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Some depression rating scales are completed by patients. The Beck Depression Inventory, for example, is a 21-question self-report inventory that covers symptoms such as irritability, fatigue, weight loss, lack of interest in sex, and feelings of guilt, hopelessness or fear of being punished. [11]
The following diagnostic systems and rating scales are used in psychiatry and clinical psychology. This list is by no means exhaustive or complete. This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales that have been developed in the past eighty years.
A score of 0 on a question would indicate no function while a score of 4 would indicate full function. [4] [5] This scale has been useful for doctors in diagnosing patients, measuring disease progression and also for researchers when selecting patients for a study and measuring the potential effects of a clinical trial. [4] [6]
Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. [4] Higher MADRS score indicates more severe depression. Usual cutoff points are: 0 to 6: normal [5] /symptom absent [4] 7 to 19: mild depression [4] [5] 20 to 34: moderate depression [5] 35 to 60: severe depression. [5]
In this respect, the BDI-II is positively correlated with the Hamilton Depression Rating Scale with a Pearson r of 0.71, showing good convergent validity. The test was also shown to have a high one-week test–retest reliability (Pearson's r = 0.93), suggesting that it was not overly sensitive to day-to-day variations in mood. [12]
The patient is rated by a clinician on 17 to 29 items (depending on version) scored either on a 3-point or 5-point Likert-type scale. For the 17-item version, a score of 0–7 is considered to be normal while a score of 20 or higher (indicating at least moderate severity) is usually required for entry into a clinical trial. [11]
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