By Eduard Vieta
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Each item is rated on a seven-point scale (scores of 0–6). Anchor points are provided for scores of 0, 2, 4 and 6. The maximum total score is 60. Various cut-off scores have been suggested  but the most recent are presented in the table below . Suggested scoring system for MADRS Score Comment 0–8 9–17 18–34 ≥35 No depression/recovered Mild depression Moderate depression Severe depression C hapter 6 Assessment of mania in bipolar disorder In previous chapters we have discussed the use of screening to detect patients who may have bipolar disorder.
Scores on the VAS can be used in conjunction with the scores on the descriptive system to build a composite picture of an individual's state of health. Differences in this scale over time can be used as a measure of outcome. Thus, because of its simplicity, the EQ-5D takes only a few minutes to complete and is ideally suited for use in postal surveys as well as in clinics and face-to-face interviews. It is available in a number of different languages. Full details are available at www. org. The association between EQ-5D scores to current mood state in bipolar disorder was examined in 221 bipolar disorder patients from across the UK, of whom 51 were currently in a depressive episode and 21 in a hypomania/mania/mixed episode .
Medical Outcomes Study 20-Item Short-Form Health Survey The 20-Item Short-Form Health Survey (SF-20)  is an abbreviated form of the 36-Item Short-Form Health Survey (SF-36), which in turn is a subset of the MOS Core Survey Instrument described above. The SF-20 has been further abbreviated to create the SF-12 and SF-8. The SF-20 is self-rated but was designed to reduce the burden on the respondent while achieving minimum standards of precision in order to compare different groups on a variety of health dimensions.