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Use of the Hamilton Depression Scale in General Practice

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The Hamilton Scales

Part of the book series: Psychopharmacology Series ((PSYCHOPHARM,volume 9))

Abstract

The Hamilton Depression Rating Scale (HAM-D) was originally derived on inpatients, and most of Max Hamilton’s own studies were conducted on such patients. Depressed inpatients are relatively severely ill, and more likely to show psychotic or endogenous symptom patterns (Paykel et al. 1970). There are dangers in assuming that rating scales will behave with adequate reliability and validity in samples different to those in which they were developed. Very many outpatient studies have since used the scale and it does appear to retain its useful characteristics in these somewhat less severely ill samples.

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References

  • Bech P (1981) Rating scales for affective disorders: their validity and consistency. Acta Psychiatr Scand [Suppl 295]

    Google Scholar 

  • Freeling P, Rao BM, Paykel ES, Sireling LI, Burton RH (1985) Unrecognised depression in general practice. Br Med J 290: 1880–1883

    Article  CAS  Google Scholar 

  • Healy D, Theodorou AE, Whitehouse AM, Lawrence KM, White W, Wilton-Cox H, Kerry SM, Horton RW, Paykel ES (in press) 3H-Imipramine binding to previously frozen platelets from depressed subjects before and after treatment. Br J Psychiatry

    Google Scholar 

  • Hollyman JA, Freeling P, Paykel ES, Bhat A, Sedgwick P (1988) Double blind placebo controlled trial of amitriptyline among depressed patients in general practice. J R Coll Gen Pract 38: 393–397

    PubMed  CAS  Google Scholar 

  • Horton RW, Katona LCE, Theodorou AE, Hale AS, Davies SL, Tunnicliffe C, Yamaguchi Y, Paykel ES (1986) Platelet radioligand binding and neuroendocrine challenge tests in depression. CIBA Found Symp 123: 83–104

    Google Scholar 

  • Lipman RS, Covi L, Shapiro AK (1979) The Hopkins symptom checklist (HSCL): factors derived from the HSCL-90. J Affective Disord 1: 9–24

    Article  CAS  Google Scholar 

  • Paykel ES (1985) The clinical interview for depression development, reliability and validity. J Affective Disord 9: 85–96

    Article  CAS  Google Scholar 

  • Paykel ES, Klerman GL, Prusoff BA (1970) Treatment setting and clinical depression. Arch Gen Psychiatry 22: 11–21

    PubMed  CAS  Google Scholar 

  • Paykel ES, Prusoff BA, Klerman GL, DiMascio A (1973) Self-report and clinician’s assessments of depression. J Nerv Ment Dis 156: 166–182

    Article  PubMed  CAS  Google Scholar 

  • Paykel ES, Weissman MM, Prusoff BA (1978) Social maladjustment and severity of depression. Compr Psychiatry 19: 121–128

    Article  PubMed  CAS  Google Scholar 

  • Paykel ES, Rowan PR, Parker PR, Bhat AV (1982) Response to phenelzine and amitriptyline in subtypes of outpatient depression. Arch Gen Psychiatry 39: 1041–1049

    PubMed  CAS  Google Scholar 

  • Paykel ES, Hollyman JA, Freeling P, Sedgwick P (1988) Predictors of therapeutic benefit from amitriptyline in mild depression: a general practice placebo-controlled trial. J Affective Disord 14: 83–95

    Article  CAS  Google Scholar 

  • Rowan PR, Paykel ES, Parker RR (1982) Phenelzine and amitriptyline: effects of symptoms on neurotic depression. Br J Psychiatry 140: 475–483

    Article  PubMed  CAS  Google Scholar 

  • Schurman RA, Kramer PD, Mitchell JB (1985) The hidden mental health network. Arch Gen Psychiatry 42: 89–94

    PubMed  CAS  Google Scholar 

  • Sireling LI, Paykel ES, Freeling P, Rao BM, Patel SP (1985a) Depression in general practice: case thresholds and diagnosis. Br J Psychiatry 147: 113–119

    Article  PubMed  CAS  Google Scholar 

  • Sireling LI, Freeling P, Rao BM, Patel SP (1985b) Depression in general practice: clinical features and comparison with outpatients. Br J Psychiatry 147: 119–126

    Article  PubMed  CAS  Google Scholar 

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© 1990 Springer-Verlag Berlin Heidelberg

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Paykel, E.S. (1990). Use of the Hamilton Depression Scale in General Practice. In: Bech, P., Coppen, A. (eds) The Hamilton Scales. Psychopharmacology Series, vol 9. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75373-2_6

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  • DOI: https://doi.org/10.1007/978-3-642-75373-2_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-75375-6

  • Online ISBN: 978-3-642-75373-2

  • eBook Packages: Springer Book Archive

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