Grading of Depression
Hamilton Depression Rating Scale
HAM-D
Clinician related scale to assess severity of depression illness.
Consists of 17 parameters.
Scoring is done by clinician for each parameter.
 | Score 2 assigned if a symptom is present. |
|
| Score 1 assigned if symptom is trivial or doubtful. |
|
| Score 0 assigned if symptom is absent. |
Some symptoms if present may be further categorized into:
|
| 2 for mild; 3 for moderate; 4 for severe degree. |
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Summation of scores for 17 parameters give total score ranging from zero( absence of symptoms)to74 ( maximum symptoms)
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HAM-D scale includes 4 additional parameters which are non contributory for assessment of severity but important for other purposes.
Hamilton Depression Rating Scale
|
Item |
Range |
Score |
|
Depressed mood |
0-4 |
|
|
Guilt |
0-4 |
|
|
Suicide |
0-4 |
|
|
Insomnia initial |
0-2 |
|
|
Insomnia middle |
0-2 |
|
|
Insomnia delayed |
0-2 |
|
|
Work and interest |
0-4 |
|
|
Retardation |
|
|
|
Agitation |
0-4 |
|
|
Anxiety (psychic) |
0-4 |
|
|
Anxiety (somatic) |
0-4 |
|
|
Somatic gastrointestinal |
0-2 |
|
|
Somatic general |
0-2 |
|
|
Genital |
0-2 |
|
|
Hypochondriasis |
0-2 |
|
|
Insight |
0-4 |
|
|
Loss of weight |
0-2 |
|
|
Diurnal variation (M.A.E) |
0-2 |
|
|
Depersonalization |
0-4 |
|
|
Paranoid symptoms |
0-4 |
|
|
Obsessional symptoms |
0-4 |
|