【實用醫療app】Hamilton Anxiety Rating Scale|最夯免費app

Reference: Hamilton M.The assessment of anxiety states by rating. Br J Med Psychol 1959;32:50–55.

Rating Clinician-rated

Administration time 10–15 minutes

Main purpose To assess the severity of symptoms of anxiety

Population Adults, adolescents and children

Commentary

The HAM-A was one of the first rating scales developed

to measure the severity of anxiety symptoms, and is still

widely used today in both clinical and research settings.

The scale consists of 14 items, each defined by a series of

symptoms, and measures both psychic anxiety (mental

agitation and psychological distress) and somatic anxiety

(physical complaints related to anxiety). Although the

HAM-A remains widely used as an outcome measure in

clinical trials, it has been criticized for its sometimes poor ability to discriminate between anxiolytic and antidepressant effects, and somatic anxiety versus somatic side effects. The HAM-A does not provide any standardized

probe questions. Despite this, the reported levels of inter-

rater reliability for the scale appear to be acceptable.

Scoring

Each item is scored on a scale of 0 (not present) to 4

(severe), with a total score range of 0–56, where <17 indi-

cates mild severity, 18–24 mild to moderate severity and

25–30 moderate to severe.

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