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Two brief patient-rated scales, the Internal State Scale (ISS) and the Self-Report
Manic Inventory (SRMI), have been shown to reliably diagnose mania. In the current
study we further evaluated the utility of these scales relative to each other and
to the observer-rated Young Mania Rating Scale (YMRS), for quantifying the severity
of manic/hypomanic symptoms cross-sectionally and over time, in 20 patients with rapid-cycling
bipolar disorder. The self-report scales correlated well with each other and with
the YMRS, but each covered a somewhat different domain of the manic syndrome. The
SRMI and the ISS were more sensitive than the YMRS to the mood fiuctuations in the
euthymic to hypomanic range observed in our subjects. Used in tandem, the two self-report
scales may find application in clinical research with outpatients with bipolar disorder,
and as an adjunct to clinical monitoring in this patient population.
Keywords
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Article info
Publication history
Received in revised form:
July 14,
1995
Received:
August 22,
1994
Identification
Copyright
© 1996 Society of Biological Psychiatry. Published by Elsevier Inc.
