The Altman Self-Rating Mania Scale

doi:10.1016/S0006-3223(96)00548-3

Biological Psychiatry

Volume 42, Issue 10, 15 November 1997, Pages 948-955

https://doi.org/10.1016/S0006-3223(96)00548-3 Get rights and content

We report on the development, reliability, and validity of the Altman Self-Rating Mania Scale (ASRM). The ASRM was completed during medication washout and after treatment by 22 schizophrenic, 13 schizoaffective, 36 depressed, and 34 manic patients. The ClinicianAdministered Rating Scale for Mania (CARS-M) and Mania Rating Scale (MRS) were completed at the same time to measure concurrent validity. Test—retest reliability was assessed separately on 20 depressed and 10 manic patients who completed the ASRM twice during washout. Principal components analysis of ASRM items revealed three factors: mania, psychotic symptoms, and irritability. Baseline mania subscale scores were significantly higher for manic patients compared to all other diagnostic groups. Manic patients had significantly decreased posttreatment scores for all three subscales. ASRM mania subscale scores were significantly correlated with MRS total scores (r = .718) and CARS-M mania subscale scores (r = .766). Test-retest reliability for the ASRM was significant for all three subscales. Significant differences in severity levels were found for some symptoms between patient ratings on the ASRM and clinician ratings on the CARS-M. Mania subscale scores of greater than 5 on the ASRM resulted in values of 85.5% for sensitivity and 87.3% for specificity. Advantages of the ASRM over other self-rating mania scales are discussed.

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Original articleThe Altman Self-Rating Mania Scale

Biol Psychiatry

Compr Psychiatry

Biol Psychiatry

Compr Psychiatry

Diagnostic and Statistical Manual of Mental Disorders

Independent assessment of manic and depressive symptoms by self-rating

Arch Gen Psychiatry

The manic state rating scale: Scale construction, reliability and validity

Arch Gen Psychiatry

Multivariate Statistical Methods for Behavioral Research

Original article
The Altman Self-Rating Mania Scale