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15 November 2022

Hamilton Scale to rate Anxiety (HAM-A)

15 November 2022
Hamilton Anxiety Rating Scale (HAM-A)
Hamilton Anxiety Rating Scale (HAM-A)
Disclaimer This questionnaire (scale) is only a screening tool that is not intended for self-diagnosis and self-treatment. Only a doctor can correctly interpret the test results and establish a diagnosis.

The Hamilton Anxiety Scale (HAM-A) helps assess quantitatively the severity of the anxiety syndrome. The Hamilton test is often used to evaluate the effectiveness of anti-anxiety drugs. The Hamilton Anxiety Scale consists of 14 indicators, and each one is determined by a number of symptoms. Each indicator is scored on a 5-point scale from 0 (none) to 4 (severe).

To pass a test
Hamilton Anxiety Rating Scale (HAM-A)
1. Anxious Mood (Worries, anticipation of the worst, fearful anticipation, irritability)
2. Tension (Feeling of tension, fatigability, startle response, moved to tears easily, trembling, feeling of restlessness, inability to relax)
3. Fears (Fear of darkness, of strangers, of being left alone, of animals, of traffic, or of crowds)
4. Insomnia (Difficulty in falling asleep, broken sleep, nightmares, unsatisfying sleep and fatigue on waking.)
5. Intellectual (Difficulty in concentration, poor memory.)
6. Depressed Mood (Loss of interest and lack of pleasure in hobbies, depression, early waking, diurnal swing.)
7. Somatic (muscular) (Pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.)
8. Somatic (sensory) (Tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.)
9. Cardiovascular Symptoms (Tachycardia, palpitations, pain in chest, throbbing of vessels, frequent yawning.)
10. Respiratory Symptoms (Pressure or constriction in chest, choking feelings, dyspnoea.)
11. Gastrointestinal Symptoms (Difficulty in swallowing, nausea, vomiting, abdominal fullness, looseness of bowels, constipation.)
12. Genitourinary Symptoms (Frequency of micturition, urgency of micturition, amenorrhea, impotence.)
13. Autonomic Symptoms (Dry mouth, flushing, pallor, tendency to sweat, tension headache.)
14. Behaviour at interview (Fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, swallowing.)
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