Altman Self-Rating Mania Scale (ASRM)

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When to use

Mood

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

Self-confidence

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 feel more self-confident than usual

I feel extremely self-confident all of the time

Sleep

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 night without any sleep and still not feel tired

Speech

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

Activity

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 active or on the go all the time

Calculation

Please enter all the required inputs.

The Altman Self-Rating Mania Scale (ASRM) is a clinical calculator used in the field of psychiatry, specifically for patients with bipolar disorder. The ASRM is a 5-item self-report tool designed to assess the presence and severity of manic or hypomanic symptoms. It is particularly useful in monitoring the efficacy of treatment in patients with bipolar disorder and can be used to track symptom progression over time. The scale includes items related to inflated self-esteem, decreased need for sleep, talkativeness, racing thoughts, and activity levels. Each item is scored on a scale of 0-4, with higher scores indicating more severe manic symptoms. The ASRM is not suitable for use in patients with unipolar depression, schizophrenia, or other psychiatric disorders as it specifically targets manic symptoms. It should also not be used as a standalone diagnostic tool but rather as a part of a comprehensive clinical assessment.

Reference

E G Altman, D Hedeker, J L Peterson et al. The Altman Self-Rating Mania Scale. Biol Psychiatry. 1997 Nov 15;42(10):948-55.

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