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A number of researchers have explored HADS data to establish the cut-off points for caseness of anxiety or depression. Bjelland et al (2002) [3] through a literature review of a large number of studies identified a cut-off point of 8/21 for anxiety or depression. For anxiety (HADS-A) this gave a specificity of 0.78 and a sensitivity of 0.9.
The following diagnostic systems and rating scales are used in psychiatry and clinical psychology.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.
[2] [3] Alternatively, the Montgomery-Åsberg Depression Rating Scale (MADRS) features ten items to be completed for the purpose of assessing the effects of drug therapy, [2] [4] Another scale is the Raskin Depression Rating Scale rating the severity of the patients' symptoms in three areas: verbal reports, behavior, and secondary symptoms of ...
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]
All of these scores are used to compute an overarching score that indicates a person's anxiety severity. [4] The Hamilton Anxiety Rating scale has been considered a valuable scale for many years, but the ever-changing definition of anxiety, new technology, and new research has had an effect on the scale's perceived usefulness. [5]
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]
The Millon Clinical Multiaxial Inventory – Fourth Edition (MCMI-IV) is the most recent edition of the Millon Clinical Multiaxial Inventory.The MCMI is a psychological assessment tool intended to provide information on personality traits and psychopathology, including specific mental disorders outlined in the DSM-5.
There are ten questions about depression symptom frequency that the patient rates on a straight 4 point scale according to the following choices: "hardly ever," "much of the time," "most of the time," "all the time," and one question relating to the severity of suicidal ideation. [1] Scores on the test range from 0 to 33.