Clinical Rating Scales in Psychiatry
1. Overview & Epidemiology
Clinical rating scales are standardized instruments that quantify psychiatric phenomena (symptom severity, cognition, intelligence, personality) so they can be measured, tracked and compared. They turn the qualitative findings of the Mental State Examination into reproducible numbers.
Two fundamental axes the examiner will test (this whole topic hinges on them):
- Who fills it in?
- Clinician-rated (observer-rated): scored by the examiner from interview/observation — HAM-D, MADRS, HAM-A, YMRS, Y-BOCS, PANSS, BPRS, MMSE, MoCA, ADAS-Cog, Clock Drawing Test. Less prone to lack of insight; needs a trained rater.
- **Self-report (self-ratin
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