Psychiatry · Psychometric Assessment, Rating Scales and Neurobiology of Psychiatric Illness

Which of the following depression rating instruments is completed entirely by the PATIENT as a self-report questionnaire?

  • A Hamilton Rating Scale for Depression (HAM-D)
  • B Young Mania Rating Scale (YMRS)
  • C Beck Depression Inventory (BDI)
  • D Montgomery-Asberg Depression Rating Scale (MADRS)
Correct answer: C. Beck Depression Inventory (BDI)

Explanation

The Beck Depression Inventory is a 21-item self-administered questionnaire in which the patient selects statements describing his own state over the past two weeks. The HAM-D, the YMRS and the original MADRS are all observer-rated instruments administered by a trained clinician through interview. This distinction between self-rated and clinician-rated tools is a favourite exam point because it determines who can validly administer the scale.

Reference: Kaplan and Sadock's Synopsis of Psychiatry, 12th ed.

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