Bech-Rafaelsen Mania Scale Overview
Translated by
ScribdTranslationsBech-Rafaelsen Mania Scale Overview
Translated by
ScribdTranslations5.14.
Bech-Rafaelsen Mania Scale 1
(Bech-Rafaelsen Mania Scale, MAS)
The interview must assess the presence and intensity of all items within the time frame of the last 3 days at a minimum. In
In many cases, the last week is often considered, and in this case, the timeframe must be specified. It is not mandatory to follow the
the order of the items during the interview, although their arrangement follows the criterion that items with lower numbers are the
more inclusive, and they are often present even in lower degrees of mania (hypomania). If the interviewer has doubts regarding
the scoring of an item will require information from the patient's family, and if the patient is hospitalized, from the Service staff.
Elevated mood
Absent
Slightly elevated mood, optimistic, but still adapted to the situation
2. Moderately elevated mood; jokes, laughs, in a way that is not relevant to the situation.
3. Markedly elevated mood, exuberant in manner and speech, clearly inappropriate to the situation.
4. Extremely elevated mood, highly inappropriate to the situation
[Link] activity (speech pressure)
0. Absent
Slightly verbose
2. Clearly verbose, few spontaneous intervals during the conversation, although it is still not difficult to interrupt.
There are practically no spontaneous pauses in the conversation, hard to interrupt.
4. Impossible to interrupt; completely dominates the conversation
Increased social contact (intrusiveness)
0. Absent
Slightly intrusive (e.g., interrupts or is slightly intrusive)
2. Moderately intrusive and argumentative or meddlesome
3. Dominating, organizing, leading, but still in context with the situation
4. Extremely dominating and manipulating, out of context with the situation.
[Link] motora incrementada
0. Absent
Slight increase in motor activity (e.g., tendency towards lively facial expression)
2. Clearly increased motor activity (e.g., lively facial expression, unable to sit quietly in a chair)
3. Excessive motor activity, moves most of the time, but can still remain seated if asked (only he/she)
raises once during the interview)
4. Constantly active, restlessly energetic. Even when asked, the patient cannot remain seated.
[Link] disturbances
This item refers to the patient's subjective experience of sleep duration (hours of sleep per day). The score
It should be based on the three preceding nights, regardless of the administration of hypnotics or sedatives.
The score is the average of the three nights passed.
0. Absent (duration of habitual sleep)
Reduction of sleep duration by 25%
2. Reduction of sleep duration by 50%
3. Reduction of sleep duration by 75%
4. Doesn't sleep
6. Social activity (distractibility)
Social activity should be measured in terms of the degree of disability or distractibility in social and work functioning.
or in other important areas of operation.
0. Absent
1. Motivation slightly increased, but the quality of work is slightly reduced due to changing motivation;
the patient gets distracted easily (attention is directed towards irrelevant stimuli)
2. Work activity is clearly affected by distractibility, but still to a moderate degree.
3. The patient occasionally loses control over routine tasks due to marked distractibility.
Incapable of performing any task without help
[Link]
Absent
Slightly impatient or irritable, but keeps control
2. Moderately impatient or irritable. Does not tolerate provocation.
Provocateur; makes threats, but can be calmed down.
4. Manifest physical violence, physically destructive
5. Evaluation instruments for mood disorders 204
5.14. Bech-Rafaelsen Mania Scale
2
Bech-Rajaelsen Mania Scale, MAS
Increased sexual activity
0. Absent
Slight increase in interest and sexual activity (e.g., slightly flirty)
2. Moderate increase in interest and sexual activity (e.g., clearly flirtatious)
3. Marked increase in interest and sexual activity (e.g., excessively flirtatious)
Completely worried, absorbed, in sexual interests
Increased self-esteem
Absent
Slightly increased self-esteem (e.g., slightly overestimates their usual abilities)
2. Moderately increased self-esteem (e.g., more clearly overestimates his usual abilities or refers to skills-
unusual data
3. Markedly unrealistic ideas (e.g., believes that they possess skills, powers, or scientific, religious knowledge, etc.,
extraordinary, but it can be achieved that he/she corrects quickly
4. Grandiose ideas that cannot be corrected
10. Flight of ideas
0. Absent
1. Slightly vivid descriptions, explanations, and elaborations without losing the thread of the conversation. The
thoughts are still coherent
The patient's thoughts are occasionally diverted by random associations (rhythms, sounds, word games,
stanzas of poems or songs
3. The line of thought is interrupted more regularly by deviant associations.
It becomes very difficult or impossible to follow the patient due to the flight of ideas; they constantly jump from one topic to another.
[Link] level
0. Absent
Speak in a slightly raised tone, without being loud
2. Distinct voice audible from a distance and slightly noisy
[Link]; voice discernible from a long distance, markedly noisy or loud.
4. Shout, from your voice, or use other sources of noise due to hoarseness