Hamilton Anxiety Rating Scale (HAM-A)
Read the symptom in the left column. Rate it on a scale of 0-4 in the right column.
0 - Not at all 1 - Mild 2 - Moderate 3 - Severe 4 - Very Severe
Feeling
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Rating
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1. Anxious mood Worries‚ anticipation of the worst‚ fearful anticipation‚ irritability.
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2. Tension Feelings of tension‚ fatigability‚ startle response‚ moved to tears easily‚ trembling‚ feelings of restlessness‚ inability to relax.
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3. Fears Of dark‚ of strangers‚ of being left alone‚ of animals‚ of traffic‚ of crowds.
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4. Insomnia Difficulty in falling asleep‚ broken sleep‚ unsatisfying sleep and fatigue on waking‚ dreams‚ nightmares‚ night terrors.
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5. Intellectual Difficulty in concentration‚ poor memory.
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6. Depressed Mood Loss of interest‚ lack of pleasure in hobbies‚ depression‚ early waking‚ mood swings.
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7. Physical/Muscular Pains and aches‚ twitching‚ stiffness‚ myoclonic jerks‚ grinding of teeth‚ unsteady voice‚ increased muscular tone.
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8. Senses Tinnitus‚ blurring of vision‚ hot and cold flushes‚ feelings of weakness‚ pricking sensation.
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9. Cardiovascular Tachycardia‚ palpitations‚ pain in chest‚ throbbing of vessels‚ fainting feelings‚ 'skipping' a beat.
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10. Respiratory Pressure or constriction in chest‚ choking feelings‚ sighing‚ dyspnea.
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11. Digestive Difficulty in swallowing‚ wind abdominal pain‚ burning sensations‚ abdominal fullness‚ nausea‚ vomiting‚ borborygmi‚ looseness of bowels‚ loss of weight‚ constipation.
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12. Genitourinary Frequency of micturition‚ urgency of micturition‚ amenorrhea‚ menorrhagia‚ development of frigidity‚ premature ejaculation‚ loss of libido‚ impotence.
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13. Autonomic symptoms Dry mouth‚ flushing‚ pallor‚ tendency to sweat‚ giddiness‚ tension headache‚ raising of hair.
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14. Behavior at interview Fidgeting‚ restlessness or pacing‚ tremor of hands‚ furrowed brow‚ strained face‚ sighing or rapid respiration‚ facial pallor‚ swallowing‚ etc.
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Total
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Rating Clinician-rated
Administration time 10–15 minutes
Main purpose To assess the severity of symptoms
of anxiety
Population Adults‚ adolescents and children
Reference: Hamilton M.The assessment of anxiety states by rating. Br. J. Med. Psychol 1959;32:50–55.
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