Scribd
Upload
474 views1 page

Hamilton Depression Scale Guide

The Hamilton Depression Rating Scale (HAM-D) provides an indication of the severity of a patient's depression. It consists of 17 items that are scored from 0-4 to indicate the absence or severity of symptoms. Higher total scores indicate more severe depression, with scores of 10-13 considered mild, 14-17 mild to moderate, and above 17 moderate to severe. The HAM-D is intended to be administered at two week intervals to track a patient's progress in response to treatment.

Uploaded by

Rabiatul Adawiyah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
474 views1 page

Hamilton Depression Scale Guide

The Hamilton Depression Rating Scale (HAM-D) provides an indication of the severity of a patient's depression. It consists of 17 items that are scored from 0-4 to indicate the absence or severity of symptoms. Higher total scores indicate more severe depression, with scores of 10-13 considered mild, 14-17 mild to moderate, and above 17 moderate to severe. The HAM-D is intended to be administered at two week intervals to track a patient's progress in response to treatment.

Uploaded by

Rabiatul Adawiyah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

HAMILTON DEPRESSION RATING SCALE

The total Hamilton Depression (HAM-D) Rating Scale provides and indication of depression and, over time,
provides a valuable guide to progress.

• Classification of symptoms which may be difficult to obtain can be scored as:


0 - absent: 1 - doubtful or trivial: 2 - present.

• Classification of symptoms where more detail can be obtained can be expanded to:
0 - absent; 1 - mild; 2 - moderate; 3 - severe; 4 - incapacitating.

• In general the higher the total score the more severe the depression.

• HAM-D score level of depression:


10 - 13 mild; 14-17 mild to moderate; >17 moderate to severe.

Assessment is recommended at two weekly intervals.

Pre-treatment 1st Follow-up 2nd Follow-up


HAM-D Rating Scale Symptoms Date Date Date
1 Depressed mood 0 1 2 3 4 0 1 2 3 4 0 1 2 3 4
2 Guilt feelings 0 1 2 3 4 0 1 2 3 4 0 1 2 3 4
3 Suicide 0 1 2 3 4 0 1 2 3 4 0 1 2 3 4
4 Insomnia - early 0 1 2 0 1 2 0 1 2
5 Insomnia - middle 0 1 2 0 1 2 0 1 2
6 Insomnia - late 0 1 2 0 1 2 0 1 2
7 Work and activities 0 1 2 3 4 0 1 2 3 4 0 1 2 3 4
8 Retardation - psychomotor 0 1 2 3 4 0 1 2 3 4 0 1 2 3 4
9 Agitation 0 1 2 3 4 0 1 2 3 4 0 1 2 3 4
10 Anxiety - psychological 0 1 2 3 4 0 1 2 3 4 0 1 2 3 4
11 Anxiety - somatic 0 1 2 3 4 0 1 2 3 4 0 1 2 3 4
12 Somatic symptoms GI 0 1 2 0 1 2 0 1 2
13 Somatic symptoms - General 0 1 2 0 1 2 0 1 2
Sexual dysfunction - menstrual
14 0 1 2 0 1 2 0 1 2
disturbance
15 Hypochondrias 0 1 2 3 4 0 1 2 3 4 0 1 2 3 4
16 Weight loss by history 0 1 2 0 1 2 0 1 2
- by scales 0 1 2 0 1 2 0 1 2
17 Insight 0 1 2 0 1 2 0 1 2

TOTAL SCORE

Hamilton M. Development of a rating scale; for primary depressive illness. Br J Soc Clin Psychol. 1967
Dec;6(4):278-96. No permission is required to use this tool.

You might also like