Ham a is a multiple choice questionnaire that clinicians may use to provide an assessment of anxiety symptoms. Assessment scales used were the pgybocs, which was the primary outcome measure, the hamilton anxiety rating scale hama, the cgi, and measures of psychosocial functioning and quality of. Mar 15, 2018 the hamilton anxiety rating scale has withstood the test of time and is respected by researchers and clinicians alike. A study to compare the psychometric properties of the hamilton rating scale for depression hamd in patients with stroke, alzheimers dementia ad, and parkinsons disease pd, has shown that the concurrent validity of the hamd with the dsmiv criteria for major depressive disorder is high in each of these groups naarding et. Psychiatric innovations hamiltons scale journal of.
I get very frightened or have panic feelings for apparently no reason at all. However, among the psychic anxiety symptoms in hama table 1 are such items as depressed mood and sleep. Be sure to record the answers in the appropriate spaces positions 0 through 4. The life of the man behind the scale is a reminder to prevail in the face of prejudice, rejection, and defeat. The hamilton anxiety rating scale hama 12 is the bestknown instrument designed to assess anxiety. The hamilton anxiety rating scale hama, sometimes termed hars 1, dating back to 1959, is one of the first rating scales to measure the severity of perceive we use cookies to enhance your experience on our website. For each item, select the one cue which best characterizes the patient. The questionnaire is designed for adults and is used to. Hamilton anxiety rating scale ham a hamilton anxiety rating scale ham a 1 mood disorders psychopharmacology unit. This interview guide is based on the hamilton depression rating scale hamilton, max. It consists of 14 items, each rated on a 5point scale.
This item includes inability to relax, nervousness, bodily tensions, trembling and restless fatigue. It is an anxiety self test which gives you a score on an anxiety scale. The hamilton anxiety rating scale hama, sometimes termed hars, dating back to 1959, is one of the first rating scales to measure the severity of perceived anxiety symptoms. The scale is intended for adults, adolescents, and children and should take approximately ten to fifteen minutes to administer. The scale is comprised of ten items, and takes about five to eight minutes to administer. Generalized anxiety disorder gad is a prevalent mental health condition which is underestimated worldwide. Dec 22, 2015 provided to youtube by the orchard enterprises hamilton anxiety scale thomas giles pulse. Click on the image or right click to open the source website in a new browser window. Hamilton anxiety rating scale ham a instructions for the clinician. Rating scale for anxiety hama and the clinical glo bal impressionsimprovement cgii scale. This study carried out the cultural adaptation into spanish of the 7item selfadministered gad7 scale, which is used to identify probable patients with gad.
Provided to youtube by the orchard enterprises hamilton anxiety scale thomas giles pulse. This document is provided by wyeth pharmaceuticals inc. By continuing to use our website, you are agreeing to our use of cookies. The hamilton anxiety scale hama is a rating scale developed to quantify the severity of anxiety symptomatology, often used in psychotropic drug evaluation.
The scale consists of 14 items, each defined by a series of symptoms, and measures both psychic anxiety mental. The scale consists of 14 items, each defined by a series of symptoms, and measures both psychic anxiety mental agitation and psychological distress and somatic anxiety. It has been used by school counselors over several years, and has been the primary anxiety measure in three research projects. Hamilton depression r s hamd assessment psychology. The hamilton anxiety rating scale has withstood the test of time and is respected by researchers and clinicians alike. Depression and anxiety patient shows not only an adverse. It is still in use today, being considered one of the most widely used rating scales, and has been translated into cantonese, french and spanish. Depression anxiety and stress scale dass the dass is a 42item questionnaire which includes three selfreport scales designed to measure the negative emotional states of depression, anxiety and stress. Hamilton anxiety rating scale an overview sciencedirect. The primary outcome is the change over time in the baseline. Hamilton anxiety scale hama hamilton depression scale hamd. The assessment of anxiety states by rating br j med psychol 1959. Value meaning definition criteria for severity ratings 0absent 1mild occurs irregularly and for short periods of time. Each item is scored on a 5point scale, ranging from 0not present to 4severe.
Related links to external sites from bing these images are a random sampling from a bing search on the term anxiety scales. Advantages to selfrated scales, such as the phq9, mood disorder questionnaire mdq, and generalized anxiety disorder 7item gad7 scale, are their practicabilitythey are easy to administer and dont require clinician or staff timeand their use in evaluating and raising awareness of subjective states. Hamilton rating scale for anxiety online calculator. Each item is rated o n a 5point scale, ranging from 0 not present to 4 severe. Hamilton anxiety rating scale hama cdisc portal logo. Hamilton anxiety rating scale hama aged care tests. Depression rating scale and anxiety patients were assessed using hamilton anxiety conclusion. Generalized anxiety disorder and the hamilton anxiety rating. The adaptation was performed by an expert panel using a conceptual equivalence process, including forward and backward. The 15th and 16th items represent the total anxiety and depression.
The hamilton anxiety rating scale hama is a widely used 14item clinicianadministered rating tool in the public domain used to measure the severity of anxiety symptoms among individuals previously diagnosed with anxiety disorders mcdowell, 2006. Cultural adaptation into spanish of the generalized. The hamilton anxiety rating scale hama is a widely used and wellvalidated tool for measuring the severity of a patients anxiety. Hamilton anxiety rating scale hama instructions for the. Rate mild if symptom is present, but less than 50% of the time. Since it is in the public domain, it is widely available for. The hama probes 14 parameters and takes 1520 minutes to complete the interview and.
I the hamilton anxiety rating scale hama is a 14item scale designed to measure anxiety in individuals. It consists of 14 items each defined by a series of symptoms. Reliability and validity of a structured interview guide. I wake early and then sleep badly for the rest of the night. Hamilton, the scale has proven useful not only in following individual patients but also in research involving many patients. The hamilton anxiety rating scale ham a is a widely used and wellvalidated tool for measuring the severity of a patients anxiety. Refer to the 04 scale point definitions and criteria for symptom severity ratings on facing page. Assessment scales used were the pgybocs, which was the primary outcome measure, the hamilton anxiety rating scale ham a, the cgi, and measures of psychosocial functioning and quality of. For the 14 items, the values on the scale range from zero to four. Select page for your convenience, our forms are available here as downloadable pdf files. Rating clinicianrated administration time2030 minutes main purpose to assess severity of,and change in, depressive symptoms population adults commentary the hdrs also known as the hamd is the most widely used clinicianadministered depression assessment scale.
Rating scale for anxiety ham a and the clinical glo bal impressionsimprovement cgii scale. Use the questions 114 on the hamilton anxiety scale ham a worksheet to. Anxiety social appearance anxiety scale saas trevor a. The total score of the hama and sigha ranges between 0 and 30. The ham a probes 14 parameters and takes 1520 minutes to complete the interview and. Hamilton anxiety rating scale hama below is a list of phrases that describe certain feeling that people have. Subjects rate the 14 items on a fivepoint scale 04. By examining testanxiety and selfefficacy within single, shortterm situations, the effects may be more manageable. The hamilton anxiety rating scale ham a, sometimes termed hars 1, dating back to 1959, is one of the first rating scales to measure the severity of perceived anxiety symptoms. Each item is scored on a scale of 0 not present to 4. The hamilton rating scale for depression hamd name or id. The scale, created by hamilton in 1959, is addressed to adult and pediatric patients, takes less than 15 minutes and is clinician rated. The hamilton anxiety rating scale ham a is a widely used 14item clinicianadministered rating tool in the public domain used to measure the severity of anxiety symptoms among individuals previously diagnosed with anxiety disorders mcdowell, 2006. The hama probes 14 parameters and takes 1520 minutes to complete the interview and score the results.
Table 2, depression symptom rating scales screening for. Each item is rated on a 5point scale ranging from 0 not present to 4 severe. For these reasons an adaption of the structured interview guide for the hamilton anxiety rating scale sigh a shear et al. Echinacea angustifolia anxiocalm in anxiety full text. Additional assumptions specific to the hospital anxiety and depression scale are listed below. The hamilton anxiety scale hama was tested for reliability and validity in two different samples, one sample n97 defined by anxiety disorders, the other sample n101 defined by depressive. The hamilton anxiety scale has or hama is a 14item test measuring the severity of anxiety symptoms.
Ratings are made during a brief 1015 min, semistructured interview with the subject. Most important, refer to the criteria for symptom severity ratings, which more precisely defines each severity rating scale point. For your convenience, our forms are available here as downloadable pdf files. When measuring treatment effect it is of course possible to use the total score. The hamilton rating scale for depression hrsd, also called the hamilton depression rating scale hdrs, abbreviated hamd, is a multiple item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery. The hama was one of the first rating scales developed to measure the severity of anxiety symptoms, and is still widely used today in both clinical and research settings. Geriatric depression scale, 15 item gds short form 15. For these reasons an adaption of the structured interview guide for the hamilton anxiety rating scale sigha shear et al.
Each of the three scales contains 14 items, divided into subscales of 25 items with similar content. Response to treatment was defined as a reduction of 50% or more on the hama and a cgii score of i or 2 much im proved or very much improved, respectively. Ham a pdf fill out and sign printable pdf template signnow. The ham a was originally developed by max hamilton in 1959 as an assessment tool to evaluate. Generalized anxiety disorder and the hamilton anxiety. The advanced tools of the editor will guide you through the editable pdf template. The hamilton anxiety rating scale hama is a widely used and wellvalidated. Started in 1995, this collection now contains 6769 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. The westside test anxiety scale is an extremely brief screening instrument meant to identify students with anxiety impairments. Also, test anxiety and selfefficacy both play a role in influencing students academic performance, but high levels of. Hads is a selfreport questionnaire consisting of 16 items, the first 14 of which are scored. Rate the patients by finding the answer which best describes the extent to which heshe has these conditions. Hamilton anxiety scale calculator this hamilton anxiety scale calculator is based on the hama model and was designed to rate the severity of anxiety and several anxious disorders. Although access to this page is not restricted, the information found here is intended for use by medical providers.
This document describes the cdisc implementation of the hamilton anxiety rating scale. Max hamilton originally published the scale in 1960 and revised it in 1966, 1967, 1969, and 1980. Cultural adaptation into spanish of the generalized anxiety. Psychiatry is replete with rating scales and screening tools, and the number of competing scales can make choosing a measure difficult. The way to fill out the hamilton anxiety rating scale hama pdf form on the web. The hama was originally developed by max hamilton in 1959 as an assessment tool to evaluate anxiety symptoms among people diagnosed with. Select one of the five responses for each of the fourteen questions. Ecdeu assessment manual of psychopharmacologyrevised.
The hamilton anxiety rating scale is a clinicianrated evaluation whose purpose is to analyze the severity of anxiety. Each item is rated on a fivepoint likerttype scale ranging. Hamilton depression rating scale hdrs please complete the scale based on a structured interview instructions. The hamilton anxiety scale ham a was tested for reliability and validity in two different samples, one sample n97 defined by anxiety disorders, the other sample n101 defined by depressive. Each item is scored on a scale of 0 none to 4 severe where a total score of 1417 mild anxiety, 1824 moderate anxiety, 2530 severe anxiety. The hama evaluates the presence and degree of severity of a range of anxiety symptoms in order to provide a patient status that varies from mild to very severe anxiety. The ham a evaluates the presence and degree of severity of a range of anxiety symptoms in order to provide a patient status that varies from mild to very severe anxiety. Reliability and validity of a structured interview guide for. Hospital anxiety and depression scale scoring sheet yes definitely yes sometimes no, not much no, not at all 1.
It consists of 14 items, each defined by a series of symptoms. Hamilton anxiety depression scale pdf click here page includes the following topics and synonyms. You can read more about the content of the questionnaire, its scoring and interpretation system below the form. A study to compare the psychometric properties of the hamilton rating scale for depression ham d in patients with stroke, alzheimers dementia ad, and parkinsons disease pd, has shown that the concurrent validity of the ham d with the dsmiv criteria for major depressive disorder is high in each of these groups naarding et. Thirteen subjects with dsmiv pg and comorbid anxiety were treated in a 12week openlabel trial of escitalopram followed by doubleblind discontinuation. The adaptation was performed by an expert panel using a conceptual equivalence process, including forward and. Danielle huntsman, is a certified nutrition specialist and licensed. Hamilton rating scale for anxiety hama occupational. Hama is a multiple choice questionnaire that clinicians may use to provide an assessment of anxiety symptoms. Hamilton anxiety scale hama severity rating scale definitions. Despite this, the reported levels of inter rater reliability for the scale appear to be acceptable.
Measuring states of anxiety with clinicianrated and. The hamilton anxiety rating scale ham a is a physician rating scale consisting of 14 items measuring psychic and somatic anxiety. The hamilton anxiety scale hama is a rating scale developed to quantify the severity of anxiety symptomatology often used in psychotropic drug evaluation. The hamilton rating scale for depression hrsd, also called the hamilton depression rating scale hdrs, abbreviated ham d, is a multiple item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery. The ham a is a 14item clinicianrated instrument designed to assess and quantify severity of anxiety. Use the questions 114 on the hamilton anxiety scale ham. The hamilton anxiety rating scale hama is a physician rating scale consisting of 14 items measuring psychic and somatic anxiety. It is also sometimes called the hamilton anxiety rating scale hars. The major value of hama is to assess the patients response to a course of treatment, rather than as a diagnostic or screening tool. It should be administered by an experienced clinician. Depressed mood this item covers both the verbal and the nonverbal communication of sadness, depression, despondency, helplessness and hopelessness 0 not present. Enter your official identification and contact details.
Hospital anxiety and depression scale hads 14 7 specific to depression 021. The lady emma hamilton anxiety valuation plate ham it up a is axerophthol anxiety scale questionnaire pdf psychological questionnaire putupon by clinicians to rank the severity of a patients anxiety. It is also used as an outcome measure when assessing the impact of anti. Hamilton anxiety scale children, adults, examples, people. The total score of the ham a and sigh a ranges between 0 and 30. Please be sure to print your new patient forms, fill them out completely, and bring them to your first appointment. Response to treatment was defined as a reduction of 50% or more on the ham a and a cgii score of i or 2 much im proved or very much improved, respectively. The hamilton anxiety rating scale hama12 is the bestknown instrument designed to assess anxiety.