The scale has 11 items and is based on the patients subjective report of his or her clinical condition over the previous 48 hours. The ymrs has demonstrated high convergent validity with other assessment measures of mania including the bechrafaelsen mania rating scale spearmans rho 0. A factor analysis of signs and symptoms of the manic. Brmrs stands for bech rafaelsen mania rating scale. Validity and reliability of the spanish versions of the bechrafaelsens mania and melancholia scales for bipolar disorders. The brms contains 11 items that assess symptoms such as flight of thoughts, elevated mood, decreased need for sleep, and heightened sexual interest. In the preventive phase each subject continued the pharmacotherapy regimen that had. Versions a 28item version the modified manic state, blackburn et al. Rafaelsen mania scale brms and the hamilton depression scale hds have been compared. Highly rated clinician cobserved scales were the bechrafaelsen ma nia rating scale mania, the qidsc depressive symptoms, and the. Convergent validity was assessed against the young mania rating scale and the montgomerya. Obesity as a correlate of outcome in patients with bipolar.
It also has been found to have good internal reliability, with cronback alpha coefficients ranging from 0. The scale was intended to complement existing rating scales developed by hamilton for the assessment of depression and anxiety hamilton, 1959. Nov, 2007 this study investigated the internal validity of the bech. All subjects had normal physical examination results and. Measures of the dsm5 mixedfeatures specifier of major. Clinical outcome in a randomized 1year trial of clozapine. The bech rafaelsen mania scale mas 163 item 5 sleep disturbances this item covers the patients subjective experience of the duration of sleep hours of sleep per 24h periods.
Bech rafaelsen mania scale and young mania rating scale comparison of psychometric properties of the two instruments for rating a manic syndrome. An eleven item clinicianadministered mania rating scale mrs is introduced, and its reliability, validity and sensitivity are examined. Scoring the parent version of the young mania rating scale. These rating scales can be used for assessing improvement in manic episode and maintenance studies. How is bech rafaelsen mania rating scale abbreviated. Original articles greatercorticalgraymatterdensityin lithium. Measuring mania and critical appraisal of rating scales measuring mania and critical appraisal of rating scales poolsup, n li wan po, a oyebode, f. The mrg consists of twentyone psychopathological dimensions, that correspond to the items of the original scales, and are structured in questions. The development of the bechrafaelsen mania scale mas. In a study of 18 patients with manic symptomatology and 31 patients with melancholic symptomatology the bech rafaelsen mania scale brms and the hamilton depression scale hds have been compared.
The ymrs was originally developed in 1978 and normed with psychiatric inpatients based on a semi structured interview and observations over an 8 hour period. Available formats pdf please select a format to send. In clinical trials of acute mania, a number of measures have been used to assess the severity of illness and its response to treatment. An open label study of gabapentin in the treatment of acute mania. Mania rating scale, bechrafaelsen mania scale and clinicianadministered rating scale for mania. Are rating scales for bipolar disorders fit for purpose. A factor analysis of signs and symptoms of the manic episode. The scale was intended to complement existing rating scales developed by hamilton for the assessment of depression and anxiety hamilton, 1959, 1960 who had not developed a comparable scale for rating mania. Becker, in handbook of psychological assessment fourth edition, 2019. These are two 11item scales with five scoring categories per item, giving a range of total possible scores from 0 to 44. We found decreased pg volumes in bd patients compared to hc f 24. Bechrafaelsen mania scale and young mania rating scale.
Symptom severity was assessed with the use of the bechrafaelsen mania and melancholia scale bech et al. Exploration of its statistical properties are outlined in. Enigszins sprake van uitwijdingen en omschrijvingen, doch zonder het verband met het. Pdf bechrafaelsen mania scale and young mania rating scale.
Participants symptoms were evaluated using the bechrafaelsen mania scale brms and hamilton depression rating scale hdrs at weeks 1, 4, and 8 after their admission to the hospital. Gracious, barbara l, youngstrom eric a, findling, robert l, and calabrese joseph r et al. Note for guidance on clinical investigation of medicinal. Bechrafaelsen mania scale and young mania rating scale comparison of psychometric properties of the two instruments for rating a manic syndrome article in psychiatria polska 451. The bech rafaelsen mania scale and the hamilton depression scale. Suicide attempts in patients with bipolar i disorder. The bechrafaelsen mania scale in clinical trials of therapies for bipolar disorder. Xls more info goldberg scales to measure the severity of depressive and manic symptoms. Although they were developed more than 30 years ago, they continue to be the gold.
Discriminative validity of a parent version of the young mania rating scale. In this article we present the development and application of the mania rating guide mrg, a semistructured interview. Article in polish wciorka j1, schaeffer e, switaj p, waszkiewicz j, krasuska k, wegrzyn j, wozniak p. The bechrafaelsen mania scale mas 163 item 5 sleep disturbances this item covers the patients subjective experience of the duration of sleep hours of sleep per 24h periods. Bechrafaelsen mania scale and then reassigned on a random basis to preventive maintenance treatment with either interpersonal and social rhythm therapy or intensive clinical management. Psychiatric symptoms were assessed by means of the brief psychiatry rating scale, the hamilton depression rating scale and the bech rafaelsen mania rating scale. The role of the therapeutic relationship in psychopharmacological treatment outcomes. The bechrafaelsen mania scale mas was originally published in 1979 around the same time as the ymrs bech et al. Items are rated on a frequency 05 scale, range 0 and severity scale 15 scale, range 26, with higher scores indicating greater severity of manic symptoms. This study investigated the internal validity of the bech. Observational, prospective, and multicentric study in bipolar outpatients. If a2 is scored higher than a1, a manic classification requires at least four b items.
Apr 03, 2017 exploration of its statistical properties are outlined in. Occupational functioning was assessed using the ucla social attainment scale 20, a scale ranging from 1 to 5 in which 1 highlevel functioning, at study entry, at entry into the maintenance phase, and at the end of 1 and 2 years of maintenance. Parent version of the young mania rating scale pymrs. Pdf development of the portuguese version of the bech. In this article the authors present the development of the portugueselanguage version of a scale intended to evaluate the manic state. When several keys are given for a particular grade of severity, the presence of only one is required to qualify for that rating.
The development of the bechrafaelsen mania scale mas and the clinical applications of a 10item modified subscale the masm. The bechrafaelsen mania scale and the hamilton depression scale evaluation of homogeneity and interobserver reliability. Hamilton depression rating scale, montgomery, asberg rating scale, bechrafaelsen depression scale should be used to assess switching from mania to depression. Altman selfrating mania scale asrm overview n the asrm is a 5item self rating mania scale, designed to assess the presence andor severity of manic symptoms. The role of interpersonal and social rhythm therapy in. In a study of 18 patients with manic symptomatology and 31 patients with melancholic symptomatology the bechrafaelsen mania scale brms and the. Furthermore a global scale may be used as secondary endpoint. Mar 11, 2018 it also has been found to have good internal reliability, with cronback alpha coefficients ranging from 0. Discriminant validity, reliability, and sensitivity to change, were. He is only able to resume work if special precautions are. Measuring mania and critical appraisal of rating scales. Original articles greatercorticalgraymatterdensityin. The ymrs was originally developed in 1978 and normed with psychiatric inpatients based on a semi structured interview and observations over an 8 hour. The bechrafaelsen mania scale in clinical trials of.
Development and application of the mania rating guide mrg. Manic state rating scale msrs university of florida. The development of the bechrafaelsen mania scale mas and. Journal of the american academy of child and adolescent psychiatry 2002 4111. Validation of the bech rafaelsen mania scale using latent structure analysis. The primary objective of this trial is to establish the acceptability and feasibility of a new cbt based intervention recovery focused cbt. The confirmatory factor analysis indices indicated a relatively good model fit. A randomised controlled trial of recovery focused cbt for. On the hrsd, the depression group scored higher than all other groups p at least 50. Young mania rating scale ymrs p a tient educa tion tools overview the young mania rating scale ymrs is one of the most frequently utilized rating scales to assess manic symptoms. Data were analyzed using spss and lisrel statistical programs. Bechrafaelsen mania scale, hamilton rating scale for depression, global assessment of functioning. In a study of 18 patients with manic symptomatology and 31 patients with melancholic symptomatology the bech.
Improvement on the symptomatology should be documented as the difference between. For patientreported outcome measures, several scales. To date however there have been no psychological interventions specifically designed for individuals with early bipolar disorder. There is increasing evidence for the effectiveness of structured psychological therapies for bipolar disorder. Aug 29, 2012 over the last two decades the bech rafaelsen mania scale mas has been used extensively in trials that have assessed the efficacy of treatments for bipolar disorder. There was a high correlation between the scores of two independent clinicians on both the total score 0. Psychological processes in bipolar affective disorder. Of the interviewbased instruments, the young mania rating scale and the bechrafaelsen mania scale are the most widely used outcome measures in clinical trials. Associations between family cohesion, adaptability, and.
Mania rating scale, bech rafaelsen mania scale and clinicianadministered rating scale for mania. Young mania rating scale ymrs guide for scoring items the purpose of each item is to rate the severity of that abnormality in the patient. An item response theory evaluation of the young mania rating scale and the montgomeryasberg depression rating scale in the systematic treatment enhancement program for bipolar disorder. Rafaelsen mania scale mas, based on the ratings of 100 consecutively admitted drug.
Rating instruments need to be validated in order for a clinical. The mania group scored higher on the bechrafaelsen scale compared with all other groups minimum p50. Bech p, bolwig tg, kramp p, rafaelsen oj 1979 the bechrafaelsen mania scale and the hamilton depression scale. Validity and reliability of the spanish versions of the. The bechrafaelsen mania scale and the hamilton depression scale. Participants family type was assessed using the family adaptability and cohesion scale iichinese version. Occupational functioning was assessed using the ucla social attainment scale 20, a scale ranging from 1 to 5 in which 1 highlevel functioning, at study entry, at entry into the mainte. Validity and reliability of the spanish versions of the bech. Severity of mania was measured with the bech rafaelsen mania scale brms.
Bech p, bolwig tg, kramp p, rafaelsen oj 1979 the bech rafaelsen mania scale and the hamilton depression scale. The young mania rating scale ymrs is one of the most frequently utilized rating scales to assess manic symptoms. The development of the bech rafaelsen mania scale mas and the clinical applications of a 10item modified subscale the masm. Validation of the bechrafaelsen mania scale using latent. All subjects had normal physical examination results and no history of neurologic problems. Application of logistic latent structure models did not statistically confirm the additivity of the mas. This guide was created in order to assist the filling of three mania scales. Fifteen male and 15 female inpatients who were diagnosed as having bipolar mood disorder recent episode mania, were given ymrs by two experienced psychiatrists, while another experienced psychiatrist gave the bechrafaelsen mania scale brms simultaneously. While manic state rating scale msrs was the main outcome measure in the present assessment, other scales such as bechrafaelsen mania scale brms, schedule for assessment of insight sai and clinical global impressionsglobal improvement scale cgig have been used as secondary outcome measures.
Additional references bech p, bolwig tg, dein e, jacobsen o, gram lf. The bechrafaelsen mania scale and the hamilton depression. Brmrs is defined as bech rafaelsen mania rating scale rarely. All patients were interviewed within 3 days of admission to hospital. The extent of its use makes it possible to evaluate the psychometric properties of the scale according to the principles of internal validity, reliability, and external validity. To monitor any emergence of manic symptoms the bechrafaelsen mania scale was used bech 2002. Severity of mania was measured with the bechrafaelsen mania scale brms. Patients received monthly ratings on the brief psychiatric rating scale, clinical global impression scale, bech rafaelsen mania scale, hamilton depression rating scale, scale for the assessment of positive symptoms, scale for the assessment of negative symptoms, abnormal involuntary movement scale, and a 40item side effect checklist. Validation of the bechrafaelsen mania scale using latent structure analysis.