Assessing Clinical Depression According to the MADRS Essay

Assessing Clinical Depression According to the MADRS Essay

Length: 817 words (2.3 double-spaced pages)

Rating: Better Essays

Open Document

Essay Preview

According to Kessler et al. (1994) about 17% of people are likely to experience some kind of depression at some point in their lives. Another figure is: around 2.6 million people in England suffered from depression in 2006 (Thomas and Morris. 2003). Brown (2001) even suggests that by 2020 depression will become the second most common disease.

All these alarming figures lead to the question of what depression exactly is and how to asses and treat it.

In the DSM-IV depression is defined by meeting five or more of the following symptoms in a two-week period representing a change in previous functioning:
(1)significant weigh loss / gain
(2)insomnia / hypersomnia
(3)psychomotor agiation or retardation
(4)fatigue / loss of energy
(5)feelings of worthlessness and / or guilt
(6)diminished ability to concentrate / indecisevness
(7)suicide ideation

The criteria must include either a depressed mood or loss of pleasure.

The following study will be concerned with the assessment of depression. In particular we will examine the Montgomery and Asberg Depression rating scale (MADRS).
A standardised assessment system is important for both therapist and patient. With a system that clinicians have agreed upon it is much simpler to align assessments and treatments. It ensures that when three different clinicians interview a patient, they reach similar findings for the final assessment.
Our object is to find out how reliable the MADRS is. The hypothesis will be: if the MADRS is reliable we expect the means of the groups of participants who assess the patient to be similar.

The participants in this study were 37 first year psychology students divided into two groups A (n=19) an...

... middle of paper ...

...he judgement of the patient, too.
Despite these facts the modes of the symptoms show a similar pattern. Group A seem to agree upon the majority of symptoms when looking at the mode. All items except reported sadness and inner tension have a mode of 4. The same applies to group B although here the items which do not follow the pattern of fours are inner tension and reduced appetite.
Inner tension is perceived by both groups similarly.

Our hypothesis at the beginning can be supported. The results do not match exactly but are fairly similar, in particular if one considers the non experience of the groups in regards to depression and its assessment.
In order to receive a more accurate result future studies could introduce a model assessment. An experience clinician could pre rate another patient and explain his / her arguments as to why he assessed his / her way.

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

Postpartum Depression and Analysis of Treatments and Health Determinants

- The objective of this paper is to develop a thorough understanding of treatments available for mothers with postpartum depression and formulate a research question that can provide for future direction. Postpartum depression is universally recognized as a serious condition affecting 10-15% of women within a year of birth (O’Hara & Swain, 1992). The high prevalence of postpartum depression among mothers makes this an issue worth exploring the type of treatments available. A set of physical and psychological symptoms are associated with this condition that greatly increase the detriment of postpartum depression....   [tags: Health, Diseases]

Better Essays
882 words (2.5 pages)

Clinical Depression: The Hopelessness Diaease Essay example

- The hopelessness disease, millions of Americans suffer from this disease. Everybody gets the blues now and then. Those feelings can be especially strong during times of stress or loss. That's a normal part of life. After a while, the darkness lifts and things start to feel enjoyable again. Clinical depression has many affects, as the pain it causes in a person’s life, the physical affects, and these could lead to teen suicide. However, sometimes the sadness or loneliness persists, or gets worse, despite all attempts to "snap out of it." Tears or anger come easily and the simplest tasks seem difficult....   [tags: stress, depression, suicide, self-steem]

Better Essays
1134 words (3.2 pages)

What Causes Depression According to Scientists Essay

- Sadness is how the human being reacts to the loss of a loved one, the struggles of life, the disappointments, and the frustrations. Although it is a normal feeling in all these situations, there is a broad difference between being sad and being depressed. Unlike normal feelings of sadness, depression overwhelms a person, last a long time, and interferes with his or her day-to-day life. According to the World Health Organization in 2010, depression was reported as the most common mental disorder; it affects 120 million people globally and is among the leading causes of disability....   [tags: sadness, depression, emotions]

Better Essays
1078 words (3.1 pages)

Clinical Depression:Types, Symptoms, Medications, Treatment Essay

- Being clinically depressed is very different from the down type of feeling that all people experience from time to time. Occasional feelings of sadness are a normal part of life, and it is unfortunate that such feelings are often colloquially referred to as "depression." In clinical depression, such feelings are out of proportion to any external causes. There are things in everyone's life that are possible causes of sadness, but people who are not depressed manage to cope with these things without becoming incapacitated....   [tags: Clinical Depression Essays]

Free Essays
3440 words (9.8 pages)

Essay on Clinical Psychologists : A Clinical Psychologist

- A Clinical Psychologist is a health specialist with expertise in dealing with people with mental or psychological problems. The problems they deal with may involve personal trauma brought about by a crisis or an event that remains etched in the mind of the victim, tormenting him/her restlessly. Additionally, clinical psychologists assist couples with matrimonial issues that hamper their relationship by assessing the problem at its core while trying to find a solution that fits the needs of the specific individuals through counseling....   [tags: Psychology, Clinical psychology, Psychiatry]

Better Essays
1293 words (3.7 pages)

What is Clinical Depression? Essay

- What is depression. Depression is an illness that can take over a person’s life---it can take their happiness and their will to live. This illness can effect adults, teenagers, and even kids. “Depression is an equal opportunity disorder---- it can affect anyone of any group, any background, any race, any gender, and any age. It is the great leveler of all groups and can take the greatest and the smallest of us all and reduce us to the pain and nothingness that is depression (Nydegger 1)”. Depression is an emotion most people may feel they have experienced, but little do they know it’s just the basic emotions we feel....   [tags: depressed mood, diminished pressure, interest]

Better Essays
2180 words (6.2 pages)

The General Practices Of A Clinical Psychologist Essay

- The general practices of a Clinical Psychologist is to asses patients, diagnose disorders and recommend possible treatments. They integrate scientific theories, understand, and focus on intellectual, emotional, biological, social and behavioral adjustments. They allow people to vent and cope with their feelings while determining what exact type of treatment would best suit them and their emotional well-being. To become a Clinical Psychologist it can become a very difficult and distressing job and it may or can become overwhelming....   [tags: Psychology, Psychiatry, Clinical psychology]

Better Essays
990 words (2.8 pages)

Peer Coaching or Clinical Supervision Essay

- Peer Coaching or Clinical Supervision Overview Supervision could be interpreted from many points of view and have many perceptions about it. Differentiating description from interpretation in observation is so crucial for instructional improvement (Glickman, et al., 2014). Also are different methods that an administrator might use while doing his or her supervision, furthermore, how this information is going to be used to further assistance teachers. As Glickman, et al., (2014) mentions that observations are a method of assessing and planning skills are useful to a supervisor in setting goals and activities for himself or herself as well as for others....   [tags: Observation, Method of Assessing, Planning Skills]

Better Essays
944 words (2.7 pages)

Essay on Clinical Depression

- Clinical depression is very common. Over nine million Americans are diagnosed with clinical depression at some point in their lives. Many more people suffer from clinical depression because they do not seek treatment. They may feel that depression is a personal weakness, or try to cope with their symptoms alone. On the other hand, some people are comfortable with admitting their symptoms and seeking help. Such a discrepancy may account for the differences in reported cases of depression between men and women, which indicate that more than twice the numbers of women than men are clinically depressed....   [tags: essays research papers]

Free Essays
603 words (1.7 pages)

Understanding Clinical Depression Essay

- Everybody's mood varies according to events in the world around them. People are happy when they achieve something or saddened when they fail a test or lose something. When they are sad, some people say they are 'depressed', but the clinical depressions that are seen by doctors differ from the low mood brought on by everyday setbacks. Psychiatrists see a range of more severe mood disturbances and so find it easier to distinguish these from the normal variations of mood seen in the community. General practitioners (GP's) need to be sensitive enough to distinguish emotional reactions to setbacks in life from anxiety syndromes, somatisation and clinical depressions....   [tags: essays research papers]

Better Essays
3083 words (8.8 pages)