Interactive MADRS Scale

MADRS: Montgomery-Åsberg Depression Rating Scale

Rate the patient’s state over the past week. Select the score for each item that best describes their condition. The total score and severity will update automatically.

1. Apparent Sadness

Despondency, gloom, despair reflected in speech, expression, posture.
No sadness. 0
Looks dispirited but does brighten up without difficulty. 2
Appears sad and unhappy most of the time. 4
Looks miserable all the time. Extremely despondent. 6

2. Reported Sadness

Patient’s reports of depressed mood, low spirits, feeling beyond help.
Occasional sadness in keeping with circumstances. 0
Sad or low but brightens up without difficulty. 2
Pervasive feelings of sadness or gloominess. Mood influenced by external circumstances. 4
Continuous or unvarying sadness, misery or despondency. 6

3. Inner Tension

Ill-defined discomfort, edginess, inner turmoil, mounting panic/dread/anguish.
Placid. Only fleeting inner tension. 0
Occasional feelings of edginess and ill-defined discomfort. 2
Continuous feelings of inner tension or intermittent panic, managed with some difficulty. 4
Unrelenting dread or anguish. Overwhelming panic. 6

4. Reduced Sleep

Reduced duration or depth of sleep compared to normal pattern.
Sleeps as usual. 0
Slight difficulty falling asleep or slightly reduced/light/fitful sleep. 2
Sleep reduced or broken by at least 2 hours. 4
Less than 2 or 3 hours sleep. 6

5. Reduced Appetite

Loss of appetite, loss of desire for food, or need to force oneself to eat.
Normal or increased appetite. 0
Slightly reduced appetite. 2
No appetite. Food is tasteless. 4
Needs persuasion to eat at all. 6

6. Concentration Difficulties

Difficulty collecting thoughts, incapacitating lack of concentration.
No difficulties in concentrating. 0
Occasional difficulties in collecting one’s thoughts. 2
Difficulties concentrating and sustaining thought, reduces ability to read/converse. 4
Unable to read or converse without great difficulty. 6

7. Lassitude

Difficulty getting started, slowness in initiating and performing everyday activities.
Hardly any difficulty getting started. No sluggishness. 0
Difficulties in starting activities. 2
Difficulties starting simple routine activities, carried out with effort. 4
Complete lassitude. Unable to do anything without help. 6

8. Inability to Feel

Reduced interest, inability to react with adequate emotion, emotional paralysis.
Normal interest in surroundings and other people. 0
Reduced ability to enjoy usual interests. 2
Loss of interest in surroundings. Loss of feelings for friends/acquaintances. 4
Emotionally paralysed, inability to feel anger/grief/pleasure, complete or painful failure to feel for relatives/friends. 6

9. Pessimistic Thoughts

Thoughts of guilt, inferiority, self-reproach, sinfulness, remorse, ruin.
No pessimistic thoughts. 0
Fluctuating ideas of failure, self-reproach or self-depreciation. 2
Persistent self-accusations, definite but rational ideas of guilt/sin, increasingly pessimistic about future. 4
Delusions of ruin, remorse, or unredeemable sin; absurd and unshakable self-accusations. 6

10. Suicidal Thoughts

Feeling life is not worth living, wishing for death, suicidal thoughts/plans/preparations.
Enjoys life or takes it as it comes. 0
Weary of life. Only fleeting suicidal thoughts. 2
Probably better off dead. Suicidal thoughts common, suicide considered as possible solution (no specific plans). 4
Explicit plans for suicide when there is an opportunity. Active preparations for suicide. 6

Total MADRS Score & Severity

0
Normal
All Scales