Top results

Young Mania Rating Scale (YMRS)

The Young Mania Rating Scale (YMRS) is the most frequently used scale for assessing symptoms of mania in patients diagnosed with or being screened for bipolar disorder. The scale has 11 items and is based on the patient’s self-report of his or her condition over the previous 48 hours.
Description: The Young Mania Rating Scale (YMRS) is the most frequently used scale for assessing symptoms of mania in patients diagnosed with or being screened for bipolar disorder. The scale has 11 items and is based on the patient’s self-report of his or her condition over the previous 48 hours.
Disease States: Bipolar disorder
Validated Uses: Screening, Symptom Severity
Administration Method: Clinician-report
Time to administer: 16–30 minutes
Commonly used in: Clinical Trials & Research
Detailed Description: The YMRS is an 11-item scale.1,7 Seven items are ranked on a scale of 0 to 4 (elevated mood, increased motor activity/energy, sexual interest, reduction in sleep, language/thought disorder, poor appearance, lack of insight).1,7 Four items are ranked on a scale of 0 to 8 (irritability, rate and amount of speech, thought content, disruptive/aggressive behavior).1,8 Intermediate or half point ratings can be assigned in patients for whom symptom severity falls between 2 defined anchor points.1,7 The total score ranges from 0 (none) to 60 (most severe).7 A YMRS score > 20 is commonly used as inclusion criteria in clinical trials for bipolar disorder.2 When used for tracking symptom progression over time, a difference of 6 to 7 points on the YMRS is thought to be clinically significant.2
Scale Validity: Duplicate ratings of 35 patients with manic symptoms demonstrate that inter-rater reliability of the YMRS is high, ranging from 0.66 to 0.95 depending on the item.1
Alternative Versions: The YMRS has been modified for use in pediatric and adolescent populations.8,9 A parent-report adaptation of the YMRS (commonly known as the P-YMRS) was designed to be completed by parents.8,9
Cited Limitations: The YMRS is not comprehensive and does not evaluate all possible manifestations of mania.5 Some symptoms of mania that are not addressed include distractibility, increases in goal-directed activity, and excessive involvement in pleasurable yet risky activities.5
Link to Source

Footnotes:

Supporting references for the filters are as follows:
Disease States: Bipolar disorder1,2; Validated Uses: Screening,3 Symptom Severity1,4,5; Administration Method: Clinician-report1,3; Time to administer: 16–30 minutes1,5; Commonly used in: Clinical Trials & Research2,5,6,7
 

This resource is intended for educational purposes only and is intended for US healthcare professionals. Healthcare professionals should use independent medical judgment. All decisions regarding patient care must be handled by a healthcare professional and be made based on the unique needs of each patient. 

 

ABBV-US-01580-MC, Version 1.0 
Approved 04/2024 
AbbVie Medical Affairs 

References:

  1. Young RC, Biggs JT, Ziegler VE, Meyer DA. A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry. 1978;133:429-435. doi:10.1192/bjp.133.5.429 
  2. Lukasiewicz M, Gerard S, Besnard A, et al. Young Mania Rating Scale: how to interpret the numbers? Determination of a severity threshold and of the minimal clinically significant difference in the EMBLEM cohort. Int J Methods Psychiatr Res. 2013;22(1):46-58. doi:10.1002/mpr.1379 
  3. Beidas RS, Stewart RE, Walsh L, et al. Free, brief, and validated: Standardized instruments for low-resource mental health settings. Cogn Behav Pract. 2015;22(1):5-19. doi:10.1016/j.cbpra.2014.02.002 
  4. Rush AJ, First MB, Blacker D. Handbook of Psychiatric Measures. American Psychiatric Publishing; 2008. 
  5. Miller CJ, Johnson SL, Fisher L. Assessment tools for adult bipolar disorder. Clin Psychol (New York). 2009;16(2):188-201. doi: 10.1111/j.1468-2850.2009.01158.x 
  6. Rucci P, Calugi S, Miniati M, Fagiolini A. A review of self-report and interview-based instruments to assess mania and hypomania symptoms. J Psychopathol. 2013;19:143-159. 
  7. Goldstein G, Allen DN, Deluca J. Handbook of Psychological Assessment. 4th ed. Elsevier; 2019. doi:10.1016/C2014-0-01970-3 
  8. Youngstrom EA, Danielson CK, Findling RL, Gracious BL, Calabrese JR. Factor structure of the Young Mania Rating Scale for use with youths ages 5 to 17 years. J Clin Child Adolesc Psychol. 2002;31(4):567-572. doi:10.1207/S15374424JCCP3104_15 
  9. Youngstrom EA, Meyers O, Demeter C, et al. Comparing diagnostic checklists for pediatric bipolar disorder in academic and community mental health settings. Bipolar Disord. 2005;7(6):507-517. doi:10.1111/j.1399-5618.2005.00269.x 

Welcome To NP Psych Navigator

This website is intended for healthcare professionals inside the United States.
Please confirm that you are a healthcare professional inside the US.

No, I am not US Healthcare professional

You are now leaving NP Psych Navigator

Links to sites outside of NP Psych Navigator are provided as a resource to the viewer. AbbVie Inc accepts no responsibility for the content of non-AbbVie linked sites.

Redirect to:

Please to bookmark content