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HAM-D
DepressionHamilton Depression Rating Scale
#Clinician-rated
Overview
The HAM-D is a clinician-administered depression assessment scale (17-items).
Scoring & Interpretation Reference
0 - 7
Normal
No depression.
8 - 13
Mild
Mild depression.
14 - 18
Moderate
Moderate depression.
19 - 22
Severe
Severe depression.
23 - 55
Very Severe
Very severe depression.
Scale Content & Assessment Items
Rate the patient on the following items based on the past week.
1
Depressed Mood
Options:
Absent (0) · Mild (1) · Moderate (2) · Severe (3) · Extreme (4)
2
Feelings of Guilt
Options:
Absent (0) · Self-reproach (1) · Ideas of guilt (2) · Illness is punishment (3) · Hallucinations (4)
3
Suicide
Options:
Absent (0) · Feels life not worth living (1) · Wishes to be dead (2) · Suicide ideas/gesture (3) · Attempts (4)
4
Insomnia: Early
Options:
No difficulty (0) · Occasional (1) · Frequent (2)
5
Insomnia: Middle
Options:
No difficulty (0) · Occasional (1) · Frequent (2)
6
Insomnia: Late
Options:
No difficulty (0) · Occasional (1) · Frequent (2)
7
Work and Activities
Options:
No difficulty (0) · Thoughts of incapacity (1) · Loss of interest (2) · Decrease in time spent (3) · Stopped work (4)
8
Retardation
Options:
Normal (0) · Slight (1) · Obvious (2) · Interview difficult (3) · Stupor (4)
9
Agitation
Options:
None (0) · Fidgetiness (1) · Playing with hands/hair (2) · Moving about (3) · Hand wringing/biting (4)
10
Anxiety Psychic
Options:
No difficulty (0) · Subjective tension (1) · Worrying (2) · Apprehensive attitude (3) · Fears (4)
11
Anxiety Somatic
Options:
Absent (0) · Mild (1) · Moderate (2) · Severe (3) · Incapacitating (4)
12
Somatic Symptoms GI
Options:
None (0) · Loss of appetite/Heavy (1) · Difficulty eating (2)
13
Somatic Symptoms General
Options:
None (0) · Heaviness in limbs (1) · Backache/Headache (2)
14
Genital Symptoms
Options:
Absent (0) · Mild (1) · Severe (2)
15
Hypochondriasis
Options:
Not present (0) · Self-absorption (1) · Preoccupation (2) · Strong conviction (3) · Delusions (4)
16
Loss of Weight
Options:
No weight loss (0) · Probable weight loss (1) · Definite weight loss (2)
17
Insight
Options:
Acknowledges (0) · Partial (1) · Denies (2)