## Summary: The Altman Self-Rating Mania Scale (ASRM) is a 5-item, self-report scale designed to assess mania symptoms' presence and severity in individuals. Developed for both clinical and research settings, it aids in diagnosing and managing bipolar disorder.
## Instructions for the Clinician: Instruct patients to select the statement that best describes their experience from each item group based on the past week's feelings. Ensure the patient understands the meaning of frequency-related terms and marks the appropriate statement. If an informant completes the measure, record their relationship to the patient and time spent together.
## Scoring Methodology: Score each item from 1 to 5, summing for a total raw score. Interpret scores as follows: 6 or higher indicates a probable manic or hypomanic episode, warranting further evaluation; 5 or lower suggests minimal manic symptoms. Incomplete assessments with two missing items are invalid; with one missing, calculate a prorated score.
## Citations and Authors: Altman EG, Hedeker D, Peterson JL, Davis JM developed the ASRM, published in Biological Psychiatry, Vol 42, pp 948-955, 1997. Copyright is held by Elsevier and the American Psychiatric Association, 2013.
Please verify
Statement | 1 | 2 | 3 | 4 | 5 |
Question 1 | I do not feel happier or more cheerful than usual. | I occasionally feel happier or more cheerful than usual. | I often feel happier or more cheerful than usual. | I feel happier or more cheerful than usual most of the time. | I feel happier or more cheerful than usual all of the time. |
Question 2 | I do not feel more self-confident than usual. | I occasionally feel more self-confident than usual. | I often feel more self-confident than usual. | I frequently feel more self-confident than usual. | I feel extremely self-confident all of the time. |
Question 3 | I do not need less sleep than usual. | I occasionally need less sleep than usual. | I often need less sleep than usual. | I frequently need less sleep than usual. | I can go all day and all night without any sleep and still not feel tired. |
Question 4 | I do not talk more than usual. | I occasionally talk more than usual. | I often talk more than usual. | I frequently talk more than usual. | I talk constantly and cannot be interrupted. |
Question 5 | I have not been more active (either socially, sexually, at work, home, or school) than usual. | I have occasionally been more active than usual. | I have often been more active than usual. | I have frequently been more active than usual. | I am constantly more active or on the go all the time. |