Each of the 14 items contains a number of symptoms, and each group of symptoms is rated on a scale of zero to four, with four being the most severe. Carefully assess whether a symptom might be due to a medication or to anxiety. Although there are several selfreport instruments available to measure generalized anxiety in adolescents. Bring the completed form with you to the office for scoring and assessment during your office visit. An ivr version of the scale is available from healthcare technology systems. For each item decide if it never applies to you mark 0. Read each phrase and decide if it is not true or hardly ever true or somewhat true or sometimes true or very true or often true for you. The social suspiciousness scale sss is a 24item selfreport questionnaire designed to assess suspiciousness, along with the associated constructs of anger and hostility, within a social context. The scale consists of 14 items designed to assess the severity of a patients anxiety. 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 anchor point descriptions, with very minor modifications, have been taken. Hamilton depression rating scale hdrs please complete the scale based on a structured interview instructions. Screen for child anxiety related disorders scared child.
Generalized anxiety disorder 7item gad7 scale over the last 2 weeks, how often have you been bothered by the following problems. The hamilton anxiety scale has or hama is a 14item test measuring the severity of anxiety symptoms. The accurate assessment of psychological symptoms is an essential component of developing a helpful formulation regarding a clients difficulties. This is a selfreport questionnaire that can be administered in an individual format. Pdf development and validation of a computeradministered. Hamilton, the scale has proven useful not only in following individual patients but also in research involving many patients. A brief measure for assessing generalized anxiety disorder. The center for epidemiologic studies depression scale cesd was designed for use in the general population and is now used as a screener for depression in primary care settings. Validation of the hamilton anxiety rating scale and state trait. Dass selfreporting depression, anxiety, stress scales. 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. Anxiety somatic gastrointestinal, indigestion cardiovascular, palpitation, headaches respiratory, genitourinary, etc.
The principal indicator of treatment efficacy in this study was the hamilton anxiety rating scale hama, a clinicianadministered scale that assesses the severity of 14 broad categories of symptoms, presumed to be associated with anxiety. 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. Efficacy of applied relaxation and cognitive behavioral therapy in the treatment of generalized anxiety disorder. It is a 23item scale consisting of the following three subscales. Anxious mood worries, anticipation of the worst, fearful anticipation.
It is a public domain resource that is available without cost in several languages. The bai was moderately correlated with the revised hamilton anxiety rating scale. Be sure to record the answers in the appropriate spaces positions 0 through 4. The has is used to assess the severity of anxiety symptoms present in children and adults.
Screen for child anxiety related disorders scared child versionpg. Anxious feelings 7 not at ll 0 1 rarely sometimes 2 often 3 a lot 4 i feel uncomfortable in social situations. The dass is a set of three selfreport scales designed to measure the negative emotional states of depression, anxiety and stress. Reliability and validity of a structured interview guide. Structured interview guide for the hamilton depression rating scale sighd janet b. If you like, there is also a depression selfrating scale. Hamilton rating scale for anxiety hama occupational. Somatic sensory tinnitus, blurring of vision, hot and cold flushes, feelings of weakness.
Hamilton also designed the hamilton depression inventory hdi, a selfreport measure consistent with his theoretical formulation of depression in the hds, and the hamilton anxiety scale has, an interviewerrated test measuring the severity of anxiety symptoms. Additional references maier w, buller r, philipp m, heuser i. Hamilton rating scale for anxiety hama occupational medicine. Structured interview guide for the hamilton depression rating scale. Classification of symptoms which may be difficult to obtain can be scored as. Hamilton depression r s hamd assessment psychology.
Please print these pages out for your personal reference. All of these scores are used to compute an overarching score that indicates a persons anxiety severity. Both bds p scale is a self report measure of anxiety. Psychological scales and measures play a role in diagnosis, hypothesistesting,formulation, and ongoing assessments of clients progress in treatment. Base your answers on your experience in the past week and, if you have completed the scale previously, be as consistent as possible in your perception of the situation described. This interview guide is based on the hamilton depression rating scale hamilton, max. The hamilton anxiety scale hama is a rating scale developed to quantify the severity of anxiety symptomatology, often used in psychotropic drug evaluation. Mq36112 3000129011 this instrument is designed for screening purposes only and is not to be used as a diagnostic tool. The dass was constructed not merely as another set of scales to measure conventionally defined emotional states, but to further the process of defining, understanding, and measuring the ubiquitous and clinically significant emotional states usually described as.
It is reported to take 1215min to administerlonger than the. The sample consisted of outpatients with social anxiety disorder sad. 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. How to use patients will circle 1 of the 4 numbers in response to the questions. Alternatives to the hamaa include selfreport measures of anxiety, the most commonly used being the beck anxiety inventory bai. Reliability and validity of the hamilton anxiety rating scale in an. Liebowitz social anxiety scale name date fill out the following questionnaire with the most suitable answer listed below. The present research evaluated the psychometric properties of this newly developed scale. Zung selfrating anxiety scale sas for each item below, please place a check mark 9 in the column which best describes how often you felt or behaved this way during the past several days. Psychological assessment scales and measures psychology. Depression and anxiety were assessed using the beck depression scale bds and hamilton anxiety scale has at study initiation and 6 months later. The hama was one of the first rating scales developed to measure the severity of anxiety symptoms, and is still. Each item is rated o n a 5point scale, ranging from 0 not present to 4 severe. For even greater ease of use, a selfreport, paperandpencil version is also available the hamilton depression inventory developed by reynolds and kobak 2.
The hamilton anxiety rating scale hama, sometimes termed hars. The hamilton anxiety rating scale hama is a psychological questionnaire used by clinicians to rate the severity of a patients anxiety. It consists of 14 items, each defined by a series of symptoms. Liebowitz social anxiety scale clinical psychology. This article presents the development of a measure of test anxiety among adolescents, named the friedben test anxiety scale the fta. Structured interview guide for the hamilton anxiety rating scale sigha. As you answer each question, place an x in the box that best describes how you have felt and conducted yourself over the past 6 months. Provided to youtube by the orchard enterprises hamilton anxiety scale thomas giles pulse. 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.
Max hamilton originally published the scale in 1960 and revised it in 1966, 1967, 1969, and 1980. The questionnaire is designed for adults and is used to. The healthcare provider, nurse, or medical staff assistant. Zung selfrating anxiety scale mental health professionals. The hamilton anxiety rating scale has been considered a. The participants did not report any difficulty in answering the questionnaire. Hamilton depression rating scale hamd to be administered by a health care professional 11. For this reason, some people prefer selfreport measures where scores are completely based on the interviewees responses. For example, hamilton anxiety scale hama, zung self rating.
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. Beck anxiety inventory checklist download printable pdf. Below is a list of sentences that describe how people feel. It should be administered by an experienced clinician. Rates level of anxiety based on clinical questions. Hamilton also developed the widely used hamilton depression scale hds to measure. Precautions some symptoms related to depression, such as selfesteem and self. Loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing. Use the questions 114 on the hamilton anxiety scale ham a worksheet to obtain information needed to make each severity rating. It is used as a screening and diagnostic tool for depression and other related issues such as anxiety, substance abuse, and eating disorders. Each of the three scales contains 14 items, divided into subscales of 25 items with similar content. It measures the outcome of greatest importance in a trial.
The hamilton anxiety rating scale, a widely used clinical interview assessment tool, lacks instructions for administration and clear anchor points for the assignment of severity ratings. Hamilton anxiety scale pdf hamilton anxiety scale html beck anxiety inventory bai pdf the is owned by harcourt zung selfrated anxiety scale sas pdf the anxiety status inventory asi of zung. It is also sometimes called the hamilton anxiety rating scale hars. It includes 20 selfreport items, scored on a 4point scale, which measure major dimensions of depression experienced in. Two of the more frequently used scales, both clinically and for research purposes, are described here. David burns hospital anxiety and depression scale hads pdf. The hamilton anxiety rating scale hama is a widely used and wellvalidated tool for measuring the severity of a patients anxiety. Somatic muscular pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone. Hamilton depression rating scale the total hamilton depression hamd rating scale provides and indication of depression and, over time, provides a valuable guide to progress. More specifically, the hamilton anxiety rating scale hama is. A psychological assessment of the severity of symptoms of anxiety. The hamilton anxiety rating scale hama is a widely used and wellvalidated tool for measuring the severity of a patients. Mediators we measured four possible mediators of prevention. Limitations of the hamilton anxiety rating scale as a.
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