Montgomery and Asberg developed a depression rating scale that is simpler than the Hamilton Depression Scale yet responsive to change in the patient's state. This can be used to monitor a patient's state over time. The authors are from Guy's Hospital in London and the Karolinska Institute in Stockholm.


Item list:

(1) apparent sadness

(2) reported sadness

(3) inner tension

(4) reduced sleep

(5) reduced appetite

(6) concentration difficulties

(7) lassitude

(8) inability to feel

(9) pessimistic thoughts

(10) suicidal thoughts


Responses: from 0 (normal) to 6 (severe depression):

(1) Statements are provided for 0, 2, 4, and 6.

(2) 1, 3 and 5 and in-between values.


total score =

= SUM(points for all 10 questions)



• minimum score: 0

• maximum score: 60

• The higher the score, the greater the degree of depression.



• Maier et al found the MADRS that showed concurrent and external validity.


To read more or access our algorithms and calculators, please log in or register.