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We report on the development, reliability, and validity of the Altman Self-Rating
Mania Scale (ASRM). The ASRM was completed during medication washout and after treatment
by 22 schizophrenic, 13 schizoaffective, 36 depressed, and 34 manic patients. The
ClinicianAdministered Rating Scale for Mania (CARS-M) and Mania Rating Scale (MRS)
were completed at the same time to measure concurrent validity. Test—retest reliability
was assessed separately on 20 depressed and 10 manic patients who completed the ASRM
twice during washout. Principal components analysis of ASRM items revealed three factors:
mania, psychotic symptoms, and irritability. Baseline mania subscale scores were significantly
higher for manic patients compared to all other diagnostic groups. Manic patients
had significantly decreased posttreatment scores for all three subscales. ASRM mania
subscale scores were significantly correlated with MRS total scores (r = .718) and
CARS-M mania subscale scores (r = .766). Test-retest reliability for the ASRM was
significant for all three subscales. Significant differences in severity levels were
found for some symptoms between patient ratings on the ASRM and clinician ratings
on the CARS-M. Mania subscale scores of greater than 5 on the ASRM resulted in values
of 85.5% for sensitivity and 87.3% for specificity. Advantages of the ASRM over other
self-rating mania scales are discussed.
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References
- The Clinician-Administered Rating Scale for Mania (CARS-M): Development, reliability and validity.Biol Psychiatry. 1994; 36: 124-134
- Diagnostic and Statistical Manual of Mental Disorders.4th ed. American Psychiatric Press, Geneva1994
- Independent assessment of manic and depressive symptoms by self-rating.Arch Gen Psychiatry. 1991; 48: 807-812
- The manic state rating scale: Scale construction, reliability and validity.Arch Gen Psychiatry. 1971; 25: 256-262
- Multivariate Statistical Methods for Behavioral Research.McGraw-Hill, Washington, DC1975
- An investigation of the Self-Report Manic Inventory as a diagnostic and severity scale for mania.Compr Psychiatry. 1996; 37: 52-55
- Comparative evaluation of two self-report mania rating scales.Biol Psychiatry. 1996; 40: 279-283
- The Dependability of Behavioral Measurements: Theory of Generalizability for Scores and Profiles.Wiley, New York1972
- A diagnostic interview: The schedule of affective disorders and schizophrenia.Arch Gen Psychiatry. 1978; 35: 837-844
- A rating scale for depression.J Neurol Neurosurg Psychiatry. 1960; 23: 56-62
- The meaning and use of the area under a receiver operating characteristic (ROC) curve.Radiology. 1982; 143: 29-36
- Modern Factor Analysis.3rd ed. University of Chicago Press, New York1976
- Primer on certain elements of medical decision making.N Engl J Med. 1975; 5: 211-215
- Emotion profiles associated with mania and depression.Arch Gen Psychiatry. 1969; 20: 210-214
- Development, use, and factor analysis of a self-report inventory for mania.Compr Psychiatry. 1992; 33: 325-331
- A general regression methodology for ROC curve estimation.Med Decis Making. 1988; 3: 204-215
- A rating scale for mania: Reliability, validity, and sensitivity.Br J Psychiatry. 1978; 133: 429-435
Article Info
Publication History
Received in revised form:
November 26,
1996
Received:
July 10,
1996
Identification
Copyright
© 1997 Society of Biological Psychiatry. Published by Elsevier Inc.
