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The Hamilton Depression Scale and Its Alternatives: A Comparison of Their Reliability and Validity

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The Hamilton Scales

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

Abstract

The efficacy of medical treatments is evidenced by a demonstrated reduction in the severity of the disorder being treated relative to a control condition. At the beginning of the era of psychopharmacology, in the late 1950s, neither a well-defined concept nor a well-defined measurement of the severity of depression, schizophrenia, or anxiety disorders were available. Consequently, it was difficult to compare groups of treated patients on the basis of treatment-specific rates of recovery. Hamilton was one of the first to recognize this lack and to create methods for standardizing the measurement of the effects of drugs across both patients and treatments. His idea was that a standardized measurement of the effects of drugs should be quantitative and specific for the various diagnostic categories.

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References

  • Allerup P (1986) Statistical analysis of MADRS - a rating scale. Danish Institute for Educational Research, Copenhagen

    Google Scholar 

  • Bech P, Clemmesen L (1983) The diagnosis of depression: 20 years later. Acta Pschiatr Scand [Suppl 310] 68: 9–30

    Google Scholar 

  • Bech P, Gram LF, Dein E, Jacobsen O, Vitger J, Bolwig TG (1975) Quantitative rating of depressive states. Correlation between clinical assessment, Beck’s self-rating scale and Hamilton’s objective rating scale. Acta Psychiatr Scand 51: 161–170

    Article  PubMed  CAS  Google Scholar 

  • Bech P, Allerup P, Gram L, Reisby N, Rosenberg R, Jacobsen D, Nagy A (1981) The Hamilton rating scale: evaluation of objectivity using logistic models. Acta Psychiatr Scand 63: 290–299

    Article  PubMed  CAS  Google Scholar 

  • Bech P, Gjerris A, Andersen J, Bojholm S, Kramp P, Bolwig TG, Kastrup M, Clemmesen L, Rafaelsen OJ (1983) The melancholia scale and the Newcastle scales. Item-combinations and inter-observer reliability. Br J Psychiatry 143: 58–63

    Article  PubMed  CAS  Google Scholar 

  • Bech P, Kastrup M, Rafaelsen OJ (1986) Mini-compendium of rating scales for anxiety, depression, mania, schizophrenia with corresponding DSM-III syndromes. Acta Psychiatr Scand [Suppl 326] 73: 1–39

    Google Scholar 

  • Cichetti DV, Prusoff BA (1983) Reliability of depression and associated clinical symptoms. Arch Gen Psychiatry 40: 987–990

    Google Scholar 

  • Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23: 56–62

    Article  PubMed  CAS  Google Scholar 

  • Hamilton M (1967) Development of a rating scale for primary depressive illness. Br J Soc Clin Psychol 6: 276–296

    Article  Google Scholar 

  • Kearns NP, Cruikshank CA, McGuigan K, Rilag SA, Shaw SP, Snaith RP (1982) A comparison of depression rating scales. Br J Psychiatry 141: 45–49

    Article  PubMed  CAS  Google Scholar 

  • Maier W, Philipp M (1985a) Improving the assessment of severity of depressive states: a reduction of the Hamilton depression scale. Pharmacopsychiatry 18: 114–115

    Article  Google Scholar 

  • Maier W, Philipp M (1985b) Comparative analysis of observer depression scales. Acta Psychiatr Scand 72: 239–245

    Article  PubMed  CAS  Google Scholar 

  • Maier W, Philipp M, Heuser I, Schlegel S, Buller R, Wetzel H (1988) Improving depression severity assessment. I. Reliability, internal validity and sensitivity to change of three observer depression scales. J Psychiatr Res 22: 3–12

    Article  PubMed  CAS  Google Scholar 

  • Maier W, Heuser I, Philipp M, Frommberger U, Demuth W (1988) Improving depression severity assessment. II. Content, concurrent and external validity of three observer depression scales. J Psychiatr Res 22: 13–19

    Article  PubMed  CAS  Google Scholar 

  • Montgomery SA, Asberg M (1979) A new depression scale designed to be sensitive to change. Br J Psychiatry 134: 382–389

    Article  PubMed  CAS  Google Scholar 

  • Rehm L, O’Hara MW (1985) Item characteristics of the Hamilton rating scale for depression. J Psychiatr Res 19: 31–42

    Article  PubMed  CAS  Google Scholar 

  • Roth M, Gurney C, Mountjoy CQ (1983) The Newcastle rating scales for depression. Acta Psychiatr Scand [Suppl 310] 68: 42–54

    Google Scholar 

  • Spitzer RL (1983) Psychiatric Diagnosis: Are clinicians still necessary? Compr Psychiatry 24: 399–411

    Article  PubMed  CAS  Google Scholar 

  • Williams JBW (1988) A structured interview guide for the Hamilton depression rating scale. Arch Gen Psychiatry 45: 742–747

    PubMed  CAS  Google Scholar 

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© 1990 Springer-Verlag Berlin Heidelberg

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Maier, W. (1990). The Hamilton Depression Scale and Its Alternatives: A Comparison of Their Reliability and Validity. 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_8

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  • DOI: https://doi.org/10.1007/978-3-642-75373-2_8

  • 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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