Depression rating scale madrs 15 and the bech rafaelsen melancholia scale mes 2. When investigating the content and construct validity of these rating scales as well as new scales rush et al. After 4 weeks, a statistically significant effect was seen on the ham d between the two groups effect size 0. The scale is derived from the hamilton depression scale and covers the speci. The bech rafaelsen melancholia scale mes in clinical trials of therapies in depressive disorders a 20. Change from baseline to 24 hours, 48 hours if applicable and 6 weeks. The major depression inventory mdi was developed to cover the universe of depressive symptoms in dsmiv major depression as well as in icd10 mild, moderate, and severe depression. Hamilton, 1986, internationally the most frequently used observerrating scale for the assessment of severity of depression. Validation of the bechrafaelsen melnacholia scale and the. The pharmacopsychometric triangle to illustrate the. The major depression inventory mdi was developed 1, 2 to cover the universe of depressive symptoms in dsmiv major depression and in icd10 depression mild, moderate, severe.
Proof of concept study evaluating the efficacy and safety. The bechrafaelsen melancholia scale mes in clinical trials of therapies in depressive disorders. Bechrafaelsen melancholia scale mes designed to assess and measure the severity of symptoms of depression, including depression in patients with comorbid medical conditions, and change in depressive state during treatment. On the validity of the bechrafaelsen melancholia scale brms. For verified definitions visit all trademarksservice marks referenced on this site are properties of their respective owners. Assessing baseline adjusted betweengroup mean difference between nac and placebo group from baseline up till week 20 on. If following arguments to retire the hdrs, 2 we would encourage psychometric studies of the bechrafaelsen melancholia scale mes. The bechrafaelsen melancholia scale brms can be regarded as a further development of the hamilton depression rating scale hamd.
We used the hamd 17 in combination with the bechrafaelsen melancholia scale mes as conventionally applied in duag studies. F ocussing on negative events in the past prior to the current episode of. Symptomatic improvement measured with the brief psychiatry rating scale bprs, the panss positive subscale, and the bech rafaelsen melancholia scale was similar in both groups. 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. Discriminant validity, reliability, and sensitivity to change, were. The patients diagnoses were confirrned by the structured clinical interview according to dsmiiir scid.
Typical problem areas on the quality of life scale in depression from mentalhealth. Bech rafaelsen melancholia scale mes designed to assess and measure the severity of symptoms of depression, including depression in patients with comorbid medical conditions, and change in depressive state during treatment. Over 3 million unverified definitions of abbreviations and acronyms in acronym attic. This lead approach was used in our validation study of the hamilton depression scale and was also used by maier when he validated the hamilton scale hamd 17, the montgomery asberg depression rating scale madrs and the bechrafaelsen melancholia scale mes. Each item has fivepoints of specified severity bech, 2002. Licht and bech note that we failed to mention the bechrafaelsen melancholia scale as a possible candidate to replace the hamilton depression scale. Bech is internationally recognized for many original contributions in the field, including the excellent depression and mania scales bechrafaelsen melancholia scale, the bechrafaelsen mania scale and original analyses about classical scales.
Psychometric analysis of the melancholia scale in trials with. Within the hamd 17 we especially focused on the hamd 6 which includes the core symptoms of depressive states depressed mood, guilt, work and interests. The psychiatric rating scales were completed within. The development of this instrument used itemresponse theory as well as a more comprehensive list of core symptoms. Chambon o, cialdella p, kiss l, poncet f 1990 study of the unidimensionality of the bech rafaelsen melancholia scale mes using rasch analysis in a french sample of major depressive disorders. The hamilton depression scale hamd, the montgomeryasberg depression rating scale madrs and the bech rafaelsen melancholia scale brms were compared with respect to content, concurrent and. Psychometric analysis of the melancholia scale in trials. The rating should be based on the three preceding nights, irrespective of the administration of hypnotics or sedatives. In the analysis to be reported here we used a visual analogue scale vas from 0 to 100 mm for the lead assessment of depression severity 16, 17. The bechrafaelsen melancholia scale mes was developed to capture the six hamd 6 core items with reference to the cronholmottosson depression scale 21.
The three depression symptom rating scales hamd 17,hamd 6, mes were rated on a weekly basis by. Each of the nine dsmiv items has a score of 1 if the corresponding mes item has a positive score. The bechrafaelsen melancholia scale mes 7 the bechrafaelsen melancholia scale mes manual item 1 depressed mood 0. May 23, 2002 symptomatic improvement measured with the brief psychiatry rating scale bprs, the panss positive subscale, and the bech rafaelsen melancholia scale was similar in both groups.
The bechrafaelsen melancholia scale mes in clinical trials of. On the validity of the bechrafaelsen melancholia scale. Clinicianadministered dissociative states scale time frame. Rasmus wentzer licht, susanne qvitzau, peter allerup, per bech. The psychiatric rating scales were completed within the first two days of admission and before expected discharge. Brmas bechrafaelsen mania scale was used for patients with a depressed episode the madrs montgomery asberg depression scale, hamd hamilton depression scale, brmes bechrafaelsen melancholia scale were used. Licht and bech note that we failed to mention the bech rafaelsen melancholia scale as a possible candidate to replace the hamilton depression scale. Eysenckstwobigpersonalityfactorsandtheirrelationship. The use of rating scales exemplified by a comparison of the hamilton and the bechrafaelsen melancholia scale.
The bechrafaelsen melancholia scale mes in clinical. In its second edition this volume covers the most frequently used mood rating scales such as the hamilton depression scale hamd and the zung scale. The concordance between these scales and the hamd on the one hand, and the dsmiv and icdio on the other hand, has recently been outlined by bech 1995. A tribute to per bech, md 19422018 abstract karger publishers. Schlegel s, nieber d, herrmann c, bakauski e 1991 latencies of the p 300 component of auditory eventrelated potential in depression are related to the bech rafaelsen melancholia scale but not to the hamilton rating scale for depression. Scale melancholia bechrafaelsen aged care tests, assessments. Each item is scored from 04 for a total of 44 possible points, with higher scores relating to more severe depression. The bech, hamilton and zung scales for mood disorders. The bprs brief psychiatric rating scale was used for each patient.
Rafaelsen melancholia scale mes bech and rafaelsen, 1980. The primary outcome was time to remission defined as a bechrafaelsen melancholia scale score of. The objective of this study was to evaluate the mdi as a depression severity scale using both a global vas as. Validity and reliability of the spanish versions of the. Brms bech rafaelsen melancholia scale bwise body weight, image and selfesteem evaluation questionnaire cbcl child behavior checklist cct controlled clinical trial cdi childrens depression inventory scale cdss calgary depression scale for schizophrenia cerad consortium to establish a registry for alzheimers disease. Com pdf bech rafaelsen melancholia scale available in the sourcebook of adult assessment strategies must be purchased. The bechrafaelsen melancholia scale mes 9 item 8 worthless and guilt 0. The bech rafaelsen melancholia scale mes 7 the bech rafaelsen melancholia scale mes manual item 1 depressed mood 0. A substantial reduction in depression was found during the four weeks of treatment. Com pdf bechrafaelsen melancholia scale available in the sourcebook of adult assessment strategies must be purchased. Cesd, center for epidemiologic studies depression scale. Observational, prospective, and multicentric study in bipolar outpatients. Aug 05, 2015 the major depression inventory mdi was developed 1, 2 to cover the universe of depressive symptoms in dsmiv major depression and in icd10 depression mild, moderate, severe.
Rafaelsen oj, bech p, bolwig tg, kramp p, gjerris, a. The bech rafaelsen melancholia scale mes 9 item 8 worthless and guilt 0. The bech rafaelsen melancholia scale mes in clinical trials of therapies in depressive disorders. Clinical psychometrics is an excellent summary of prof. Validation of the bech rafaelsen melancholia scale and the hamilton depression scale in patients with major depression. Vestergaard and the danish university antidepressant group duag frederiksborg general hospital, dk3400 hillerod, denmark. More clearly preoccupied with unpleasant feelings although without clear hopelessness 3.
The bechrafaelsen melancholia scale 1, 7 contains eleven items and has a window time frame of the past 3 days. Bprs brief psychiatric rating scale brms bech rafaelsen melancholia scale bwise body weight, image and selfesteem evaluation questionnaire cbcl child behavior checklist cct controlled clinical trial cdi childrens depression inventory scale cdss calgary depression scale for schizophrenia. The bech rafaelsen melancholia scale 1, 7 contains eleven items and has a window time frame of the past 3 days. Activity motor 0 normal motor activity, adequate facial expression. On this background, we aimed at comparing the unidimensionality of the bech rafaelsen melancholia scale mes and the 17item hamilton depression rating scale hamd17. Consequently the time frame window for the mdi is the past two weeks to accord with dsmiv and icd10. The sstr regimen included sleep deprivation, antidepressant monotherapy, lithium augmentation, monoamine oxidase inhibitor therapy, or electroconvulsive therapy guided by scores on the clinicianrated bechrafaelsen melancholia scale. Psychometric evaluation of the major depression inventory. Brmrs bech rafaelsen mania rating scale acronymattic. The initial score on the hamilton anxiety rating scale hamiton.
Validation of the bechrafaelsen melancholia scale and the. Validity and reliability of the spanish versions of the bech. A clinical response reduction of brms scores by six or more points was observed in patients in the endurance training group 65% and four patients in the placebo group 22%. The hamilton depression scale hamd, the montgomeryasberg depression rating scale madrs and the bechrafaelsen melancholia scale brms were compared with respect to content, concurrent and. The scale is derived from the hamilton depression scale and covers the specific depression items corresponding to the symptoms included in dsmiv major depression. No loss of selfesteem, no selfdepreciation or guilt feelings 1. Rafaelsen melancholia scale mes wiley online library. On this background, we aimed at comparing the unidimensionality of the bechrafaelsen melancholia scale mes and the 17. The objective of this study was to evaluate the standardization of the mdi as a depression severity scale using the visual analogue scale vas as index of external validity in accordance with the lead. The clinimetric approach to psychological assessment. Bechrafaelsen mania scale mas 8 bechrafaelson melancholia rating scale mes 9 beck depression inventory second edition bdiii 10 beck hopelessness scale bhs 11 beck scale for suicide ideation bss 12 carroll depression scalesrevised cdsr centre for epidemiological studies depression scale cesd 14. Efficacy of an algorithmguided treatment compared with. The diagnosis of depressive syndromes and the prediction of ect response. The bechrafaelsen melancholia scale mes springerlink.
Melancholia scale or bechrafaelsen 1978 newcastle depression scale or carney et al. The bechrafaelsen combined rating scale for mania and melancholia. Consequently the time frame window for the mdi is the past two. Convergent validity was assessed against the young mania rating scale and the montgomerya. Is concerned with the experience of being a burden to family, friends or colleagues due to reduced interests or introversion 2. A total of 1629 patients aged between 18 and 65 years with a major depressive episode were treated openly with sertraline at a fixed oral dose of 50 mg daily. A case report28 of a female patient with psychotic depression suggests that risperidone monotherapy can be efficacious in some patients who have not responded to other treatments. The major depression rating scale has been revised to correspond more strictly to icd10. On this background, we aimed at comparing the unidimensionality of the bechrafaelsen melancholia scale mes and the 17item hamilton depression rating scale hamd17. A randomised, controlled study on the effects of a short. Validation of the bechrafaelsen melancholia scale and the hamilton depression scale in patients with major depression. None of the patients fulfilled the diagnostic criteria for current substance abuse. Crosscultural psychometric properties of the hamilton. Sartorius n and ban ta eds assessment of depression.
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