Saturday, December 13, 2003
Hamilton Depression Rating Scale
Instructions: This checklist is to assist you in recording your evaluations of each patient with respect to degree of depression and pathologic condition. Please fill in the appropriate rating for each item.
0 None
1 Mild
2 Moderate
3 Severe
4 Extreme
1. Depressed mood __
Sadness, hopelessness, gloomy, pessimistic, weeping, worthless. Behavior: faces, postures, weeping voice.
2. Guilt feelings __
Pathologic guilt, not reationalizing, self-blame, feelings of self-reproach.
3. Suicide __
Recurrent thoughts of death, life is empty, not worth living, isolation, suicide gestures, threats or attempts.
4. Initial insomnia __
Difficulty getting to sleep after going to bed.
5. Middle insomnia __
Difficulty staying asleep.
6. Delayed insomnia __
Early-morning awakening.
7. Work and interest __
Apathy, loss of pleasure and interest in work, hobbies, social activites, recreation, inability to obtain satisfaction, decreased performance at work and in home duties (do not rate fatigue or loss of energy).
8. Retardation __
Psychomotor, slowing of thoughts, speech, and movement.
9. Agitation __
Psychomotor, fidgeting, restlessness or pacing, clenching fists, locking feet, wringing hands, biting lips, pulling hair, gesturing with arms, picking at hadns and clothes.
10. Anxiety (psychologic) __
Tense, unable to relax, irritable, easily startled, worrying over trivia, phobic symptoms, apprehensive of impending doom, fear of loss control, panic episodes.
11. Anxiety (somatic) __
Physiologic concomitants of anxietyL effects of autnomic overactivity, "butterflies," indigestion, stomach cramps, belching, diarrhea, palpitations, hyperventilation, parethesia, sweating, flushing, tremor, headache, urinary frequency.
12. Loss of appetite __
13. Anergia __
Fatigability, feels tired or exhausted, loss of energy, heavy or dragging feelings in arms or legs.
14. Loss of libido __
Impairment of sexual performance.
15. Hypochondriasis __
Morbid preoccupation with real or imagined bodily symptoms or functions.
16. Weight loss __
Since onset of illness or since last visit.
17. Loss of insight __
Denial of "nervous" illness, attributes illness to virus, overwork, climate, or physical symptoms. Does not recognize symptoms are "nervous" in origin.
18. Diurnal Variation __
Change in mood.
19. Hypersomnia __
(More time spent in bed) Retires earlier and/or rises later than usual, not necessarily sleeping longer.
20. Hypersomnia (oversleeping) __
Sleeping more than usual.
21. Hypersomnia (napping) __
Naps, excessive daytime sleepiness.
22. Increased Appetite __
Change in appetite marks by increased fod intake or excessive cravings.
23. Weight gain __
Since onset of illness or since last visit.
24. Psychic retardation __
Slowness of speech and though processes, inhibition of will or feeling as if thought processes are paralyzed.
25. Motor retardation __
Slowness of movement and affective expression.
My results:
1, 1, 0,2, 1, 3, 0, 1, 2, 1, 0, 0, 1, 1, 1, 0, 0, 2, 1, 1, 1, 1, 0, 1, 0.
.:dr0wningophelia:. 11:28 |
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