Assessment Tools for the Elderly - Assessment Summary Sheet
Depression Rating Scale (MADRS)
Assessment Tool Category:
French and Swedish versions are available.
Method of Delivery:
Assessment by clinician
Description: This test
is used by clinicians to assess the severity of depression among
patients who have a diagnosis of depression. The MADRS includes 10
items and uses a 0 to 6 severity scale, scored following the
scores indicate increasing depressive symptoms. Ratings can be
added to form an overall score (range 0 to 50); no weights are
used. Cut-off points include: 0 to 6 – symptom absent, 7 to
19 – mild depression, 30 to 34 – moderate, 35 to 60 –
Time to Administer: 20 to 60
Availability: Available in
Concurrent validity determined by correlating scores to the
Cornell Scale for Depression in Dementia (range r = 0.74-0.93, P <
0.0001). The MADRS was compared with the Hamilton Rating Scale for
Depression on clinical assessments of severity of depression. The
correlation for the MADRS was 0.71, slightly higher than for the
Hamilton Rating Scale for Depression (0.65).
Reliability (Quantitative): The
authors reported inter-rater reliability that ranged from 0.89 to
0.97 for various combinations of raters in small samples of 12 to
30 patients. Intraclass coefficients for this test fell between
0.66 and 0.82.
Müller-Thomsen T, Arlt S, Mann U, Maß R, Ganzer S.
(2005) Detecting depression in Alzheimer's disease: evaluation of
four different scales. Archives of Clinical Neuropsychology,
(2006). Measuring Health: A guide to rating scales and
questionnaires 3rd Ed. New York: Oxford University