HAMILTON Patient Name: ____________________________
RATING SCALE Rater Name: ____________________________
FOR DEPRESSION Date: ____________________________
Activity Score
Depressed mood _______
Sad, hopeless, helpless, worthless
0 = Absent
1 = Gloomy attitude, pessimism, hopelessness
2 = Occasional weeping
3 = Frequent weeping
4 = Patient reports highlight these feelings states in his/her spontaneous verbal and
non-verbal communication.
Feelings of guilt _______
0 = Absent
1 = Self-reproach, feels he/she has let people down
2 = Ideas of guilt or rumination over past errors or sinful deeds
3 = Present illness is punishment
4 = Hears accusatory or denunciatory voices and/or experiences threatening visual
hallucinations. Delusions of guilt.
Suicide _______
0 = Absent
1 = Feels life is not worth living
2 = Wishes he/she were dead, or any thoughts of possible death to self
3 = Suicide, ideas or half-hearted attempt
4 = Attempts at suicide (any serious attempt rates 4)
Insomnia, early _______
0 = No difficulty falling asleep
1 = Complaints of occasional difficulty in falling asleep i.e. more than half-hour
2 = Complaints of nightly difficulty falling asleep
Insomnia, middle _______
0 = No difficulty
1 = Patient complains of being restless and disturbed during the night
2 = Walking during the night – any getting out of bed rates 2 (except voiding bladder)
Insomnia, late _______
0 = No difficulty
1 = Waking in the early hours of the morning but goes back to sleep
2 = Unable to fall asleep again if he/she gets out of bed
Page 1 Score ______
Provided by the Internet Stroke Center — www.strokecenter.org
Work and activities _______
0 = No difficulty
1 = Thoughts and feelings of incapacity related to activities: work or hobbies
2 = Loss of interest in activity – hobbies or work – either directly reported by patient or
indirectly seen in listlessness, in decisions and vacillation (feels he/she has to push
self to work or activities)
3 = Decrease in actual time spent in activities or decrease in productivity. In hospital,
rate 3 if patient does not spend at leas three hours a day in activities
4 = Stopped working because of present illness. In hospital rate 4 if patient engages
in no activities except supervised ward chores
Retardation _______
Slowness of thought and speech; impaired ability to concentrate; decreased motor activity
0 = Normal speech and thought
1 = Slight retardation at interview
2 = Obvious retardation at interview
3 = Interview difficult
4 = Interview impossible
Agitation _______
0 = None
1 = Fidgetiness
2 = Playing with hands, hair, obvious restlessness
3 = Moving about; can’t sit still
4 = Hand wringing, nail biting, hair pulling, biting of lips, patient is on the run
Anxiety, psychic _______
Demonstrated by:
• subjective tension and irritability, loss of concentration
• worrying about minor matters
• apprehension
• fears expressed without questioning
• feelings of panic
• feeling jumpy
0 = Absent
1 = Mild
2 = Moderate
3 = Severe
4 = Incapacitating
Page 2 Score ______
Provided by the Internet Stroke Center — www.strokecenter.org
Anxiety, somatic _______
Physiological concomitants of anxiety such as:
• gastrointestinal: dry mouth, wind, indigestion, diarrhea, cramps, belching
• cardiovascular: palpations, headaches
• respiratory: hyperventilation, sighing
• urinary frequency
• sweating
• giddiness, blurred vision
• tinnitus
0 = Absent
1 = Mild
2 = Moderate
3 = Severe
4 = Incapacitating
Somatic symptoms: gastrointestinal _______
0 = None
1 = Loss of appetite but eating without encouragement
2 = Difficulty eating without urging. Requests or requires laxatives or medication for GI symptoms
Somatic symptoms: general _______
0 = None
1 = Heaviness in limbs, back or head; backaches, headaches, muscle aches, loss of energy, fatigability
2 = Any clear-cut symptom rates 2
General Symptoms
Symptoms such as: loss of libido, menstrual disturbances _______
0 = Absent
1 = Mild
2 = Severe
Hypochondriasis _______
0 = Not present
1 = Self-absorption (bodily)
2 = Preoccupation with health
3 = Strong conviction of some bodily illness
4 = Hypochondrial delusions
Page 3 Score ______
Provided by the Internet Stroke Center — www.strokecenter.org
Loss of Weight
Rate either ‘A’ or ‘B’:
A When rating by history:
0 = No weight loss
1 = Probable weight loss associated with present illness
2 = Definite (according to patient) weight loss
B Actual weight changes (weekly):
0 = Less than 1 lb (0.5 kg) weigh loss in one week
1 = 1-2 lb (0.5 kg-1.0 kg) weight loss in week
2 = Greater than 2 lb (1 kg) weight loss in week
3 = Not assessed
Insight _______
0 = Acknowledges being depressed and ill
1 = Acknowledges illness but attributes cause to bad food, overwork, virus, need for rest, etc.
2 = Denies being ill at all
Page 4 Score ______
TOTAL Score ______
Reference
Hamilton M. “Development of a rating scale for primary depressive illness.”
Br J Soc Clin Psychol. 1967;6:278-296.
Provided by the Internet Stroke Center — www.strokecenter.org
No comments:
Post a Comment