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    Hamilton Rating Scale For Depression

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    Kareen Karina
    The document describes the Hamilton Rating Scale for Depression, which is used to rate the severity of a patient's depression. It lists 17 categories for assessment including depressed mood, guilt, suicide, insomnia, work and activities, anxiety, and somatic symptoms. For each category it provides descriptions for scores of 0 to 4 or 5, with higher scores indicating more severe symptoms of depression. The goal of the scale is to numerically assess the presence and severity of a patient's depressive symptoms.

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    Hamilton Rating Scale For Depression

    Uploaded by

    Kareen Karina
    357 views4 pages
    The document describes the Hamilton Rating Scale for Depression, which is used to rate the severity of a patient's depression. It lists 17 categories for assessment including depressed mood, guilt, suicide, insomnia, work and activities, anxiety, and somatic symptoms. For each category it provides descriptions for scores of 0 to 4 or 5, with higher scores indicating more severe symptoms of depression. The goal of the scale is to numerically assess the presence and severity of a patient's depressive symptoms.

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    Hamilton

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    The document describes the Hamilton Rating Scale for Depression, which is used to rate the severity of a patient's depression. It lists 17 categories for assessment including depressed mood, guilt, suicide, insomnia, work and activities, anxiety, and somatic symptoms. For each category it provides descriptions for scores of 0 to 4 or 5, with higher scores indicating more severe symptoms of depression. The goal of the scale is to numerically assess the presence and severity of a patient's depressive symptoms.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    357 views4 pages

    Hamilton Rating Scale For Depression

    Uploaded by

    Kareen Karina
    The document describes the Hamilton Rating Scale for Depression, which is used to rate the severity of a patient's depression. It lists 17 categories for assessment including depressed mood, guilt, suicide, insomnia, work and activities, anxiety, and somatic symptoms. For each category it provides descriptions for scores of 0 to 4 or 5, with higher scores indicating more severe symptoms of depression. The goal of the scale is to numerically assess the presence and severity of a patient's depressive symptoms.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    HAMILTON RATING SCALE FOR DEPRESSION

    Activity

    Patient Name: ____________________________ Rater Name: ____________________________ Date: ____________________________ Score


    _______

    Depressed mood Sad, hopeless, helpless, worthless 0 = Absent 1 = Gloomy attitude, pessimism, hopelessness 2 = Occasional weeping 3 = Frequent weeping 4 = Patient reports highlight these feelings states in his/her spontaneous verbal and non-verbal communication. Feelings of guilt 0 = Absent 1 = Self-reproach, feels he/she has let people down 2 = Ideas of guilt or rumination over past errors or sinful deeds 3 = Present illness is punishment 4 = Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations. Delusions of guilt. Suicide 0 = Absent 1 = Feels life is not worth living 2 = Wishes he/she were dead, or any thoughts of possible death to self 3 = Suicide, ideas or half-hearted attempt 4 = Attempts at suicide (any serious attempt rates 4) Insomnia, early 0 = No difficulty falling asleep 1 = Complaints of occasional difficulty in falling asleep i.e. more than half-hour 2 = Complaints of nightly difficulty falling asleep Insomnia, middle 0 = No difficulty 1 = Patient complains of being restless and disturbed during the night 2 = Walking during the night any getting out of bed rates 2 (except voiding bladder) Insomnia, late 0 = No difficulty 1 = Waking in the early hours of the morning but goes back to sleep 2 = Unable to fall asleep again if he/she gets out of bed

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    Page 1 Score

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    Provided by the Internet Stroke Center www.strokecenter.org

    Work and activities 0 = No difficulty 1 = Thoughts and feelings of incapacity related to activities: work or hobbies 2 = Loss of interest in activity hobbies or work either directly reported by patient or indirectly seen in listlessness, in decisions and vacillation (feels he/she has to push self to work or activities) 3 = Decrease in actual time spent in activities or decrease in productivity. In hospital, rate 3 if patient does not spend at leas three hours a day in activities 4 = Stopped working because of present illness. In hospital rate 4 if patient engages in no activities except supervised ward chores Retardation Slowness of thought and speech; impaired ability to concentrate; decreased motor activity 0 = Normal speech and thought 1 = Slight retardation at interview 2 = Obvious retardation at interview 3 = Interview difficult 4 = Interview impossible Agitation 0 = None 1 = Fidgetiness 2 = Playing with hands, hair, obvious restlessness 3 = Moving about; cant sit still 4 = Hand wringing, nail biting, hair pulling, biting of lips, patient is on the run Anxiety, psychic Demonstrated by: subjective tension and irritability, loss of concentration worrying about minor matters apprehension fears expressed without questioning feelings of panic feeling jumpy 0 = Absent 1 = Mild 2 = Moderate 3 = Severe 4 = Incapacitating

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    Page 2 Score

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    Provided by the Internet Stroke Center www.strokecenter.org

    Anxiety, somatic Physiological concomitants of anxiety such as: gastrointestinal: dry mouth, wind, indigestion, diarrhea, cramps, belching cardiovascular: palpations, headaches respiratory: hyperventilation, sighing urinary frequency sweating giddiness, blurred vision tinnitus 0 = Absent 1 = Mild 2 = Moderate 3 = Severe 4 = Incapacitating Somatic symptoms: gastrointestinal 0 = None 1 = Loss of appetite but eating without encouragement 2 = Difficulty eating without urging. Requests or requires laxatives or medication for GI symptoms

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    Somatic symptoms: general _______ 0 = None 1 = Heaviness in limbs, back or head; backaches, headaches, muscle aches, loss of energy, fatigability 2 = Any clear-cut symptom rates 2 General Symptoms Symptoms such as: loss of libido, menstrual disturbances 0 = Absent 1 = Mild 2 = Severe Hypochondriasis 0 = Not present 1 = Self-absorption (bodily) 2 = Preoccupation with health 3 = Strong conviction of some bodily illness 4 = Hypochondrial delusions

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    Page 3 Score

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    Provided by the Internet Stroke Center www.strokecenter.org

    Loss of Weight Rate either A or B: A When rating by history: 0 = No weight loss 1 = Probable weight loss associated with present illness 2 = Definite (according to patient) weight loss B Actual weight changes (weekly): 0 = Less than 1 lb (0.5 kg) weigh loss in one week 1 = 1-2 lb (0.5 kg-1.0 kg) weight loss in week 2 = Greater than 2 lb (1 kg) weight loss in week 3 = Not assessed Insight 0 = Acknowledges being depressed and ill 1 = Acknowledges illness but attributes cause to bad food, overwork, virus, need for rest, etc. 2 = Denies being ill at all _______

    Page 4 Score

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    TOTAL Score ______

    Reference
    Hamilton M. Development of a rating scale for primary depressive illness. Br J Soc Clin Psychol. 1967;6:278-296.

    Provided by the Internet Stroke Center www.strokecenter.org

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