Validation of the bechrafaelsen melancholia scale and the. Melancholia scale or bechrafaelsen 1978 newcastle depression scale or carney et al. Rasmus wentzer licht, susanne qvitzau, peter allerup, per bech. We used the hamd 17 in combination with the bechrafaelsen melancholia scale mes as conventionally applied in duag studies. The bechrafaelsen melancholia scale 1, 7 contains eleven items and has a window time frame of the past 3 days. Psychometric analysis of the melancholia scale in trials with. The scale is derived from the hamilton depression scale and covers the specific depression items corresponding to the symptoms included in dsmiv major depression. Consequently the time frame window for the mdi is the past two weeks to accord with dsmiv and icd10.
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. More clearly preoccupied with unpleasant feelings although without clear hopelessness 3. The development of this instrument used itemresponse theory as well as a more comprehensive list of core symptoms. Depression rating scale madrs 15 and the bech rafaelsen melancholia scale mes 2. Convergent validity was assessed against the young mania rating scale and the montgomerya. The three depression symptom rating scales hamd 17,hamd 6, mes were rated on a weekly basis by. The diagnosis of depressive syndromes and the prediction of ect response. No loss of selfesteem, no selfdepreciation or guilt feelings 1. Observational, prospective, and multicentric study in bipolar outpatients. The bech rafaelsen melancholia scale 1, 7 contains eleven items and has a window time frame of the past 3 days.
Change from baseline to 24 hours, 48 hours if applicable and 6 weeks. Scale melancholia bechrafaelsen aged care tests, assessments. 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. Typical problem areas on the quality of life scale in depression from mentalhealth. Each item is scored from 04 for a total of 44 possible points, with higher scores relating to more severe depression. The bechrafaelsen melancholia scale mes in clinical. On this background, we aimed at comparing the unidimensionality of the bech rafaelsen melancholia scale mes and the 17item hamilton depression rating scale hamd17. Brmrs bech rafaelsen mania rating scale acronymattic. Consequently the time frame window for the mdi is the past two. The objective of this study was to evaluate the mdi as a depression severity scale using both a global vas as.
The patients diagnoses were confirrned by the structured clinical interview according to dsmiiir scid. When investigating the content and construct validity of these rating scales as well as new scales rush et al. Activity motor 0 normal motor activity, adequate facial expression. The bechrafaelsen melancholia scale mes in clinical trials of. Licht and bech note that we failed to mention the bechrafaelsen melancholia scale as a possible candidate to replace the hamilton depression scale. 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. 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.
Validation of the bechrafaelsen melnacholia scale and the. The bechrafaelsen melancholia scale mes was developed to capture the six hamd 6 core items with reference to the cronholmottosson depression scale 21. 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. Is concerned with the experience of being a burden to family, friends or colleagues due to reduced interests or introversion 2. 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. If following arguments to retire the hdrs, 2 we would encourage psychometric studies of the bechrafaelsen melancholia scale mes. 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. 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. Efficacy of an algorithmguided treatment compared with. 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.
The pharmacopsychometric triangle to illustrate the. The bprs brief psychiatric rating scale was used for each patient. The scale is derived from the hamilton depression scale and covers the speci. Rafaelsen oj, bech p, bolwig tg, kramp p, gjerris, a.
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. Vestergaard and the danish university antidepressant group duag frederiksborg general hospital, dk3400 hillerod, denmark. On the validity of the bechrafaelsen melancholia scale brms. Rafaelsen melancholia scale mes bech and rafaelsen, 1980. 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. Licht and bech note that we failed to mention the bech rafaelsen melancholia scale as a possible candidate to replace the hamilton depression scale. 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. 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.
The use of rating scales exemplified by a comparison of the hamilton and the bechrafaelsen melancholia scale. Each of the nine dsmiv items has a score of 1 if the corresponding mes item has a positive score. A tribute to per bech, md 19422018 abstract karger publishers. Proof of concept study evaluating the efficacy and safety.
The psychiatric rating scales were completed within. The major depression rating scale has been revised to correspond more strictly to icd10. After 4 weeks, a statistically significant effect was seen on the ham d between the two groups effect size 0. The bechrafaelsen melancholia scale brms can be regarded as a further development of the hamilton depression rating scale hamd. 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. Eysenckstwobigpersonalityfactorsandtheirrelationship. 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. Crosscultural psychometric properties of the hamilton. The psychiatric rating scales were completed within the first two days of admission and before expected discharge.
Over 3 million unverified definitions of abbreviations and acronyms in acronym attic. Validation of the bechrafaelsen melancholia scale and the hamilton depression scale in patients with major depression. Each item has fivepoints of specified severity bech, 2002. The bech, hamilton and zung scales for mood disorders. The bechrafaelsen melancholia scale mes springerlink. The bechrafaelsen melancholia scale mes in clinical trials of therapies in depressive disorders.
Clinicianadministered dissociative states scale time frame. 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. For verified definitions visit all trademarksservice marks referenced on this site are properties of their respective owners. The rating should be based on the three preceding nights, irrespective of the administration of hypnotics or sedatives. Validity and reliability of the spanish versions of the. Com pdf bech rafaelsen melancholia scale available in the sourcebook of adult assessment strategies must be purchased. Hamilton, 1986, internationally the most frequently used observerrating scale for the assessment of severity of depression. 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. 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%.
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. On this background, we aimed at comparing the unidimensionality of the bechrafaelsen melancholia scale mes and the 17item hamilton depression rating scale hamd17. The bech rafaelsen melancholia scale mes in clinical trials of therapies in depressive disorders a 20. Psychometric evaluation of the major depression inventory. Clinical psychometrics is an excellent summary of prof.
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. Cesd, center for epidemiologic studies depression scale. Validation of the bech rafaelsen melancholia scale and the hamilton depression scale in patients with major depression. On this background, we aimed at comparing the unidimensionality of the bechrafaelsen melancholia scale mes and the 17.
The bechrafaelsen melancholia scale mes 7 the bechrafaelsen melancholia scale mes manual item 1 depressed mood 0. The bechrafaelsen combined rating scale for mania and melancholia. 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. Sensitivity of the individual items of the hamilton. Assessing baseline adjusted betweengroup mean difference between nac and placebo group from baseline up till week 20 on. 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 bech rafaelsen melancholia scale mes 7 the bech rafaelsen melancholia scale mes manual item 1 depressed mood 0. The bech rafaelsen melancholia scale mes 9 item 8 worthless and guilt 0. None of the patients fulfilled the diagnostic criteria for current substance abuse. Psychometric analysis of the melancholia scale in trials. Rafaelsen melancholia scale mes wiley online library. 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.
Discriminant validity, reliability, and sensitivity to change, were. Validity and reliability of the spanish versions of the bech. The bechrafaelsen melancholia scale mes 9 item 8 worthless and guilt 0. A randomised, controlled study on the effects of a short.
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