HAMILTON DEPRESSION RATING SCALE (HAM-D)

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1 / 21

DEPRESSED MOOD (Gloomy attitude, pessimism about the future, feeling of sadness, tendency to weep)

Absent

Sadness, etc.

Occasional weeping

Frequent weeping

Extreme symptoms

2 / 21

FEELINGS OF GUILT

Absent

Self-reproach, feels he/she has let people down

Ideas of guilt

Present illness is a punishment; delusions of guilt

Hallucinations of guilt

3 / 21

4 / 21

INSOMNIA - Initial (Difficulty in falling asleep)

Absent

Occasional

Frequent

5 / 21

INSOMNIA - Middle (Complains of being restless and disturbed during the night. Waking during the night.)

Absent

Occasional

Frequent

6 / 21

INSOMNIA - Delayed (Waking in early hours of the morning and unable to fall asleep again)

Absent

Occasional

Frequent

7 / 21

WORK AND INTERESTS

No difficulty

Feelings of incapacity, listlessness, indeci- sion and vacillation

Loss of interest in hobbies, decreased social activities

Productivity decreased

Unable to work. Stopped working because of present illness only. (Absence from work after treatment or recovery may rate a lower score).

8 / 21

RETARDATION (Slowness of thought, speech, and activity; apathy; stupor.)

Absent

Slight retardation at interview

Obvious retardation at interview

Interview difficult

Complete stupor

9 / 21

AGITATION (Restlessness associated with anxiety.)

Absent

Occasional

Frequent

10 / 21

ANXIETY - PSYCHIC

No difficulty

Tension and irritability

Worrying about minor matters

Apprehensive attitude

Fears

11 / 21

ANXIETY - SOMATIC Gastrointestinal, indigestion Cardiovascular, palpitation, Headaches Respiratory, Genito-urinary, etc

No difficulty

Tension and irritability

Worrying about minor matters

Apprehensive attitude

Fears

12 / 21

SOMATIC SYMPTOMS - GASTROINTESTINAL (Loss of appetite , heavy feeling in abdomen; constipation)

Absent

Mild

Severe

13 / 21

SOMATIC SYMPTOMS - GENERAL (Heaviness in limbs, back or head; diffuse backache; loss of energy and fatiguability)

Absent

Mild

Severe

14 / 21

GENITAL SYMPTOMS (Loss of libido, menstrual disturbances)

Absent

Mild

Severe

15 / 21

HYPOCHONDRIASIS

Not present

Self-absorption (bodily)

Preoccupation with health

Querulous attitude

Hypochondriacal delusions

16 / 21

WEIGHT LOSS

No weight loss

Slight

Obvious or severe

17 / 21

INSIGHT (Insight must be interpreted in terms of pa- tient’s understanding and background.)

No loss

Partial or doubtfull loss

Loss of insight

18 / 21

DIURNAL VARIATION (Symptoms worse in morning or evening. Note which it is. )

No variation

Mild variation; AM ( ) PM ( )

Severe variation; AM ( ) PM ( )

19 / 21

DEPERSONALIZATION AND DEREALIZATION (feelings of unreality, nihilistic ideas)

Absent

Mild

Moderate

Severe

Incapacitating

20 / 21

PARANOID SYMPTOMS (Not with a depressive quality)

None

Suspicious

Ideas of reference

Delusions of reference and persecution

Hallucinations, persecutory

21 / 21

OBSESSIONAL SYMPTOMS (Obsessive thoughts and compulsions against which the patient struggles)

Absent

Mild

Severe

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