Altman-Self-Rating-Mania-Scale.html

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<div class="swal2-icon swal2-question JS_toggle" rel="#overview">?</div>
<div id="overview">
	<ul>
		<li>The ASRM is a 5-item self rating mania scale, designed to assess the presence and/or severity of manic symptoms.
		<li>The ASRM may be used in an inpatient or outpatient setting to screen for the presence of and/or severity of manic symptoms for clinical or research purposes.
		<li>Because it is compatible with DSM-IV criteria, and correlates significantly with Clinician-Administered Rating Scale for Mania (CARS-M), Young Mania Rating Scale (YMRS), it can be used effectively as a screening instrument to facilitate diagnostic assessment inpatients with hypomanic symptoms.
	</ul>

	<h3>Clinical Utility</h3>
	<ul>
		<li>In outpatient settings the ASRM may be used as a psycho-educational tool to help patients recognize and monitor their own symptoms.
		<li>It may be used reliably as a self-report measure of efficacy for patients receiving clinical treatment.
		<li>It may be used in combination with self-rating depression scales to assess mixed states of mania and depression.
	</ul>

	<h3>Scoring</h3>
	<ol>
		<li>Sum items 1-5
			<ul>
				<li>A cutoff score of 6 or higher indicates a high probability of a manic or hypomanic condition (based on a sensitivity rating of 85.5% and a specificity rating of 87.3%).
				<li>A score of 6 or higher may indicate a need for treatment and/or further diagnostic workup to confirm a diagnosis of mania or hypomania.
				<li>A score of 5 or lower is less likely to be associated with significant symptoms of mania.
			</ul>
		</li>
		<li>As a self-report measure of clinical efficacy, items 1-5 should be summed to give a total score, which then may be compared to subsequent total scores during and after treatment.</li>
	</ol>

	<h3>Psychometric Properties</h3>
	<p>
		Specificity of 85.5<br/>
		Sensitivity of 87.31<sup><a href="#footnote_1" id="remark_1">1</a></sup>
	</p>

	<p id="footnote_1"><a href="#remark_1">1.</a>  Altman EG, Hedeker D, Peterson JL, Davis JM. The Altman self-rating mania scale. Society of Biological Psychiatry 1997; 42:948-955.</p>
</div>

<h2>Questionnaire</h2>
<form>

	<label>
		Name
		<input type="text" name="name"/>
	</label>

	<label>
		Date:
		<input type="text" name="date"/>
	</label>

	<h3>Instructions:</h3>
	<ol>
		<li>There are 5 statements groups on this questionnaire: read each group of statements carefully.</li>
		<li>Choose the one statement in each group that best describes the way you have been feeling for the past week or day (depending on the frequency of your measurements).</li>
		<li>Check the box next to the number/statement selected.</li>
		<li>Once you have rated all statements, press the button underneath the questionnaire.</li>
		<li>Please note: The word “occasionally” when used here means once or twice; “often” means several times or more and “frequently” means most of the time.</li>
	</ol>

	<ol id="questionnaire">
		<li>
			<label><input type="radio" name="question_1" value="0">I do not feel happier or more cheerful than usual.</label>
			<label><input type="radio" name="question_1" value="1">I occasionally feel happier or more cheerful than usual.</label>
			<label><input type="radio" name="question_1" value="2">I often feel happier or more cheerful than usual.</label>
			<label><input type="radio" name="question_1" value="3">I feel happier or more cheerful than usual most of the time.</label>
			<label><input type="radio" name="question_1" value="4">I feel happier or more cheerful than usual all of the time.</label>
		</li>
		<li>
			<label><input type="radio" name="question_2" value="0">I do not feel more self-confident than usual.</label>
			<label><input type="radio" name="question_2" value="1">I occasionally feel more self-confident than usual.</label>
			<label><input type="radio" name="question_2" value="2">I often feel more self-confident than usual.</label>
			<label><input type="radio" name="question_2" value="3">I feel more self-confident than usual.</label>
			<label><input type="radio" name="question_2" value="4">I feel extremely self-confident all of the time.</label>
		</li>
		<li>
			<label><input type="radio" name="question_3" value="0">I do not need less sleep than usual.</label>
			<label><input type="radio" name="question_3" value="1">I occasionally need less sleep than usual.</label>
			<label><input type="radio" name="question_3" value="2">I often need less sleep than usual.</label>
			<label><input type="radio" name="question_3" value="3">I frequently need less sleep than usual.</label>
			<label><input type="radio" name="question_3" value="4">I can go all day and night without any sleep and still not feel tired.</label>
		</li>
		<li>
			<label><input type="radio" name="question_4" value="0">I do not talk more than usual.</label>
			<label><input type="radio" name="question_4" value="1">I occasionally talk more than usual.</label>
			<label><input type="radio" name="question_4" value="2">I often talk more than usual.</label>
			<label><input type="radio" name="question_4" value="3">I frequently talk more than usual.</label>
			<label><input type="radio" name="question_4" value="4">I talk constantly and cannot be interrupted</label>
		</li>
		<li>
			<label><input type="radio" name="question_5" value="0">I have not been more active (either socially, sexually, at work, home or school) than usual.</label>
			<label><input type="radio" name="question_5" value="1">I have occasionally been more active than usual.</label>
			<label><input type="radio" name="question_5" value="2">I have often been more active than usual</label>
			<label><input type="radio" name="question_5" value="3">I have frequently been more active than usual.</label>
			<label><input type="radio" name="question_5" value="4">I am constantly active or on the go all the time.</label>
		</li>
	</ol>

	<button type="submit" class="swal2-confirm styled">Calculate my Score</button>
</form>
<p><i>Permission for use granted by EG Altman, MD</i></p>