Hamilton Anxiety Scale
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ScribdTranslationsHamilton Anxiety Scale
Uploaded by
ScribdTranslationsHAMILTON ANXIETY SCALE
Name Date
Select the corresponding score for each item, according to your experience. The
definitions that follow the item statement are examples that serve as a guide. Mark in the
box on the right the figure that best defines the intensity of each symptom in the patient.
All items must be scored.
Moderate
serious/Disab
Absent
SYMPTOMS OF ANXIETY STATES
Serious
Very
ling
Mild
1. Anxious mood.
Worries, anticipation of the worst, apprehension (fearful 0 1 2 3 4
anticipation), irritability
2. Tension.
0 1 2 3 4
Feeling of tension, inability to relax, startled reactions, easy
crying, tremors, feeling of restlessness.
3. Fears .
To the darkness, to strangers, to being alone, to large 0 1 2 3 4
animals, to traffic, to crowds.
4. Insomnia .
Difficulty falling asleep, interrupted sleep, unsatisfactory 0 1 2 3 4
sleep and tiredness when waking up.
5. Intellectual (cognitive) 0 1 2 3 4
Difficulty concentrating, poor memory.
6. Depressed mood .
Loss of interest, dissatisfaction with entertainment,
0 1 2 3 4
depression, premature awakening, mood swings during the
day.
7. General somatic (muscular) symptoms Muscle aches
and pains, muscle rigidity, muscle twitches, clonic jerks, 0 1 2 3 4
teeth grinding, trembling voice.
8. General somatic symptoms (sensory)
Ringing in the ears, blurred vision, hot flashes and chills,
0 1 2 3 4
feeling weak, tingling sensation.
9. Cardiovascular symptoms.
Tachycardia, palpitations, chest pain, vascular palpitations,
feeling of fainting, extrasystole. 0 1 2 3 4
HAMILTON ANXIETY SCALE
10. Respiratory symptoms.
Tightness or constriction in the chest, feeling of suffocation, 0 1 2 3 4
sighing, dyspnea.
11. Gastrointestinal symptoms .
Difficulty swallowing, gas, dyspepsia: pain before and after
eating, burning sensation, feeling of a full stomach, watery
0 1 2 3 4
vomiting, vomiting, feeling of an empty stomach, slow
digestion, borborygmi (intestinal noise), diarrhea, weight
loss, constipation .
12. Genitourinary symptoms .
Urination frequent, urination urgent, amenorrhea,
0 1 2 3 4
menorrhagia, appearance of frigidity, premature ejaculation,
lack of erection, impotence.
13. Autonomous symptoms .
Dry mouth, flushing, paleness, tendency to sweat,
dizziness, tension headaches, piloerection (hair standing on 0 1 2 3 4
end)
14. Behavior in the interview (general and
physiological)
Tense, not relaxed, nervous agitation: hands, fingers held,
clenched, tics, rolling up a handkerchief; concern; pacing
from side to side, hand trembling, frowning, tight face, 0 1 2 3 4
increased muscle tone, sighing, facial paleness.
Swallowing saliva, belching, resting tachycardia, respiratory
rate above 20 res/min, vigorous tendon jerks, tremor,
dilated pupils, exophthalmos (abnormal projection of the
eyeball), sweating, eyelid tics.
Psychological anxiety
Somatic anxiety
TOTAL SCORE