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All of these scores are used to compute an overarching score that indicates a person's anxiety severity. [4] The Hamilton Anxiety Rating scale has been considered a valuable scale for many years, but the ever-changing definition of anxiety, new technology, and new research has had an effect on the scale's perceived usefulness. [ 5 ]
The patient is rated by a clinician on 17 to 29 items (depending on version) scored either on a 3-point or 5-point Likert-type scale. For the 17-item version, a score of 0–7 is considered to be normal while a score of 20 or higher (indicating at least moderate severity) is usually required for entry into a clinical trial. [11]
Rather than being used to diagnose depression, a depression rating scale may be used to assign a score to a person's behaviour where that score may be used to determine whether that person should be evaluated more thoroughly for a depressive disorder diagnosis. [1] Several rating scales are used for this purpose. [1]
Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. [4] Higher MADRS score indicates more severe depression. Usual cutoff points are: 0 to 6: normal [5] /symptom absent [4] 7 to 19: mild depression [4] [5] 20 to 34: moderate depression [5] 35 to 60: severe depression. [5]
Many large-scale clinical tests are normed. For example, scores on the MMPI are rescaled such that 50 is the middlemost score on the MMPI Depression scale and 60 is a score that places the individual one standard deviation above the mean for depressive symptoms; 40 represents a symptom level that is one standard deviation below the mean. [30]
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The normative data enable users of the GAD-7 to discern whether an individual's anxiety score is normal, or mildly, moderately, or severely elevated. [6] However, while the GAD-7 seem to be able to provide probable cases of GAD, it cannot be used as replacement for clinical assessment and additional evaluation should be used to confirm a ...