Introduction
The Montgomery-Åsberg Depression Rating Scale (MADRS) is a 10-item clinician-rated instrument used to organize ratings of depressive symptom severity and change over time.
Administration is based on a clinical interview and professional judgment. This page remains a scoring worksheet for recording that clinician-led assessment; unaided online answers are not an equivalent self-test and cannot diagnose a depressive disorder.
Any score must be considered with safety assessment, functional impact, medical context, and the clinician's full evaluation.
Instructions
A qualified clinician should rate each of the 10 items from 0 to 6 after interviewing and observing the patient over the relevant period. Values 1, 3, and 5 represent intermediate severity. Use this page to record clinician-made ratings, not as an unaided self-assessment.
This is not a standard self-report test
Clinician-rated; not a self-report depression test
Scoring and result metrics
The result page reports a local screening score for this questionnaire. Use the score range, any subscale scores, and the interpretation band together rather than treating one number as a diagnosis.
- Score range
- 0-60
- Items scored
- 10
- Result indicators
- Total score / Interpretation band when available
Score interpretation bands
- 0-6Little to no depression
Scores in the 0-6 range are indicative of little to no depression symptoms
- 7-19Mild depression
Scores in the 7-19 range are indicative of mild depression symptoms.
- 20-34Moderate depression
Scores in the 20-34 range are indicative of moderate depression symptoms.
- 35-60Severe depression
Scores in the 35-60 range are indicative of severe depression symptoms.
Interpretation bands summarize screening thresholds from the questionnaire source material. Higher scores usually indicate more of the measured concern unless the tool notes a different scoring rule.
Tool information
- Version
- MADRS clinician-rated worksheet
- Administration
- Clinician-rated; not a self-report depression test
- Intended audience
- Trained clinicians rating depressive symptom severity after an interview and clinical observation
Sources
- SA Montgomery, M Asberg. A New Depression Scale Designed to be Sensitive to Change. British Journal of Psychiatry 134 (4): 382-389. 04-1979.
- JBW Williams, KA Kobak. Development and Reliability of a Structured Interview Guide for the Montgomery-Asberg Depression Rating Scale (SIGMA). The British Journal of Psychiatry 192 (1): 52-58. 2008.
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