Mental Health Book

Depression

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Sleep Disorders

Anxiety Disorders

Mood Disorders

Somatization Disorders

Behavioral Disorders

Approach

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Hamilton Depression Scale

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

Hamilton rating scale for depression (C0451203)

Concepts Intellectual Product (T170)
SnomedCT 273503001
English HAMD-Hamil rating scal depress, Hamilton rating scale depressn, HRSD - Hamilton scale depressn, hamilton depression rating scale, hamilton rating scale for depression, depression hamilton rating scale, HAMD - Hamilton rating scale for depression, Hamilton rating scale for depression, HRSD - Hamilton rating scale for depression, Hamilton rating scale for depression (assessment scale)
Spanish escala para valoración de depresión, de Hamilton (escala de evaluación), escala para valoración de depresión, de Hamilton
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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