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Table 3 English final version of ADRS clinician version (ADRSc)

From: The Adolescent Depression Rating Scale (ADRS): a validation study

Item #

Item title

Modality of response

points

1

Irritability

Absence of any irritability, either self-perceived or perceived by the observer

0

  

Irritability perceptible or felt in dealings with the subject, although he/she can control it

2

  

Considerable irritability in dealings with the subject, generating conflict, relational difficulties

4

  

Intense, overpowering irritability making dealings and exchanges virtually impossible

6

2

Overwhelming experience of depression

No depressive feelings or thoughts (= gloominess, despair, sadness)

0

  

Depressive feelings or thoughts present but controlled and manageable

2

  

Feeling of being overwhelmed by depressive feelings or thoughts

4

  

Intense feeling of being overwhelmed by depressive suffering that is devastating and impossible to contain

6

3

Negative perceptions of self

Perceptions of self are serene and relevant

0

  

Tendency to depreciation of self and accomplishments

2

  

Depreciation of self and accomplishments

4

  

Self viewed as completely worthless, useless, overpowering despair

6

4

Ideas of death

No preoccupation regarding death or suicide

0

  

Occasional preoccupations regarding death or suicide

2

  

Recurrent preoccupations regarding death or suicide

4

  

Pervasive and intrusive ideas regarding death or suicide

6

5

Mental slowing

No sign of mental slowness, thought and speech fluid

0

  

Occasional difficulties in putting ideas together, mental inertia that hinders concentration

2

  

Considerable difficulty concentrating, obvious repercussions on daily life or school

4

  

Massive mental inertia, that can result in concentration being impossible or the interview being difficult

6

6

Sleep

No sleep disturbance, whether in duration or quality(= sleeplessness, nightmares, not feeling rested, sleeping excessively)

0

  

Occasional sleep disturbance, unusual to the subject

2

  

Marked, persistent sleep disturbance

4

  

Major, persistent sleep disturbance, resistant insomnia

6

7

Investment in school, work or job seeking

Sustained investment in school or professional activities

0

  

Loss of motivation for school or work, but activities maintained

2

  

Marked loss of motivation, disinterest for school or professional activities

4

  

Total loss of motivation, complete disinterest for school or professional activities

6

8

Investment in non-school activities

Interest and enjoyment intact, good investment in usual non-school activities

0

  

Decrease of enjoyment or interest in usual non-school activities, but these are nonetheless maintained

2

  

Loss of enjoyment or interest, repeated absence from usual activities, marked narrowing of activities

4

  

Absence of enjoyment or interest in non-school activities, total cessation of usual activities

6

9

Relationship withdrawal

No relational withdrawal

0

  

Unusual withdrawal from others

2

  

Relational withdrawal, isolation from others

4

  

Total isolation

6

10

Perceived empathy from the clinician

Interview felt to have occurred in a serene atmosphere

0

  

Perception of sadness pervading the interview

2

  

Feeling there was over-riding emotion and/or irrepressible sadness

4

  

Perception of intense silent distress

6

  1. Intermediate responses are allowed from 0 to 6.
  2. One item has been removed from the initial version: "clinging relationships".