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Hamilton Depression Scale
Aka: Hamilton Depression Scale, Ham-D
- Background
- Twenty one question Survey completed by physician
- Questions
- Depressed mood (0 to 4)
- Feelings of guilt (0 to 4)
- Suicide (0 to 4)
- Insomnia
- Early (0 to 2)
- Middle (0 to 2)
- Late (0 to 2)
- Work activities (0 to 4)
- Retardation to stupor (0 to 4)
- Agitation (0 to 2)
- Fear (0 to 4)
- Anxiety (0 to 4)
- Gastrointestinal symptoms (0 to 2)
- Systemic somatic symptoms (0 to 2)
- Decreased libido or menstrual disturbance (0 to 2)
- Hypochondriasis (0 to 4)
- Weight loss (0 to 2)
- Diminished insight (0 to 2)
- Symptom diurnal variation (1 to 2)
- Feelings of unreality (0 to 4)
- Paranoid symptoms (0 to 3)
- Obsessive Compulsive Symptoms (0 to 2)
- Resources
- Hamilton Scale from University of Iowa
- http://fpinfo.medicine.uiowa.edu/Docs/hamd.pdf
- Limitations: Not ideal for older patients
- Somatic questions positive in non-depressed older adult
- Gastrointestinal symptoms
- Systemic somatic symptoms
- Consider alternative depression scales
- Geriatric Depression Scale
- References
- Geddes (2002) Am Fam Physician 65(7):1395-7 [PubMed]
- Resources
- University of Iowa FPInfo Depression Scales
- http://fpinfo.medicine.uiowa.edu/calculat.htm
- University of Massachusetts Psychiatry Scales
- http://healthnet.umassmed.edu/mhealth/mhscales.cfm