Hamilton Rating Scale For Depression (HRSD) or (HAM-D)

The Hamilton Rating Scale For Depression is a 17-item clinical rating scale for measuring the severity of depression, typically for individuals who have already been diagnosed as depressed. It has good validity and reliability and is relatively short to administer.

Select the response to the right of each item that you think best matches the state of the patient. The higher the score, the more severe the depression in the patient.
Sources
Whisman, M. A., Strosahl, K., Fruzzetti, A. E., Schmaling, K. B., Jacobson, N. S., & Miller, D. M. (1989). Hamilton rating scale for depression--structured interview version doi:dx.doi.org/10.1037/t07517-000
You are a male | female

1 DEPRESSED MOOD (sadness, hopeless, helpless, worthless)
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/her spontaneous verbal and non-verbal communication.
2 FEELINGS OF GUILT
Absent.
Self reproach, feels he/she has let people down.
Ideas of guilt or rumination over past errors or sinful deeds.
Present illness is a punishment. Delusions of guilt.
Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations.
3 SUICIDE
Absent.
Feels life is not worth living.
Wishes he/she were dead or any thoughts of possible death to self.
Ideas or gestures of suicide.
Attempts at suicide (any serious attempt rate 4).
4 INSOMNIA: EARLY IN THE NIGHT
No difficulty falling asleep.
Complains of occasional difficulty falling asleep, i.e. more than 1⁄2 hour.
Complains of nightly difficulty falling asleep.
5 INSOMNIA: MIDDLE OF THE NIGHT
No difficulty.
Patient complains of being restless and disturbed during the night.
Waking during the night – any getting out of bed rates 2 (except for purposes of voiding).
6 INSOMNIA: EARLY HOURS OF THE MORNING
No difficulty.
Waking in early hours of the morning but goes back to sleep.
Unable to fall asleep again if he/she gets out of bed.
7 WORK AND ACTIVITIES
No difficulty.
Thoughts and feelings of incapacity, fatigue or weakness related to activities, work or hobbies.
Loss of interest in activity, hobbies or work – either directly reported by the patient or indirect in listlessness, indecision and vacillation (feels he/she has to push self to work or activities).
Decrease in actual time spent in activities or decrease in productivity. Rate 3 if the patient does not spend at least three hours a day in activities (job or hobbies) excluding routine chores.
Stopped working because of present illness. Rate 4 if patient engages in no activities except routine chores, or if patient fails to perform routine chores unassisted.
8 RETARDATION (slowness of thought and speech, impaired ability to concentrate, decreased motor activity)
Normal speech and thought.
Slight retardation during the interview.
Obvious retardation during the interview.
Interview difficult.
Complete stupor.
9 AGITATION
None.
Fidgetiness.
Playing with hands, hair, etc.
Moving about, can’t sit still.
Hand wringing, nail biting, hair-pulling, biting of lips.
10 ANXIETY PSYCHIC
No difficulty.
Subjective tension and irritability.
Worrying about minor matters.
Apprehensive attitude apparent in face or speech.
Fears expressed without questioning.
11 ANXIETY SOMATIC (physiological concomitants of anxiety, such as: gastro-intestinal – dry mouth, wind, indigestion, diarrhea, cramps, belching; cardio-vascular – palpitations, headaches; respiratory – hyperventilation, sighing, urinary frequency, sweating.
Absent.
Mild.
Moderate.
Severe.
Incapacitating.
12 SOMATIC SYMPTOMS GASTRO-INTESTINAL
None.
Loss of appetite but eating without staff encouragement. Heavy feelings in abdomen.
Difficulty eating without staff urging. Requests or requires laxatives or medication for bowels or medication for gastro-intestinal symptoms.
13 GENERAL SOMATIC SYMPTOMS
None.
Heaviness in limbs, back or head. Backaches, headaches, muscle aches. Loss of energy and fatigability.
Any clear-cut symptom rates 2.
14 GENITAL SYMPTOMS (symptoms such as loss of libido, menstrual disturbances)
Absent.
Mild.
Severe.
15 HYPOCHONDRIASIS
Not present.
Self-absorption (bodily).
Preoccupation with health.
Frequent complaints, requests for help, etc.
Hypochondriacal delusions.
16 LOSS OF WEIGHT (RATE EITHER a OR b)
a) According to the patient: b) According to weekly measurements
No weight loss. Less than 1 lb weight loss in week.
Probable weight loss associated with the present illness Greater than 1 lb weight loss in week.
Definite (according to patient) weight loss Greater than 2 lb weight loss in week
Not assessed. Not assessed.
17 INSIGHT
Acknowledges being depressed and ill.
Acknowledges illness but attributes cause to bad food, climate, overwork, virus, need for rest, etc.
Denies being ill at all.





   

© insideprison.com. All rights reserved.

home | terms | contact | site map | mobile