The Cardiovascular
ToolsCalculators

Major Depression Index (MDI)

Major Depression Index (MDI)
Felt low in spirits or sad
Lost interest in daily activities
Felt lacking in energy and strength
Felt less self-confident
Had a bad conscience or feelings of guilt
Felt life was not worth living
Had difficulty concentrating (e.g., reading, watching TV)
Felt very restless, or the opposite — kept down/slowed
Had trouble sleeping at night, or slept too much
Had a loss of appetite, or overate
Result0 / 50

No/minimal depression

When to use

  • Rating current depressive symptom severity over the ICD-10 symptom set, or tracking severity over time.

Formula

Sum of 10 items, each rated 0-5 (never to all the time). Range 0-50. Bands: <=20 none/minimal, 21-25 mild, 26-30 moderate, >=31 severe.

Pearls and pitfalls

  • The full instrument uses 12 questions because psychomotor change and appetite change are each asked as two alternatives, taking the higher-scoring sub-question; this simplified sum uses one combined item per domain.

References

  1. Bech P, Rasmussen NA, Olsen LR, Noerholm V, Abildgaard W. J Affect Disord. 2001;66(2-3):159-64.