Psy-World
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On-line Hamilton Depression Scale
Classical printable version

 

NOTE: The Hamilton Depression Scale was NOT designed to be self-administered because of the the difficulty of interpretation of some of the clinical terms. This online version is simply a tool to facilitate scoring by an experience psychiatrist or other health care professional with knowledge of psychiatry.

 

For each item check the description that best characterises the patient during the past week

After answering ALL of the items click on the 'Score' button. A new window will open with the score and interpretation.


1. DEPRESSED MOOD
(Sadness, hopeless, helpless, worthless)

Absent
These feelings are indicated only on questioning
These feelings are spontaneously reported verbally
Communicates feelings non-verbally i.e., through facial expression, posture, voice, and tendency to weep
Patient reports VIRTUALLY ONLY these feelings in his spontaneous verbal and non-verbal communication

2. FEELINGS OF GUILT

Absent
Self reproach, feels he has let people down
Ideas of guilt or rumination over past errors or sinful deed
Present illness is a punishmnent. Delusions of guilt
Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations

3. SUICIDE

Absent
Feels life is not worth living
Wishes he were dead or any thoughts of possible death to self
Suicide ideas or gesture
Attempts at suicide (any serious attempt rates)

4. INSOMNIA EARLY

No difficulty falling asleep
Complains of occasional difficulty falling asleep - more than 1/2 hour
Complains of nightly difficulty falling asleep

5. INSOMNIA MIDDLE

No difficulty
Patient complains of being restless and disturbed during the night
Waking during the night - any getting out of bed (except for purposes of voiding)

6. INSOMNIA LATE

No difficulty
Waking in early hours of the morning but goes back to sleep
Unable to fall asleep again if he gets out of bed

7. WORK AND ACTIVITIES

No difficulty
Thoughts and feelings of incapacity, fatigue or weakness related to activities (work or hobbies)
Loss of interest in activities (hobbies or work) - either directly reported by patient, or indirectly in listlessness, indecision and vacillation (feels he has to push himself to work or do activities)
Decrease in actual time spent in activities or decrease in productivity. In hospital, if patient does not spend at least three hours a day in activities (hospital job or hobbies) exclusive of ward chores
Stopped working because of present illness. In hospital, if patient engages in no activities except ward chores, or if patient fails to perform ward chores unassisted

8. RETARDATION: PSYCHOMOTOR
(Slowness of thought and speech; impaired ability to concentrate; decreased motor activity)

Normal speech and thought
Slight retardation at interview
Obvious retardation at interview
Interview difficult
Complete stupor

9. AGITATION

None
Fidgetiness
Playing with hands, hair,etc
Moving about, can't sit still
Hand wringing, nail biting, hair-pulling, biting of lips

10. ANXIETY: PSYCHIC

No difficulty
Subjective tension and irritability
Worrying about minor matters
Apprehensive attitude apparent in face or speech
Fears expressed without questioning

11. ANXIETY: SOMATIC
(Physiological concomitants of anxiety, such as - Gastro-intestinal: dry mouth, wind, indigestion, diarrhea, cramps, belching. - Cardio-vascular : palpitations, headaches. - Respiratory: hyperventilation, sighing. - Urinary frequency - Sweating)

Absent
Mild
Moderate
Severe
Incapacitating

12. SOMATIC SYMPTOMS: GASTROINTESTINAL

None
Loss of appetite but eating without staff encouragement. Heavy feelings in abdomen
Difficulty eating without staff urging. Requests or requires laxatives or medication for bowels or medication for gastro-intestinal symptoms

13. SOMATIC SYMPTOMS: GENERAL

None
Heaviness in limbs, back or head. Backaches, headache, muscle aches. Loss of energy and fatigability
Any clear-cut symptom

14. GENITAL SYMPTOMS
(loss of libido, menstrual disturbances)

Absent
Mild
Severe

15. HYPOCHONDRIASIS

Not present
Self-absorption (bodily)
Preoccupation with health
Frequent complaints, requests for help, etc. ...
Hypochondriacal delusions

16. LOSS OF WEIGHT

No weight loss
Probable weight loss associated with present illness (>500g/week)
Definite weight loss(>1kg/week)

17. INSIGHT

Not depressed (based on above items) OR Acknowledges being depressed and ill
Acknowledges illness but attributes cause to bad food, climate, overwork, virus, need for rest, etc.
Denies being ill at all

 



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