 3 · 2016: 6 · 2015: 2 · 2014: 9 · 2013: 6 · 2012: 6
- FWCI
- 5.07
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- Montgomery-Asberg Depression Rating Scale, French adaptation, psychometric properties, internal consistency, factor structure, concurrent validity, sensitivity to change, depression severity assessment, clinical practice
- MeSH terms
- Adult, Bipolar Disorder, Cross-Cultural Comparison, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Middle Aged, Personality Assessment, Personality Inventory, Psychometrics, Psychotic Disorders, Switzerland, Reproducibility of Results
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