A Rating Scale for Mania: Reliability, Validity and Sensitivity

  title={A Rating Scale for Mania: Reliability, Validity and Sensitivity},
  author={R. C. Young and John T. Biggs and Vincent E. Ziegler and Douglas A. Meyer},
  journal={British Journal of Psychiatry},
  pages={429 - 435}
Summary An eleven item clinician-administered Mania Rating Scale (MRS) is introduced, and its reliability, validity and sensitivity are examined. There was a high correlation between the scores of two independent clinicians on both the total score (0.93) and the individual item scores (0.66 to 0.92). The MRS score correlated highly with an independent global rating, and with scores of two other mania rating scales administered concurrently. The score also correlated with the number of days of… 

Reliability and validity of a Portuguese version of the Young Mania Rating Scale.

The results are similar to those reported for the English version, indicating that the Portuguese version of the Young Mania Rating Scale constitutes a reliable and valid instrument for the assessment of manic patients.

The Altman Self-Rating Mania Scale

Rating scales for mania: is self-rating reliable?

  • E. Altman
  • Psychology
    Journal of affective disorders
  • 1998

The Mania Rating Scale: can it be used in children? A preliminary report.

The MRS may be useful in differentiating mania from ADHD and determining the severity of mania in prepubertal children.

The Mania Rating Scale (MRS): further reliability and validity studies with children.

  • M. FristadR. WellerE. Weller
  • Psychology, Medicine
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists
  • 1995
Results suggest that the MRS can be used with children and effectively discriminated the bipolar group from both comparison groups, while items assessing increased activity level and irritability did not.

The Observer-Rated Scale for Mania (ORSM): development, psychometric properties and utility.

Development of the Bipolar Inventory of Symptoms Scale: concurrent validity, discriminant validity and retest reliability

The BISS is a reliable and valid instrument broadly applicable in clinical research to assess the comprehensive domains of bipolar disorder and relationship to a measure of overall function for a new psychometric rating instrument is reported.

Validation of a Severity Threshold for the Mania Rating Scale: A Receiver-Operating Characteristic Analysis

A cutoff score of 39 is proposed as a severity threshold for mania on the MRS by virtue of its ROC validation in a large representative sample of severe versus nonsevere manic patients whose severity was assessed according to DSM-IV subtyping.



The Manic-State Rating Scale: Scale Construction, Reliability, and Validity

It is suggested that the further evaluation of manic and hypomanic patients using the MS Scale may yield items which will help to define individual differences among manic patients.


A positive correlation between items concerned with depressed mood is found, indicating a fluctuation in the mood of manic patients during 8 hours of observation.

Assessing clinical characteristics of the manic state.

The authors found that 11 of the 26 items of the Manic-State Rating Scale characterized common elements of mania in 12 manic-depressive patients and that these items were highly correlated with


  • M. Hamilton
  • Psychology, Medicine
    Journal of neurology, neurosurgery, and psychiatry
  • 1960
The present scale has been devised for use only on patients already diagnosed as suffering from affective disorder of depressive type, used for quantifying the results of an interview, and its value depends entirely on the skill of the interviewer in eliciting the necessary information.

Depression, elation, and lithium carbonate responses in manic patient subgroups.

A factor analysis of the scale confirmed a "core" group of manic symptoms as well as a dichotomous grouping of elated-grandiose (E-G) and paranoid-destructive (P-D) patients and suggested a close relationship between the presence of rated depression during mania and the particular symptomatic complex found in the P-D subgroup of manic patients.

A new scale for measuring mania

A modified version of the Manic State Rating Scale comprising 28 items with a glossary has been tested on 16 manic patients and appears to be valid.

The stages of mania. A longitudinal analysis of the manic episode.

The progression of symptoms during an acute manic episode was studied retrospectively in 20 bipolar manic-depressive patients whose diagnosis was reconfirmed at follow-up, and the advantages of using a longitudinal view of a psychotic episode as a diagnostic tool are discussed.

Diagnostic criteria for use in psychiatric research.

Diagnostic criteria for 14 psychiatric illnesses along with the validating evidence for these diagnostic categories comes from workers outside the authors' group as well as from those within; it consists of studies of both outpatients and inpatients, of family studies, and of follow-up studies.

Psychoactive drugs in mania. A controlled comparison of lithium carbonate, chlorpromazine, and haloperidol.

Qualitative differences between lithium carbonate and haloperidol indicate that, while haloperodol has a more dramatically rapid impact on behavior-motor activity, lithium Carbonate acted more evenly on the entire manic picture, with total normalization realized during active treatment.

The Brief Psychiatric Rating Scale

A substantial, specific abnormality in CSPG expression by astrocytes is pointed out that may contribute disruption of the function of neurones and glial cells of the amygdala and the entorhinal cortex in schizophrenia.