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The Altman Self-Rating Mania Scale

E G Altman1, D Hedeker, J L Peterson

  • 1University of Illinois at Chicago, USA.

Biological Psychiatry
|November 14, 1997
PubMed
Summary

The Altman Self-Rating Mania Scale (ASRM) is a reliable and valid tool for assessing mania symptoms in patients. It accurately distinguishes manic patients and shows significant correlations with clinician ratings.

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Area of Science:

  • Psychiatry
  • Psychometric Evaluation
  • Mental Health Assessment

Background:

  • Mania is a core symptom of bipolar disorder and other psychiatric conditions.
  • Accurate self-rating scales are crucial for monitoring treatment response and disease progression.
  • Existing scales may have limitations in capturing the full spectrum of manic symptoms.

Purpose of the Study:

  • To develop and validate the Altman Self-Rating Mania Scale (ASRM).
  • To assess the reliability and validity of the ASRM in diverse patient populations.
  • To compare ASRM performance against established clinician-rated scales.

Main Methods:

  • The ASRM was administered to patients with schizophrenia, schizoaffective disorder, depression, and mania.
  • Concurrent validity was assessed using the Clinician-Administered Rating Scale for Mania (CARS-M) and Mania Rating Scale (MRS).
  • Test-retest reliability was evaluated in depressed and manic patient subgroups.

Main Results:

  • Principal components analysis identified three factors: mania, psychotic symptoms, and irritability.
  • Manic patients exhibited significantly higher baseline mania scores than other groups.
  • The ASRM demonstrated significant correlations with MRS (r = .718) and CARS-M (r = .766) scores.
  • High sensitivity (85.5%) and specificity (87.3%) were achieved for mania subscale scores > 5.

Conclusions:

  • The Altman Self-Rating Mania Scale (ASRM) is a psychometrically sound instrument for self-assessment of mania.
  • The ASRM shows good reliability and validity, comparable to clinician-rated measures.
  • The scale offers advantages for patient self-monitoring and clinical assessment of manic symptoms.

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