Peer-Reviewed Publication
J Affect Disord2026;122525.September 19, 2026Journal Article

Refining the young mania rating scale: Accelerating development of psychopathology measures joint ISCTM/ECNP bipolar working group consensus.

Manpreet K Singh1, Gary Sachs2, Jenicka Engler3, Ole Andreasen4, Montserrat Cosials-Lopez5, Rasmus Licht6, Mirko Manchia7, Luca Pani8, Andreas Reif9, Eva Reininghaus10, Erin Tomaszewski11, Eduard Vieta12, Robert C Young13
1University of California Davis School of Medicine, Sacramento, CA, USA. Electronic address: mpksingh@health.ucdavis.edu.
2Signant Health and Massachusetts General Hospital, USA.
3Cronos, an IQVIA business, USA.
4Center for Precision Psychiatry, Division of Mental Health and Addiction, Oslo University Hospital & Institute of Clinical Medicine, University of Oslo, Norway.
5Experts by Experience, Barcelona, Spain.
6Department of Clinical Medicine, Aalborg University, Aalborg, Denmark; Department of Psychiatry, Aalborg University Hospital, Aalborg, Denmark.
7Section of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari and Unit of Clinical Psychiatry, Department of Medical Specialties, University Hospital Agency of Cagliari, Cagliari, Italy; Department of Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada.
8Department of Psychiatry and Behavioral Sciences, Leonard M. Miller School of Medicine University of Miami, Miami, USA; Dept. of Biomedical, Metabolic and Neural Sciences University of Modena and Reggio Emilia, Modena, Italy.
9Department of Psychiatry, Psychosomatic Medicine and Psychotherapy at the University Hospital Frankfurt (Goethe University), Germany.
10Medical University of Graz, Clinical Division of Psychiatry and Psychotherapeutic Medicine, Austria.
11Abbvie Inc., USA.
12Institute of Neuroscience, University of Barcelona, Hospital Clinic, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain.
13Department of Psychiatry, Weill Cornell Medicine, NY, USA.

Abstract

BACKGROUND: Reliable measurement of mania is essential for therapeutic development in bipolar disorder (BD). The Young Mania Rating Scale (YMRS) remains the most widely used clinician-rated outcome measure for mania in clinical trials. However, variability in scale administration and interpretation across raters and study sites introduces measurement noise and reduces assay sensitivity. This paper…

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