Hamilton Depression Rating Scale (HAMD-17)

Hamilton Depression Rating Scale (HAMD-17)

Instructions:

administer this questionnaire. The higher the score, the more severe the depression.

For each item, circle the number next to the correct item (only one response per item).

To rate the severity of depression in patients who are already diagnosed as depressed,1. Depressed Mood

0 – Absent

1 – These feeling states indicated only on questioning

2 – These feeling states spontaneously reported verbally

3 – Communicates feeling states non-verbally – i.e., through facial expression, posture, voice,

and tendency to weep

4 – Patient reports VIRTUALLY ONLY these feeling states in his spontaneous verbal and

non-verbal communication

(sadness, hopeless, helpless, worthless)2. Feelings of Guilt

0 – Absent.

1 – Self reproach, feels he has let people down

2 – Ideas of guilt or rumination over past errors or sinful deeds

3 – Present illness is a punishment. Delusions of guilt

4 – Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations

3. Suicide

0 – Absent

1 – Feels life is not worth living

2 – Wishes he were dead or any thoughts of possible death to self

3 – Suicidal ideas or gesture

4 – Attempts at suicide (any serious attempt rates 4)

4. Insomnia Early

0 – No difficulty falling asleep

1 – Complains of occasional difficulty falling asleep – i.e., more than 1/2 hour

2 – Complains of nightly difficulty falling asleep

5. Insomnia Middle

0 – No difficulty

1 – Patient complains of being restless and disturbed during the night

2 – Waking during the night – any getting out of bed rates 2 (except for purposes of voiding)

6. Insomnia Late

0 – No difficulty

1 – Waking in early hours of the morning but goes back to sleep

2 – Unable to fall asleep again if he gets out of bed

7. Work and Activities

0 – No difficulty

1 – Thoughts and feelings of incapacity, fatigue or weakness related to activities, work or

hobbies

2 – Loss of interest in activity, hobbies or work – either directly reported by patient, or

indirect in listlessness, indecision and vacillation (feels he has to push self to work or

activities)

26 C. Cusin et al.

3 – Decrease in actual time spent in activities or decrease in productivity

4 – Stopped working because of present illness

8. Retardation: Psychomotor

decreased motor activity)

0 – Normal speech and thought

1 – Slight retardation at interview

2 – Obvious retardation at interview

3 – Interview difficult

4 – Complete stupor

(slowness of thought and speech; impaired ability to concentrate;9. Agitation

0 – None

1 – Fidgetiness

2 – Playing with hands, hair, etc.

3 – Moving about, can’t sit still.

4 – Hand wringing, nail biting, hair-pulling, biting of lips.

10. Anxiety (psychological)

0 – No difficulty

1 – Subjective tension and irritability

2 – Worrying about minor matters

3 – Apprehensive attitude apparent in face or speech

4 – Fears expressed without questioning

11. Anxiety Somatic:

“butterflies,” indigestion, stomach cramps, belching, diarrhea, palpitations, hyperventilation,

paresthesia, sweating, flushing, tremor, headache, urinary frequency). Avoid asking

about possible medication side effects (i.e., dry mouth, constipation)

0 – Absent

1 – Mild

2 – Moderate

3 – Severe

4 – Incapacitating

Physiological concomitants of anxiety (i.e., effects of autonomic overactivity,12. Somatic Symptoms (gastrointestinal)

0 – None.

1 – Loss of appetite but eating without encouragement from others. Food intake about normal

2 – Difficulty eating without urging from others. Marked reduction of appetite and food

intake.

13. Somatic Symptoms General

0 – None

1 – Heaviness in limbs, back or head. Backaches, headache or muscle aches. Loss of energy

and fatigability.

2 – Any clear-cut symptom rates “2”

14. Genital Symptoms

disturbances)

0 – Absent

1 – Mild

2 – Severe

2 Rating Scales for Depression 27

(symptoms such as loss of libido; impaired sexual performance; menstrual15. Hypochondriasis

0 – Not present

1 – Self-absorption (bodily)

2 – Preoccupation with health

3 – Frequent complaints, requests for help, etc.

4 – Hypochondriacal delusions

16. Loss of Weight

0 – No weight loss

1 – Probable weight loss associated with present illness

2 – Definite (according to patient) weight loss

3 – Not assessed

17. Insight

0 – Acknowledges being depressed and ill

1 – Acknowledges illness but attributes cause to bad food, climate, overwork, virus, need for

rest, etc.

2 – Denies being ill at all

Total Score (total of circled responses): ________

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About kraeplinpsychiatry

I am a practising psychiatrist. I have strong liking for both biological and psychodynamics aspects of psychiatry. This blog is made to collect my thoughts , sort of self diary where i can use input of others to come to better conclusions. Thanks.
This entry was posted in Assessment, Depression, Rating Scales. Bookmark the permalink.

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