Bech P, Bolwig T G, Kramp P, Rafaelsen O J
Acta Psychiatr Scand. 1979 Apr;59(4):420-30. doi: 10.1111/j.1600-0447.1979.tb04484.x.
In a study of 18 patients with manic symptomatology and 31 patients with melancholic symptomatology the Bech-Rafaelsen Mania Scale (BRMS) and the Hamilton Depression Scale (HDS) have been compared. The results showed that the inter-observer reliability of the BRMS was adequate compared with the HDS. Both scales are constructed for assessing the severity of manic or melancholic states, and no difference was found in the total BRMS or HDS score between the various diagnostic groups, when the patients were classified by an index of the course and symptomatology otive disorder, using the Multi-axial Classificetion System for Affective Disorders (MULTI-CLAD). The homogeneity of the BRMS seemed more adequate than that of the HDS, when each item was correlated to the corresponding total score. Although the homogeneity of the BRMS needs to be evaluated by other statistical models than correlation analysis, our results seem to indicate that the improvement in assessing manic-melancholic states quantitatively is a matter of redefining items or incorporating new items in the melancholic rather than the manic part of these rating scales.
在一项针对18名有躁狂症状的患者和31名有抑郁症状的患者的研究中，对贝克-拉法尔森躁狂量表（BRMS）和汉密尔顿抑郁量表（HDS）进行了比较。结果显示，与HDS相比，BRMS的观察者间信度足够。这两个量表都是为评估躁狂或抑郁状态的严重程度而构建的，当使用情感障碍多轴分类系统（MULTI-CLAD）根据病程和症状动机障碍指数对患者进行分类时，各诊断组之间的BRMS或HDS总分未发现差异。当将每个项目与相应的总分相关联时，BRMS的同质性似乎比HDS更合适。尽管BRMS的同质性需要通过相关性分析以外的其他统计模型来评估，但我们的结果似乎表明，在定量评估躁狂-抑郁状态方面的改进是一个重新定义项目或将新项目纳入这些评定量表的抑郁部分而非躁狂部分的问题。
