MADRS

MONTGOMERY-ÅSBERG DEPRESSION RATING SCALE (MADRS)

Patient Name:

DOB:

Assessment Date:

Select one score from 0–6 for each item. Scores 1, 3 and 5 represent intermediate levels between the anchor descriptions. Total score range: 0–60.

MADRS Item	0	1	2	3	4	5	6
1. Apparent Sadness	0	1	2	3	4	5	6
0: No sadness observed. 2: Appears dispirited but brightens. 4: Appears sad or unhappy most of the time. 6: Miserable or extremely despondent.
2. Reported Sadness	0	1	2	3	4	5	6
0: Occasional sadness appropriate to circumstances. 2: Feels sad or low but can brighten. 4: Persistent sadness or gloom. 6: Continuous, overwhelming sadness or misery.
3. Inner Tension	0	1	2	3	4	5	6
0: Calm; little or no tension. 2: Occasional edginess or discomfort. 4: Continuous tension or intermittent panic. 6: Unrelenting dread or overwhelming panic.
4. Reduced Sleep	0	1	2	3	4	5	6
0: Sleeps as usual. 2: Slight difficulty falling asleep or lighter sleep. 4: Sleep reduced or interrupted by about 2 hours. 6: Less than 2–3 hours sleep.
5. Reduced Appetite	0	1	2	3	4	5	6
0: Normal or increased appetite. 2: Slightly reduced appetite. 4: Little appetite; food may seem tasteless. 6: Needs encouragement to eat.
6. Concentration Difficulties	0	1	2	3	4	5	6
0: No concentration difficulty. 2: Occasional difficulty gathering thoughts. 4: Difficulty sustaining thought or conversation. 6: Unable to concentrate adequately.
7. Lassitude	0	1	2	3	4	5	6
0: Little difficulty getting started. 2: Some difficulty initiating activities. 4: Routine activities require considerable effort. 6: Marked lassitude; needs help with routine tasks.
8. Inability to Feel	0	1	2	3	4	5	6
0: Normal interest and emotional response. 2: Reduced enjoyment of usual interests. 4: Marked loss of interest or feelings. 6: Unable to experience pleasure or emotional response.
9. Pessimistic Thoughts	0	1	2	3	4	5	6
0: No pessimistic thoughts. 2: Occasional failure or self-depreciation ideas. 4: Persistent guilt or pessimistic future view. 6: Extreme or unshakable self-accusation/despair.
10. Suicidal Thoughts	0	1	2	3	4	5	6
0: Enjoys life and takes things as they come. 2: Weary of life or fleeting suicidal thoughts. 4: Frequent thoughts of death or being better off dead. 6: Active suicidal planning or preparations.

TOTAL MADRS SCORE (0–60):

CLINICIAN / RATER INFORMATION

Clinician / Rater Name

Credentials

Date

Clinician Signature

Signature Date