Young Mania Rating Scale (YMRS)
Young RC‚ Biggs JT‚ Ziegler VE‚ Meyer DA (1978)
مقیاس درجه بندی شیدایی یونگ
I. Elevated Mood
0) Absent
1) Mildly or possibly increased
2) Definite subjective elevation; optimistic‚ self-confident; cheerful; appropriate to content
3) Elevated‚ inappropriate to content; humorous
4) Euphoric‚ inappropriate laughter‚ singing
II. Increased Motor Activity or Energy
0) Absent
1) Subjectively increased
2) Animated; gestures increased
3) Excessive energy; hyperactive at times; restless (can be calmed)
4) Motor excitement; continuous hyperactivity (cannot be calmed)
III. Sexual Interest
0) Normal; not increased
1) Mildly or possibly increased
2) Definite subjective increase
3) Spontaneous sexual content; elaborates on sexual matters; hypersexual
4) Overt sexual acts
IV. Sleep
0) No decrease in sleep
1) Sleeping less than normal amount by up to one hour
2) Sleeping less than normal by more than one hour
3) Decreased need for sleep
4) No need for sleep at all
V. Irritability
0) Absent
2) Subjectively increased
4) Irritable at times; recent episodes of anger or annoyance
6) Frequently irritable; short‚ curt
8) Hostile‚ uncooperative
VI. Speech: Rate & Amount
0) No increase
2) Feel talkative
4) Increased rate or amount at times‚ verbose at times
6) Push; consistently increased rate and amount;
8) Pressured; uninterruptedly‚ continuous speech
VII. Language: Thought Disorder
0) Absent
1) Circumstantial; mild distractibility; quick thoughts
2) Distractible; loses goal of thought; change topics frequently; racing thoughts
3) Flight of ideas; tangentially; difficult to follow; rhyming‚ echolalia
4) Incoherent; communication impossible
VIII. Content
0) Normal
2) Questionable plans‚ new interests
4) Special project(s); hyper religious
6) Grandiose or paranoid ideas; ideas of reference
8) Delusions; hallucinations
IX. Disruptive or Aggressive Behavior
0) Absent
2) Sarcastic; loud at times‚ guarded
4) Demanding; threats
6) Threats‚ shouting
8) Assaultive; destructive
X. Appearance
0) Appropriate dress and grooming
1) Minimally unkempt
2) Poorly groomed; moderately disheveled; overdressed
3) Disheveled; partly clothed; garish make-up
4) Completely unkempt; decorated; bizarre garb
XI. Insight
0) Present; admits illness; agrees with need for treatment
1) Possibly ill
2) Admits behavior change‚ but denies illness
3) Admits possible change in behavior‚ but denies illness
4) Denies any behavior change
شرح سایت روان سنجی: این مقیاس برای ارزیابی مراجعان دارای اختلال دو قطبی به کار گرفته می شود..
The YMRS is typically administered by a third-party clinician‚ but it is provided here‚ in a slightly reworded form‚ as a self-assessment. This may not be as accurate when self-administered‚ as people suffering from mania are often unable to properly assess relevant outward symptoms.
اعتبار : آلفا کرونباخ این مقیاس در مطالعات گوناگون بیش از 0.70 گزارش شده است.
چگونگی دستیابی
نمره گذاری
Scoring between the points given (whole or half points) is possible and encouraged after experience with the scale is acquired. This is particularly useful when severity of a particularitem in a patient does not follow the progression indicated by the keys.
In scoring the YMRS‚ the following items are graded on a 0 to 8 scale:
• Irritability
• Speech
• Thought content
• Disruptive/aggressive behavior
The following items are graded on a 0 to 4 scale:
• Elevated mood
• Increased motor activity/energy
• Sexual interest
• Sleep
• Language/thought disorder
• Appearance
• Insight
منبع برای آگاهی بیشتر
Young RC‚ Biggs JT‚ Ziegler VE‚ Meyer DA (1978). "A rating scale for mania: reliability‚ validity and sensitivity". Br J Psychiatry 133 (5): 429–35.