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Introduction

The Young Mania Rating Scale (YMRS) is a clinical assessment tool specifically designed to evaluate manic symptoms and their severity. Developed in the 1970s by Young et al., the YMRS is now widely utilized in both research and clinical settings to measure manic episodes, particularly in individuals with bipolar disorder. This scale provides a structured method for quantifying the presence and intensity of mania based on direct patient interviews and observations made by clinicians.

The YMRS comprises 11 items, each focusing on a different aspect of mania such as elevated mood, increased motor activity-energy, sexual interest, sleep, irritability, and speech patterns. Each item is rated on a scale that varies in range, typically from 0 to 4 or 0 to 8, allowing for a nuanced measurement of symptoms. The total score can range from 0 to 60, with higher scores indicating more severe manic symptoms. This allows the YMRS to capture a wide spectrum of manic behaviors and states, facilitating differential diagnosis and monitoring of disease progression or remission.

In clinical practice, the YMRS is valued for its straightforward, relatively quick application and its proven reliability and validity. It supports clinicians in making informed decisions regarding treatment strategies and monitoring their efficacy over time. In research contexts, the YMRS serves as a critical tool in studying the efficacy of treatments and the clinical course of mania in psychiatric studies. Its widespread use and acceptance in the psychiatric community underscore its utility in enhancing our understanding and management of bipolar disorder and related manic conditions.

Instructions

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.

There are 11 groups of statements in this questionnaire, read each group of statements carefully. Specify one of the choices that best describes the way you have been feeling for the past week by clicking the dot next to the appropriate statement.

Question 1 / 110 answered
Elevated Mood

Scoring and result metrics

The result page reports a local screening score for this questionnaire. Use the score range, any subscale scores, and the interpretation band together rather than treating one number as a diagnosis.

Score range
0-60
Items scored
11
Result indicators
Total score / Interpretation band when available

Score interpretation bands

  • 0-20Few or no manic symptoms

    Scores in the 0-20 range are indicative of few or no Manic symptoms.

  • 21-60Manic symptoms

    Scores in the 21-60 range are indicative of Manic symptoms.

Interpretation bands summarize screening thresholds from the questionnaire source material. Higher scores usually indicate more of the measured concern unless the tool notes a different scoring rule.

Sources

  1. R Young, et al. A Rating Scale for Mania: Reliability, Validity and Sensitivity. 133: Br J Psychiatry 429-435. 1978.

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