Inter-rater Reliability of the Traditional Chinese Montgomery-Åsberg Depression Rating Scale using a Structured Interview: A Preliminary Study

10.4103/TPSY.TPSY_25_23

Ling Chen；Yu-Hsuan Lin；Yuqing Cui；Jonathan Flint

cultural sensibility ； depression ； linguistic sensibility ； Mandarin Chinese

台灣精神醫學

37卷3期（2023 / 09 / 01）

151 - 154

英文

Objectives: The Montgomery-Åsberg Depression Rating Scale (MADRS) is a commonly used tool for assessing depression, but there is no version available in traditional Chinese. In this study, we intended to develop such a version. Methods: With a structured interview guide, three raters independently administered the MADRS to a sample of study participants with depressive disorders. The inter-rater reliability was assessed using intraclass correlation coefficients (ICCs). Results: Twenty study participants completed the assessment by three raters. The data showed significantly higher inter-rater reliability (p < 0.05), with ICC values ranging from 0.90 to 0.97. The high correlation coefficients observed in the total scores between each pair of raters (0.98, 0.98, and 0.99), indicated a high degree of consistency and agreement. Conclusion: These findings support the use of the traditional Chinese MADRS as a reliable tool for assessing depressive symptoms in traditional Chinese-speaking Taiwanese populations.

1. Ahn, YM,Lee, KY,Yi, JS(2005).A validation study of the Korean-version of the Montgomery-Asberg depression rating scale.J Korean Neuropsychiatr Assoc,44,466-476.
2. Bagby, RM,Ryder, AG,Schuller, DR(2004).The Hamilton depression rating scale: has the gold standard become a lead weight?.Am J Psychiatry,161,2163-2177.
3. Bruss, GS,Gruenberg, AM,Goldstein, RD(1994).Hamilton anxiety rating scale interview guide: joint interview and test-retest methods for interrater reliability.Psychiatry Res,53,191-202.
4. Cicchetti, DV(1994).Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology.Psychol Assess,6,284-290.
5. Fernandes, F,Carneiro, A,Campos, RN(2019).SIGMA-VB: Validity and reliability of the Brazilian Portuguese version of the Montgomery Åsberg depression rating scale using the structured interview guide for the MADRS.Braz J Psychiatry,41,297-302.
6. Hallgren, KA(2012).Computing inter-rater reliability for observational data: An overview and tutorial.Tutor Quant Methods Psychol,8,23-34.
7. Iannuzzo, RW,Jaeger, J,Goldberg, JF(2006).Development and reliability of the HAM-D/MADRS interview: An integrated depression symptom rating scale.Psychiatry Res,145,21-37.
8. Johnson, KM,Devine, JM,Ho, KF(2016).Evidence to support Montgomery-Asberg depression rating scale administration every 24 hours to assess rapid onset of treatment response.J Clin Psychiatry,77,1681-1686.
9. Koo, TK,Li, MY(2016).A guideline of selecting and reporting intraclass correlation coefficients for reliability research.J Chiropr Med,15,155-163.
10. Liu, J,Xiang, YT,Lei, H(2014).Guidance on the conversion of the Chinese versions of the Quick Inventory of Depressive Symptomatology-SelfReport (C-QIDS-SR) and the Montgomery-Asberg Scale (C-MADRS) in Chinese patients with major depression.J Affect Disord,152-154,530-533.
11. Lobo, A,Chamorro, L,Luque, A(2002).Validation of the Spanish versions of the Montgomery-Asberg depression and Hamilton anxiety rating scales.Med Clin (Barc),118,493-499.
12. Mihajlović, G,Vojvodić, P,Vojvodić, J(2021).Validation of the Montgomery-Åsberg depression rating scale in depressed patients in Serbia.Srp Arh Celok Lek,149,316-321.
13. Moberg, PJ,Lazarus, LW,Mesholam, RI(2001).Comparison of the standard and structured interview guide for the Hamilton depression rating scale in depressed geriatric inpatients.Am J Geriatr Psychiatry,9,35-40.
14. Montgomery, SA,Asberg, M(1979).A new depression scale designed to be sensitive to change.Br J Psychiatry,134,382-389.
15. Ozolins, U,Hale, S,Cheng, X(2020).Translation and back-translation methodology in health research – a critique.Expert Rev Pharmacoecon Outcomes Res,20,69-77.
16. Schmidtke, A,Fleckenstein, P,Moises, W(1988).Studies of the reliability and validity of the German version of the Montgomery-Asberg Depression Rating Scale (MADRS).Schweizer Archive for Neurology and Psychiatry,139,51-65.
17. Shrout, PE,Fleiss, JL(1979).Intraclass correlations: uses in assessing rater reliability.Psychol Bull,86,420-428.
18. Takahashi, N,Tomita, K,Higuchi, T(2004).The inter-rater reliability of the Japanese version of the Montgomery-Asberg depression rating scale (MADRS) using a structured interview guide for MADRS (SIGMA).Hum Psychopharmacol,19,187-192.
19. Uher, R,Farmer, A,Maier, W(2008).Measuring depression: Comparison and integration of three scales in the GENDEP study.Psychol Med,38,289-300.
20. Williams, JB,Kobak, KA(2008).Development and reliability of a structured interview guide for the Montgomery Asberg Depression Rating Scale (SIGMA).Br J Psychiatry,192,52-58.
21. World Health Organization(2009).World Health Organization: Process of Translation and Adaptation of Instruments. Geneva, Switzerlamd: World Health Organization, 2009..