HAMILTON DEPRESSION RATING SCALE Hamilton Depression Rating Scale (HAM-D) (to be administered by a health care professional) Name Name Name Name The HAM-D is designed to rate the severity of depression in patients. Although it contains 21 areas, calculate the patient’s score on the first 17 answers. DEPRESSED MOOD (Gloomy attitude, pessimism about the future, feeling of sadness, tendency to weep) 0 = Absent 1 = Sadness, etc. 2 = Occasional weeping 3 = Frequent weeping 4 = Extreme symptoms FEELINGS OF GUILT 0 = Absent 1 = Self-reproach, feels he/she has let people down 2 = Ideas of guilt 3 = Present illness is a punishment; delusions of guilt 4 = Hallucinations of guilt SUICIDE 0 = Absent 1 = Feels life is not worth living 2 = Wishes he/she were dead 3 = Suicidal ideas or gestures 4 = Attempts at suicide INSOMNIA - Initial (Difficulty in falling asleep) 0 = Absent 1 = Occasional 2 = Frequent INSOMNIA - Middle (Complains of being restless and disturbed during the night. Waking during the night.) 0 = Absent 1 = Occasional 2 = Frequent INSOMNIA - Delayed (Waking in early hours of the morning and unable to fall asleep again) 0 = Absent 1 = Occasional 2 = Frequent WORK AND INTERESTS 0 = No difficulty 1 = Feelings of incapacity, listlessness, indecision and vacillation 2 = Loss of interest in hobbies, decreased social activities 3 = Productivity decreased 4 = Unable to work. Stopped working because of present illness only. (Absence from work after treatment or recovery may rate a lower score). RETARDATION (Slowness of thought, speech, and activity; apathy; stupor.) 0 = Absent 1 = Slight retardation at interview 2 = Obvious retardation at interview 3 = Interview difficult 4 = Complete stupor AGITATION (Restlessness associated with anxiety.) 0 = Absent 1 = Occasional 2 = Frequent ANXIETY - PSYCHIC 0 = No difficulty 1 = Tension and irritability 2 = Worrying about minor matters 3 = Worrying about minor matters 4 = Fears ANXIETY - SOMATIC Gastrointestinal, indigestion Cardiovascular, palpitation, Headaches Respiratory, Genito-urinary, etc. 0 = Absent 1 = Mild 2 = Moderate 3 = Severe 4 = Incapacitating SOMATIC SYMPTOMS - GASTROINTESTINAL (Loss of appetite , heavy feeling in abdomen; constipation) 0 = Absent 1 = Mild 2 = Severe SOMATIC SYMPTOMS - GENERAL (Heaviness in limbs, back or head; diffuse backache; loss of energy and fatiguability) 0 = Absent 1 = Mild 2 = Severe GENITAL SYMPTOMS (Loss of libido, menstrual disturbances) 0 = Absent 1 = Mild 2 = Severe HYPOCHONDRIASIS 0 = Not present 1 = Self-absorption (bodily) 2 = Preoccupation with health 3 = Querulous attitude 4 = Hypochondriacal delusions WEIGHT LOSS 0 = No weight loss 1 = Slight 2 = Obvious or severe INSIGHT (Insight must be interpreted in terms of patient’s understanding and background.) 0 = No loss 1 = Partial or doubtfull loss 2 = Loss of insight TOTAL ITEMS 1 TO 17 0-7=Normal8 - 13 = Mild Depression14-18 = Moderate Depression19 - 22 = Severe Depression> 23 = Very Severe Depression DIURNAL VARIATION (Symptoms worse in morning or evening. Note which it is. ) 0 = No variation 1 = Mild variation 2 = Severe variation PM AM DEPERSONALIZATION AND DEREALIZATION (feelings of unreality, nihilistic ideas) 0 = Absent 1 = Mild 2 = Moderate 3 = Severe 4 = Incapacitating PARANOID SYMPTOMS (Not with a depressive quality) 0 = None 1 = Suspicious 2 = Ideas of reference 3 = Delusions of reference and persecution 4 = Hallucinations, persecutory OBSESSIONAL SYMPTOMS (Obsessive thoughts and compulsions against which the patient struggles) 0 = Absent 1 = Mild 2 = Severe If you are human, leave this field blank. Submit
