Longitudinal Rating Scale of Petterson et al for the Manic State

motor activity

Quiet or slow movements. Few gestures. Ordinary or slightly prolonged latency at the initiation of activity.

1

Ordinarily changing rate and amount of movements. Only short periods of quiescence occur

2

Vivid mimics and gait. Gestures and movements are abundant without being exaggerated or especially remarkable.

3

Exaggerated, extensive and/or rapid movements occur repeatedly. Gesticulation is conspicuous. The patient leaves his/her chair on single occasions during the interview.

4

Continuous motor activity. The patient cannot be persuaded to remain in a quiet sitting or recumbent position.

5

pressure of speech

Gives laconic answers. Expresses few sentences spontaneously.

1

Gives adequate answers without being word-rich. Talks without hindrance.

2

Expresses spontaneously longer sentences. Gives word-rich answers. Rapid speech.

3

Very talkative. Utters spontaneously detailed, word-rich statements, interrupts the interviewer on single occasions.

4

Directs the conversation completely. It is impossible to cutoff the patient's talk. The patient talks uninterruptedly without paying attention to stimuli from the interviewer.

5

flight of ideas

The patient's talk is coherent and the connection between the sentences is adequate. Few associations.

1

Free, lively associations with a tendency towards deviation from the subject.

2

Rapid flow of associations with single occurrence of unusual associations as induced by sound or other stimuli.

3

Associations are rich and rapid and there is an abundance of associations induced by visual and auditory stimuli during the interview.

4

The conversation often deviates with regard to the subject, and the patient has great difficulty in continuing a logical conversation due to new associations.

5

noisiness

The patient talks with a low or modulated voice level.

1

Speaks clearly and on single occasions loudly. Regulates his/her noise level according to his/her environment.

2

Speaks loudly all the time but cannot be regarded as disturbing.

3

The level of noise the patient makes can be heard at some distance. The patient does not regulate the level of noise with regard to his/her environment. The amount of noise the patient induces is disturbing.

4

The patient shouts and roars more or les constantly and is very disturbing.

5

aggressiveness

No noticeable signs of aggressiveness.

1

On provocation the patient is slightly irritable.

2

On single occasions aggressive statements in relation to events occurring outside the interview. The conversation during the interview occurs calmly for long periods.

3

Verbal aggressiveness repeatedly without provocation. Quarrels, leaves the chair, but can be calmed.

4

Threatening, destructive acts, physical violence during the interview.

5

orientation

Clear sensorium. Adequate orientation.

1

Slight or infrequent occurrence of clouded sensorium.

2

Obvious disorientation during most of the interview.

3

elevated mood

A neutral mood. Modulated changes between higher and lower mood with regard to the subject of conversation.

1

The patient has an optimistic, self-confident attitude which appears to be adequate in relation to his/her situation.

2

The patient has an optimistic, happy or self-confident attitude without regard to the subject of speech. The mood is elevated as can be noticed from the selection of subjects for conversation and facial expression and gesture.

3

Markedly elevated mood or exaggerated self-confidence without relation to subject of conversation. Intermittently an intense feeling of well-being.

4

A continuous feeling of extreme well-being or marked emotional exaltation. Maximal self-confidence.

5

manic state

no signs of hypomanic or manic state

1

possibly hypomanic, optimistic attitude

2

hypomanic

3

manic behavior

4

markedly manic behavior

5

change in manic state since previous rating

marked deterioration

1

slight deterioration

2

unchanged

3

slight improvement

4

marked improvement

5