Hamilton Depression Scale
Hamilton Depression Scale
of depression
0. No, never
1. Sometimes once a week
2. Many times, more than 4 days a week
3. Almost every day, 6 days a week
4. Always
Ye
What have you experienced, almost daily, during the last month?: N TO b c
s
Anxious state:
1
Worries, fear of the worst happening, anticipatory fear, irritability.
Strain:
2 Feelings of tension, fatigue, startle when responding, easy crying, tremors,
feeling of restlessness, inability to relax.
Fears:
3 To the darkness, to strangers, to being left alone, to animals, to traffic, to
crowds.
Insomnia:
4 Difficulty getting to sleep. Disrupted sleep, unsatisfactory sleep and feeling of
fatigue when waking up, nightmares, night terrors.
Intellectual Functions (Cognitive):
5
Difficulty concentrating, poor or poor memory.
Depressive mood:
6 Loss of interest. Lack of pleasure in hobbies, depression, waking up earlier
than expected. Mood variations throughout the day.
Somatic muscle symptoms:
7 Muscle pain, muscle spasms or cramps, muscle stiffness, tics, teeth grinding,
wavering voice, increased muscle tone.
Sensory somatic symptoms:
8 Ringing in the ears, blurred vision, hot and cold waves, feeling of weakness.
Paresthetic sensations (pricking, itching or tingling).
Cardiovascular symptoms:
9 Tachycardia, palpitations, precordial (chest) pain, pronounced vascular
pulsations, feeling of "low pressure" or fainting, arrhythmias.
Respiratory symptoms:
10 Tightness or constriction in the thorax (chest), feeling of suffocation, sighing,
dyspnea (feeling of lack of air or difficulty breathing).
Gastrointestinal symptoms:
Difficulty swallowing, flatulence, abdominal pain, burning sensation,
11
abdominal heaviness, nausea, vomiting, borborism, loose stools, weight loss,
constipation.
12 Genitourinary symptoms:
Frequent urination, urgent urination, amenorrhea (missing menstrual period),
menorrhagia, frigidity, premature ejaculation, loss of libido, sexual impotence.
Symptoms of the autonomic nervous system:
13 Dry mouth, flushes of redness, paleness, tendency to sweat, dizziness,
tension headaches, hairy erectism (goosebumps).
Behavior during the test:
Restlessness, impatience or restlessness, trembling of hands, frowning,
14
worried face, sighing or rapid breathing, facial paleness, swallowing of saliva,
belching, tics.
Interpretation:
All points are added to obtain the overall score. The total sum provides a score of the
severity of the condition.
If your total score is above 12, it is advisable that you print this page and consult with
a Psychiatrist or Psychologist.
This will carry out a diagnostic evaluation since you could be suffering from a
Depressive Disorder.
0-7
Normal state
8-12 You could have Minor Depression
13-17 Less than major depression
You present the symptoms of
18-29 Depression
Elderly
You have more than Major
30-52 Depression. Seek help from your
Psychologist or Psychiatrist