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  • Manic Symptom Severity Scale (MSSS

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    The Manic State Rating Scale (MSRS) is a 26-item clinician-rated scale used to assess the severity of manic symptoms in adults. Clinicians rate patients on a frequency scale from 0 to 5 based on observation and an intensity scale from 1 to 5. Higher total scores indicate greater severity, with the scale ranging from 0 to 130. Though useful when interviewing patients is difficult, the MSRS lacks anchor points and is not widely used currently due to decreased reliability. A modified 28-item version is also available.

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    The Manic State Rating Scale (MSRS) is a 26-item clinician-rated scale used to assess the severity of manic symptoms in adults. Clinicians rate patients on a frequency scale from 0 to 5 based on observation and an intensity scale from 1 to 5. Higher total scores indicate greater severity, with the scale ranging from 0 to 130. Though useful when interviewing patients is difficult, the MSRS lacks anchor points and is not widely used currently due to decreased reliability. A modified 28-item version is also available.

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    © All Rights Reserved
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    11 views1 page

    Manic Symptom Severity Scale (MSSS

    Uploaded by

    G. S.
    The Manic State Rating Scale (MSRS) is a 26-item clinician-rated scale used to assess the severity of manic symptoms in adults. Clinicians rate patients on a frequency scale from 0 to 5 based on observation and an intensity scale from 1 to 5. Higher total scores indicate greater severity, with the scale ranging from 0 to 130. Though useful when interviewing patients is difficult, the MSRS lacks anchor points and is not widely used currently due to decreased reliability. A modified 28-item version is also available.

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    © All Rights Reserved
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    Manic State Rating Scale (MSRS)

    Reference: Beigel A, Murphy DL, Bunney WE Jr. The manic-state rating scale: Scale
    construction, reliability, and validity. Arch Gen Psych 1971; 25:256–62

    Rating Clinician-rated Versions


    Administration time 15 minutes A 28-item version (the Modified Manic State, Blackburn
    et al. 1977) is also available.
    Main purpose To asses severity of manic symptoms
    Population Adults
    Additional references

    Commentary Bech P, Bolwig TG, Dein E, Jacobsen O, Gram LF.


    Quantitative rating of manic states. Correlation
    The MSRS (also referred to as the Beigel scale) is a 26- between clinical assessment and Biegel’s Objective
    item clinician-administered scale developed to assess sever- Rating Scale. Acta Psychiatr Scand 1975; 52(1):1–6.
    ity of symptoms of mania. Relying upon observation of
    the patient rather than patient report, the MSRS is useful Blackburn IM, Loudon JB, Ashworth CM. A new scale
    in situations where conducting an interview is difficult. for measuring mania. Psychol Med 1977; 7(3):453–8.
    However, the scale does not possess any anchor points, Lerer B, Moore N, Meyendorff E, Cho SR, Gershon S.
    which may result in decreased inter-rater reliability, and is Carbamazepine versus lithium in mania: a double-blind
    not widely used in clinical settings at the present time. study. J Clin Psychiatry 1987; 48(3):89–93.

    Scoring
    Address for correspondence
    Items are rated on a frequency (0–5 scale, range 0–130)
    None available. The scale is in the public domain.
    and severity scale (1–5 scale, range 26–130), with higher
    scores indicating greater severity of manic symptoms.

    The Manic State Rating Scale

    Part A Frequency (How much of the time?) Part B Intensity (How intense is it?)
    None Infrequent Some Much Most All Very minimal Minimal Moderate Marked Very marked
    0 1 2 3 4 5 The Patient 1 2 3 4 5
    1. Looks depressed
    2. Is talking
    3. Moves from one place to another
    4. Makes threats
    5. Has poor judgement
    6. Dresses inappropriately
    7. Looks happy and cheerful
    8. Seeks out others
    9. Is distractible
    10. Has grandiose ideas
    11. Is irritable
    12. Is combative or destructive
    13. Is delusional
    14. Verbalizes depressive feelings
    15. Is active
    16. Is argumentative
    17. Talks about sex
    18. Is angry
    19. Is careless about dress and grooming
    20. Has diminished impulse control
    21. Verbalizes feelings of well-being
    22. Is suspicious
    23. Makes unrealistic plans
    24. Demands contact with others
    25. Is sexually preoccupied
    26. Jumps from one subject to another

    Reproduced from Beigel A, Murphy DL, Bunney WE Jr. Arch Gen Psych 1971; 25:256–62.
    36

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