Hamilton Depression Rating Scale

A clinician-scored instrument covering mood, guilt, sleep, anxiety and physical complaints during the interview. Mental health teams record a baseline score and follow how it moves between appointments.

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Date of exam

Patient name

Nombre

Apellido

Date of birth

Depressed mood (gloomy outlook, pessimism, sadness, tendency to weep)

Feelings of guilt

Initial insomnia (difficulty falling asleep)

0 - Absent 1 - Mild or doubtful 2 - Clearly present

Insomnia during the night (restless or disturbed sleep)

0 - Absent 1 - Mild or doubtful 2 - Clearly present

Delayed insomnia (waking early and unable to fall asleep again)

0 - Absent 1 - Mild or doubtful 2 - Clearly present

Work and interests (ability to keep up usual activities)

Retardation (slow thought, speech and activity; apathy)

Agitation (restlessness linked to anxiety)

Psychic anxiety

Somatic anxiety (digestive, cardiovascular, respiratory, genitourinary, headaches)

General somatic symptoms (heaviness in limbs, backache, loss of energy)

0 - Absent 1 - Mild or doubtful 2 - Clearly present

Genital symptoms (loss of libido, menstrual disturbance)

0 - Absent 1 - Mild or doubtful 2 - Clearly present

Hypochondriasis

Weight loss

0 - Absent 1 - Mild or doubtful 2 - Clearly present

Insight (interpreted against the patient's understanding and background)

0 - Absent 1 - Mild or doubtful 2 - Clearly present

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