Depression Assessment in Brazil

Cross-cultural investigation in psychiatry is revealing the need for standardised instruments in diagnosing and assessing depression. Recently, a new instrument was developed to evaluate depressed patients, namely the Montgomery-åsberg Depression Rating Scale (MADRS). The present study introduced the MADRS in Brazil, comparing it to the Hamilton Depression Rating Scale, the Visual Analogue Mood Scale (a self-rating scale), and with the global clinical assessment of independent Brazilian psychiatrists. The results show correlation between MADRS and the three other assessments, indicating that it is a useful and operational instrument to evaluate depressed patients. They also support the application of the MADRS in cross-cultural studies of depression in Brazil and other countries. These results are critically discussed.

[1]  I. Miller,et al.  The modified Hamilton rating scale for depression: Reliability and validity , 1985, Psychiatry Research.

[2]  W. Matthews.  Depressive disorders in different cultures By N. Sartorius et al. (eds.), 150 pages, World Health Organization, Geneva, 1983, price not stated , 1984, Journal of the Neurological Sciences.

[3]  G. Klerman,et al.  A debate on DSM-III. , 1984, The American journal of psychiatry.

[4]  A. Jablensky,et al.  Characteristics of depressive patients contacting psychiatric services in four cultures , 1981, Acta psychiatrica Scandinavica.

[5]  P Bech,et al.  The Hamilton Depression Scale , 1981, Acta psychiatrica Scandinavica.

[6]  M. Åsberg,et al.  A New Depression Scale Designed to be Sensitive to Change , 1979, British Journal of Psychiatry.

[7]  N. Sartorius.  Classification: An International Perspective , 1976 .

[8]  M. Åsberg,et al.  International reliability and communicability of a rating scale for depression , 1973, Psychological Medicine.

[9]  M. Folstein,et al.  Reliability, validity, and clinical application of the visual analogue mood scale , 1973, Psychological Medicine.

[10]  B. Carroll,et al.  Depression rating scales. A critical review. , 1973, Archives of general psychiatry.

[11]  M. Carney,et al.  Depression and Newcastle scales. Their relationship to Hamilton's scale. , 1972, The British journal of psychiatry : the journal of mental science.

[12]  M. Carney,et al.  Depression and the Newcastle Scales Their Relationship to Hamilton's Scale , 1972, British Journal of Psychiatry.

[13]  W. Zung.  A cross-cultural survey of symptoms in depression. , 1969, The American journal of psychiatry.

[14]  M. Hamilton,et al.  Development of a rating scale for primary depressive illness. , 1967, The British journal of social and clinical psychology.

[15]  R. G. D. Steel,et al.  Principles and Procedures of Statistics with Special Reference to the Biological Sciences , 1961 .

[16]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[17]  M. Hamilton.  A RATING SCALE FOR DEPRESSION , 1960, Journal of neurology, neurosurgery, and psychiatry.

[18]  W. Zung.  A SELF-RATING DEPRESSION SCALE. , 1965, Archives of general psychiatry.