Anxiety Scale – Patient Self-Assessment

  The Hamilton Anxiety Inventory (HAMA) is a common anxiety scale used by physicians, which can well help patients to self-diagnose and measure the effect of treatment, with fairly good consistency, moderate length, easy to use, and applicable to adults with anxiety symptoms. It includes 14 items, each of which is rated on a 5-point scale from 0 to 4: (0 points) as asymptomatic; (1 point) mild; (2 points) moderate; (3 points) severe; and (4 points) extremely severe.  1, anxious state of mind: worry, worry, feeling that the worst thing is about to happen, easily provoked.  2.Tension: feeling tense, easily fatigued, unable to relax, easily crying, trembling, feeling uneasy.  3, fear: fear of the dark, strangers, alone, animals, travel by car or travel and crowded occasions.  4.Insomnia: difficulty falling asleep, waking up easily, not sleeping deeply, excessive dreaming, nightmares, night terrors, feeling tired after waking up.  5, cognitive function: inability to concentrate, poor memory, or memory and attention disorders.  6, depressed state of mind: loss of interest, lack of pleasure in past hobbies, depression, early awakening, heavy daytime and light nighttime.  7, muscular system symptoms: muscle pain, inflexibility, muscle twitching, limb twitching, teeth chattering, voice shaking.  8.Sensory system symptoms: blurred vision, chills and fever, feeling of weakness, tingling all over the body.  9.Cardiovascular system symptoms: tachycardia, palpitations, chest pain, feeling of blood vessel beating, feeling of fainting, heartbeat dehiscence.  10.Respiratory system symptoms: chest tightness, choking sensation, sighing, difficulty in breathing.  11.Gastrointestinal symptoms: difficulty in swallowing, belching, indigestion (abdominal pain after eating, burning pain in the stomach, bloating, nausea, feeling of fullness in the stomach), intestinal tinnitus, diarrhea, weight loss, constipation.  12.Genitourinary system symptoms: frequent urination, urinary urgency, menopause, sexual frigidity, premature ejaculation, erectile failure, impotence.  13.Phytogenic system symptoms: dry mouth, flushing, pallor, easy sweating, easy to get “goose bumps”, tension headache, hair erection.  (1) General performance: nervousness, inability to relax, apprehension, finger biting, clenched fist, etc.  (2) Physiological manifestations: swallowing, beating, fast heart rate when quiet, fast breathing (more than 20 times/minute), etc.  Analysis of results: Total score >14 can be considered as having definite anxiety; >7 may have anxiety; <6 has no anxiety.