title: Self- and clinician-rated Montgomery-Asberg Depression Rating Scale: evaluation in clinical practice.
abstract: 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).
  
  
  CONCLUSIONS
  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.
authors: Geneva University Hospitals, Department of Psychiatry, Division of Adult Psychiatry, Geneva, Switzerland. guido.bondolfi@hcuge.ch
authors: G
authors: G
authors: Bondolfi
authors: F
authors: F
authors: Jermann
authors: B Weber
authors: BW
authors: Rouget
authors: M
authors: M
authors: Gex-Fabry
authors: A
authors: A
authors: McQuillan
authors: A
authors: A
authors: Dupont-Willemin
authors: J-M
authors: JM
authors: Aubry
authors: C
authors: C
authors: Nguyen
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000523:psychology; D003431:Cross-Cultural Comparison; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010552:Personality Assessment / Q000706:statistics & numerical data*; D010555:Personality Inventory / Q000706:statistics & numerical data*; D011594:Psychometrics / Q000706:statistics & numerical data; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000523:psychology; D015203:Reproducibility of Results; D013557:Switzerland