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Ham D PDF

The Hamilton Depression Rating Scale (HAM-D) is a 21-item multiple choice questionnaire used by healthcare professionals to rate the severity of a patient's depression. It contains questions in areas such as depressed mood, feelings of guilt, suicide, insomnia, agitation, anxiety, somatic symptoms, genital symptoms, hypochondriasis, weight loss, and more. The patient's score is calculated based on their answers to the first 17 questions, with higher total scores indicating more severe depression.

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515 views2 pages

Ham D PDF

The Hamilton Depression Rating Scale (HAM-D) is a 21-item multiple choice questionnaire used by healthcare professionals to rate the severity of a patient's depression. It contains questions in areas such as depressed mood, feelings of guilt, suicide, insomnia, agitation, anxiety, somatic symptoms, genital symptoms, hypochondriasis, weight loss, and more. The patient's score is calculated based on their answers to the first 17 questions, with higher total scores indicating more severe depression.

Uploaded by

andrikeisha
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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HAMILTON DEPRESSION RATING SCALE (HAM-D)

(To be administered by a health care professional) Patient Name ________________________________________________ Todays Date __________________

The HAM-D is designed to rate the severity of depression in patients. Although it contains 21 areas, calculate the patients score on the first 17 answers.

1. DEPRESSED MOOD (Gloomy attitude, pessimism about the future, feeling of sadness, tendency to weep) 0 = Absent 1 = Sadness, etc. 2 = Occasional weeping 3 = Frequent weeping 4 = Extreme symptoms

6. INSOMNIA - Delayed (Waking in early hours of the morning and unable to fall asleep again) 0 = Absent 1 = Occasional 2 = Frequent

2. FEELINGS OF GUILT 0 = Absent 1 = Self-reproach, feels he/she has let people down 2 = Ideas of guilt 3 = Present illness is a punishment; delusions of guilt 4 = Hallucinations of guilt

7. WORK AND INTERESTS 0 = No difficulty 1 = Feelings of incapacity, listlessness, indecision and vacillation 2 = Loss of interest in hobbies, decreased social activities 3 = Productivity decreased 4 = Unable to work. Stopped working because of present illness only. (Absence from work after treatment or recovery may rate a lower score).

3. SUICIDE 0 = Absent 1 = Feels life is not worth living 2 = Wishes he/she were dead 3 = Suicidal ideas or gestures 4 = Attempts at suicide

4. INSOMNIA - Initial (Difficulty in falling asleep) 0 = Absent 1 = Occasional 2 = Frequent

8. RETARDATION (Slowness of thought, speech, and activity; apathy; stupor.) 0 = Absent 1 = Slight retardation at interview 2 = Obvious retardation at interview 3 = Interview difficult 4 = Complete stupor

5. INSOMNIA - Middle (Complains of being restless and disturbed during the night. Waking during the night.) 0 = Absent 1 = Occasional 2 = Frequent

9. AGITATION (Restlessness associated with anxiety.) 0 = Absent 1 = Occasional 2 = Frequent

10. ANXIETY - PSYCHIC 0 = No difficulty 1 = Tension and irritability 2 = Worrying about minor matters 3 = Apprehensive attitude 4 = Fears

HAMILTON DEPRESSION RATING SCALE (HAM-D)


(To be administered by a health care professional)

11. ANXIETY - SOMATIC Gastrointestinal, indigestion Cardiovascular, palpitation, Headaches Respiratory, Genito-urinary, etc. 0 = Absent 1 = Mild 2 = Moderate 3 = Severe 4 = Incapacitating

17. INSIGHT (Insight must be interpreted in terms of patients understanding and background.) 0 = No loss 1 = Partial or doubtfull loss 2 = Loss of insight TOTAL ITEMS 1 TO 17: _______________ 0 - 7 = Normal 8 - 13 = Mild Depression 14-18 = Moderate Depression 19 - 22 = Severe Depression > 23 = Very Severe Depression

12. SOMATIC SYMPTOMS GASTROINTESTINAL (Loss of appetite , heavy feeling in abdomen; constipation) 0 = Absent 1 = Mild 2 = Severe

13. SOMATIC SYMPTOMS - GENERAL (Heaviness in limbs, back or head; diffuse backache; loss of energy and fatiguability) 0 = Absent 1 = Mild 2 = Severe

18. DIURNAL VARIATION (Symptoms worse in morning or evening. Note which it is. ) 0 = No variation 1 = Mild variation; AM ( ) PM ( ) 2 = Severe variation; AM ( ) PM ( )

14. GENITAL SYMPTOMS (Loss of libido, menstrual disturbances) 0 = Absent 1 = Mild 2 = Severe

19. DEPERSONALIZATION AND DEREALIZATION (feelings of unreality, nihilistic ideas) 0 = Absent 1 = Mild 2 = Moderate 3 = Severe 4 = Incapacitating

15. HYPOCHONDRIASIS 0 = Not present 1 = Self-absorption (bodily) 2 = Preoccupation with health 3 = Querulous attitude 4 = Hypochondriacal delusions

20. PARANOID SYMPTOMS (Not with a depressive quality) 0 = None 1 = Suspicious 2 = Ideas of reference 3 = Delusions of reference and persecution 4 = Hallucinations, persecutory

16. WEIGHT LOSS 0 = No weight loss 1 = Slight 2 = Obvious or severe

21. OBSESSIONAL SYMPTOMS (Obsessive thoughts and compulsions against which the patient struggles) 0 = Absent 1 = Mild 2 = Severe

* Adapted from Hamilton, M. Journal of Neurology, Neurosurgery, and Psychiatry. 23:56-62, 1960.

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