Hamilton Depression Inventory (HAMD)
Name: Gender: Age: Occupation
Education: Hospitalization number: Outpatient number.
Item
Rating Scale
None
Mild
Score
Moderate
Severe
Very Severe
1
Depressed mood
0.Not present
1. only complained when asked
2.Described spontaneously during the interview
3.The mood can be revealed without words by expression, posture, voice or desire to cry
4. The patient’s spontaneous speech and non-verbal expressions (expressions, gestures) are almost exclusively indicative of this mood
0
1
2
3
4
2
Guilty
0.Not present
1. Blaming oneself and feeling that one has implicated others
2. Believes that he/she has committed a sin, or repeatedly thinks about past faults and mistakes 3. Believes that the current illness is a punishment for his/her mistakes, or has delusions of guilt
4. Guilty delusions accompanied by blame or threatening fantasies
0
1
2
3
4
3
Suicide
0.Not present
1.Feeling that there is no meaning in living
2.Wish you were dead, or often think about things related to death
3.Negative ideas (suicidal thoughts)
4.Serious suicidal behavior
0
1
2
3
4
4
Difficulty in falling asleep
0.No difficulty in falling asleep
1.Complaints of difficulty in falling asleep, half an hour after going to bed still can not fall asleep (to pay attention to the usual time of the patient to fall asleep)
2.Complaints of difficulty in falling asleep every night
0
1
2
5
Not sleeping deeply
0.Not present
1.Shallow sleep and nightmares
2.Wake up in the middle of the night (before 12 o’clock at night) (excluding going to the toilet)
0
1
2
6
Woke up early
0.No occurrence
1.Wake up early, 1 hour earlier than usual, but can fall back to sleep
2.I can’t fall back to sleep after waking up early
0
1
2
7
Work and
Interest
0, not present
1.Speaks only when asked
2.Spontaneous direct or indirect expression of loss of interest in activities, work or study, such as feeling listless, indecisive, unable to persist or needing to force oneself to work or labor
3.Less than 3 hours of work or recreation in the sick room
4. Stopped working due to current illness, inpatient does not participate in any activities or cannot perform daily tasks in the ward without the help of others
0
1
2
3
4
8
Delayed
0. Normal thinking and language
1.Mild retardation found in mental examination
2.Significant retardation found in mental examination
3.Difficulty in conducting mental examination
4.Total inability to answer questions (mute)
0
1
2
3
4
9
Excitation
0.No abnormalities
1.Somewhat distracted during the examination
2.Significantly distracted or with many small movements
3.Unable to sit still, and had stood up during the examination
4.Rubbing hands, biting fingers, hair, biting lips
0
1
2
3
4
10
Mental anxiety
0.No abnormality
1.Ask for timely complaint
2.Spontaneous expression
3.Expression and speech show obvious worry
4.Obviously frightened
0
1
2
3
4
11
Somatic
Anxiety
Refers to the physical symptoms of anxiety, including dry mouth, bloating, diarrhea, eructations, abdominal cramps, palpitations, headache, hyperventilation and sighing, and frequent urination and sweating.
0.Not present
1.Mild
2.Moderate, with definite above-mentioned symptoms
3.Severe, the above symptoms are serious and affect life or need to be dealt with
4.Seriously affects life and activities
0
1
2
3
4
12
Gastrointestinal tract
Symptoms
0.Not present
1.Loss of appetite, but eat on their own without encouragement
2.Eating needs to be urged or requested by others and laxatives or digestive aids need to be applied
0
1
2
13
Systemic symptoms
0, Not present
1.Heavy feeling in the limbs, back or neck, back pain, headache, muscle pain, general weakness or fatigue
2.Significant symptoms
0
1
2
14
Sexual symptoms
Refers to decreased sexual desire, menstrual disorders, etc.
0.No abnormality
1.Mild
2.Severe
Cannot be sure, or the item is not suitable for the evaluated person (not counted in the total score)
0
1
2
15
Doubtful
0, not present
1. Excessive concern for the body.
2, Recurrent consideration of health problems.
3.Have paranoid delusions and often go to the doctor for suspicion
4.Suspicious delusions with hallucinations.
0
1
2
3
4
16
Weight loss
Rated by A or B
A, rated according to medical history.
0.No weight loss
1.Patient reports possible weight loss
2, Definite weight loss
B.According to weight record assessment.
0.Weight loss within 1kg in one week
1.Weight loss of more than 0.5kg in one week
2.Weight loss of more than 1kg in one week
0
1
2
17
Self-awareness
0.Knows he is sick and shows depression
1.Knows he is sick, but blames poor food, environmental problems, too busy at work, viral infection or need for rest
2. Completely denies having an illness
0
1
2
Total score