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Hamilton Anxiety Rating Scale

The Hamilton Anxiety Rating Scale (HAM-A) is a 14-item psychological rating scale used to assess the severity of anxiety in adults. The scale was developed by Max Hamilton in 1959. 

Time to complete

5 minutes

Eligibility

All individuals aged 18 and over who are able to understand and respond to questions can complete the Hamilton Anxiety Rating Scale.

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Questions for Hamilton Anxiety Rating Scale

1.

ANXIOUS MOOD

•Worries •Anticipates worst

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
2.

TENSION

•Startles •Cries easily •Restless •Trembling

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
3.

FEARS

•Fear of the dark •Fear of strangers •Fear of being alone •Fear of animal

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
4.

INSOMNIA

•Difficulty falling asleep or staying asleep •Difficulty with Nightmares

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
5.

INTELLECTUAL

•Poor concentration •Memory Impairment

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
6.

DEPRESSED MOOD

•Decreased interest in activities •Anhedoni •Insomnia

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
7.

SOMATIC COMPLAINTS: MUSCULAR

•Muscle aches or pains •Bruxism

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
8.

SOMATIC COMPLAINTS: SENSORY

•Tinnitus •Blurred vision

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
9.

CARDIOVASCULAR SYMPTOMS

•Tachycardia •Palpitations •Chest Pain •Sensation of feeling faint

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
10.

RESPIRATORY SYMPTOMS

•Chest pressure •Choking sensation •Shortness of Breath

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
11.

GASTROINTESTINAL SYMPTOMS

•Dysphagia •Nausea or Vomiting •Constipation •Weight loss •Abdominal fullness

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
12.

GENITOURINARY SYMPTOMS

•Urinary frequency or urgency •Dysmenorrhea •Impotence

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
13.

AUTONOMIC SYMPTOMS

•Dry Mouth •Flushing •Pallor •Sweating

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present
14.

BEHAVIOR AT INTERVIEW

•Fidgets •Tremor •Paces

The answer should be a single choice:
  1. Not present
  2. Very Mildly present
  3. Mildly present
  4. Moderately present
  5. Severely present

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Here are some FAQs and additional information
on
Hamilton Anxiety Rating Scale

What is the Hamilton Anxiety Rating Scale?

The Hamilton Anxiety Rating Scale (HAM-A) is a standardized psychological test used by healthcare providers to rate the severity of a person’s anxiety. It is a 14-item questionnaire that measures both psychological and somatic symptoms of anxiety.

How is the HAM-A scored?

The HAM-A is scored on a scale of 0 to 56, with 0 representing no anxiety and 56 representing very severe anxiety. Each of the 14 items is scored on a scale of 0 to 4, with 0 representing no symptoms and 4 representing very severe symptoms. The total score is the sum of the 14 individual scores.

What are the key components of the HAM-A?

The HAM-A is composed of 14 items that measure both psychological and somatic symptoms of anxiety. The items are divided into three subscales: psychic anxiety, somatic anxiety, and anxiety-related impairments. Each item is scored on a scale of 0 to 4, with higher scores indicating more severe symptoms.

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