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The Altman Self-Rating Mania Scale (ASRM) is a 5-item self-reported
diagnostic Diagnosis (: diagnoses) is the identification of the nature and cause of a certain phenomenon. Diagnosis is used in a lot of different academic discipline, disciplines, with variations in the use of logic, analytics, and experience, to determine " ...
scale which can be used to assess the presence and severity manic and hypomanic symptoms, most commonly in patients diagnosed with
bipolar disorder Bipolar disorder (BD), previously known as manic depression, is a mental disorder characterized by periods of Depression (mood), depression and periods of abnormally elevated Mood (psychology), mood that each last from days to weeks, and in ...
.Altman EG, Hedeker D, Peterson JL, Davis JM. ''The Altman Self-Rating Mania Scale''. Biol Psychiatry. 1997 Nov 15;42(10):948-55.


Effectiveness

The ASRM scale has been shown to be an effective self-reported questionnaire for screening patients with acute mania as well as measuring anti-manic treatment effects.Altman EG, Hedeker D, Peterson JL, Davis JM. A comparative evaluation of three self-rating scales for acute mania. Biol Psychiatry. 2001 Sep 15;50(6):468-71. Bräuning E.G., Sarkar R. et.al Gender differences in psychotic bipolar mania. Gend Med. 2009 Jul;6(2):356-61. Though only a 5-question instrument, the scale's compatibility with the clinician administered Young Mania Rating Scale and the DSM-IV criteria give substantial diagnostic power for such a brief instrument.


Format

The Altman Self-Rating Mania Scale assess differences in "normal" or baseline levels in five subjective and behavioral areas: # positive mood # self-confidence # sleep patterns # speech patterns and amount # motor activity Each of these areas has five statements which correspond to scores 0 through 4; with 0 being unchanged from "normal" or baseline, to 4 being overtly manic thoughts or behavior. The subject is asked to choose one statement from each of the five areas that best describes the way they have been feeling over the past week.


Scoring

Scores above a 5 are indicative of mania, or hypomania, with the severity of symptoms increasing with higher scores.


See also

* Diagnostic classification and rating scales used in psychiatry * Young Mania Rating Scale


References

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External links


Online version of the ASRM
Mania screening and assessment tools