Hamilton Depression Rating Scale
HAM-D; HAMD, Hamilton rating scale for depression; HDRS; HRSD
The Hamilton Depression Rating Scale (HAM-D) is a widely used, semistructured interview that assists in assessing the presence and severity of depressive symptoms (Hamilton 1960). More than 20 published versions of the HAM-D exist (Bagby et al. 2004), with the most commonly used versions containing 17–21 items. Administration and scoring take approximately 20–30 min.
The original version contained 21 items, assessing depressive symptoms experienced in the past week such as depressed mood, guilt, psychomotor retardation, insomnia, somatic symptoms, weight loss, and suicide. As the scale was based on earlier conceptualizations of depressive disorders, it also includes items outside of current conceptualizations (per DSM-IV; American Psychiatric Association 1994) of depressive disorders, including somatic anxiety and hypochondriasis. For the same reason, atypical depressive symptoms included in the DSM-IV,...
References and Readings
- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
- Ashman, T. A., Cantor, J. B., Gordon, W. A., Spielman, L., Flanagan, S., Ginsberg, A., et al. (2009). A randomized controlled trial of sertraline for the treatment of depression in persons with traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 90, 733–740.PubMedPubMedCentralCrossRefGoogle Scholar
- First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV Axis I disorders, clinician version (SCID-CV). New York: Biometrics Research, New York State Psychiatric Institute.Google Scholar
- Williams, J. B. (2001). Standardizing the Hamilton depression rating scale: Past, present, and future. European Archives of Psychiatry and Clinical Neuroscience, 251(Suppl 2), 11-6–11-12.Google Scholar