The Manic State Rating Scale can be used to evaluate manic patients. The scale can be followed over time to monitor the patient's state and response to interventions. The scale was developed at the National Institute of Mental Health in Bethesda, Maryland.
Procedure:
(1) The patient is observed for 26 behaviors.
(2) Each behavior is assessed for its frequency and intensity, each of which is assigned a point score.
(3) The score for each behavior is the product of the points for frequency and intensity.
The patient:
(1) looks depressed
(2) is talking
(3) moves from one place to another
(4) makes threats
(5) has poor judgment
(6) dresses inappropriately
(7) looks happy and cheerful
(8) seeks out others
(9) is distractable
(10) has grandiose ideas
(11) is irritable
(12) is combative and destructive
(13) is delusional
(14) verbalizes depressive feelings
(15) is active
(16) is argumentative
(17) talks about sex
(18) is angry
(19) is careless about dress and grooming
(20) has diminished impulse control
(21) verbalizes feelings of well-being
(22) is suspicious
(23) makes unrealistic plans
(24) demands contact with others
(25) is sexually preoccupied
(26) jumps from one subject to another
|
Observation |
Level |
Points |
|
frequency |
none |
0 |
|
|
infrequent |
1 |
|
|
some |
2 |
|
|
much |
3 |
|
|
most |
4 |
|
|
all |
5 |
|
intensity |
very minimal |
1 |
|
|
minimal |
2 |
|
|
moderate |
3 |
|
|
marked |
4 |
|
|
very marked |
5 |
score for each behavior =
= (points for frequency) * (points for intensity)
manic state rating scale =
= SUM(score for all 26 behaviors)
Interpretation:
• minimum score for each observation: 0
• minimum score for each observation: 25
• minimum manic state rating scale: 0
• maximum manic state rating scale: 650
• The higher the score, the more marked the manic state.
• The items best characterizing a change in manic severity: 3, 5, 9, 15, 18, 26
Specialty: Psychiatry
ICD-10: ,
