The Altman Self-Rating Mania Scale
The Altman Self-Rating Mania Scale
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DOI：
10.1016/s0006-3223(96)00548-3
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发表时间：
1997-11-15
影响因子：
10.6
通讯作者：
Davis, JM
中科院分区：
文献类型：
--
作者：
Altman, EG;Hedeker, D;Davis, JM
本文报告了Altman躁狂自评量表（ASRM）的发展信度和效度。22例精神分裂症、13例情感障碍、36例抑郁症和34例躁狂症患者在药物洗脱期和治疗后完成ASRM。同时完成临床医生-管理者躁狂评定量表（CARS-M）和躁狂评定量表（MRS），对20例抑郁症和10例躁狂症患者进行重测信度分析。ASRM项目的主成分分析显示躁狂、精神病性症状和易激惹是影响ASRM的主要因素。基线躁狂亚量表评分显着高于躁狂患者相比，所有其他诊断组。躁狂症患者治疗后所有三个分量表的评分均显著降低。ASRM躁狂量表评分与MRS总分（r = .718）和CARS-M躁狂量表评分（r = .766）显著相关。ASRM的重测信度是显着的所有三个分量表。在ASRM上的患者评级和CARS-M上的临床医生评级之间，发现某些症状的严重程度存在显著差异。ASRM躁狂子量表评分大于5分，敏感性为85.5%，特异性为87.3%。ASRM的优势比其他自评躁狂量表进行了讨论。(C)1997年生物精神病学学会。
We report on the development reliability, and validity of the Altman Self-Rating Mania Scale (ASRM), The ASRM was completed during medication washout and after treatment by 22 schizophrenic, 13 schizoaffective, 36 depressed and 34 manic patients. The Clinician-Administered Rating Scale for Mania (CARS-M) and Mania Rating Scale (MRS) were completed at the same time to measure concurrent validity, Test-retest reliability was assessed separately on 20 depressed and 10 manic patients who completed the ASRM twice during washout. Principal components analysis of ASRM items revealed th, ee factors: mania, psychotic symptoms, and irritability. Baseline mania subscale scores were significantly higher for manic patients compared to all other diagnostic groups. Manic patients had significantly decreased posttreatment scores for all three subscales. ASRM mania subscale scores were significantly correlated with MRS total scores (r = .718) and CARS-M mania subscale scores (r = .766). Test-retest reliability for the ASRM was significant for all three subscales. Significant differences in severity levels were found for some symptoms between patient ratings on the ASRM and clinician ratings on the CARS-M. Mania subscale scores of greater than 5 on the ASRM resulted in values of 85.5% for sensitivity and 87.3% for specificity. Advantages of the ASRM over other self-rating mania scales are discussed. (C) 1997 Society of Biological Psychiatry.