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No matches found.
Hamilton Anxiety Scale
Rates level of anxiety based on clinical questions
Anxious mood:
Worries
Anticipation of the worst
Fearful anticipation
Irritability
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Tension:
Feelings of tension
Fatigability
Startle response
Moved to tears easily
Trembling
Feelings of restlessness
Inability to relax
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Fears:
Of dark
Of strangers
Of being left alone
Of animals
Of traffic
Of crowds
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Insomnia:
Difficulty in falling asleep
Broken sleep
Unsatisfying sleep and fatigue on waking
Dreams
Nightmares
Night terrors
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Intellectual:
Difficulty in concentration
Poor memory
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Depressed mood:
Loss of interest
Lack of pleasure in hobbies
Depression
Early waking
Diurnal swing
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Somatic (muscular):
Pains and aches
Twitching
Stiffness
Myoclonic jerks
Grinding of teeth
Unsteady voice
Increased muscular tone
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Somatic (sensory):
Tinnitus
Blurring of vision
Hot and cold flushes
Feelings of weakness
Pricking sensation
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Cardiovascular symptoms:
Tachycardia
Palpitations
Pain in chest
Throbbing of vessels
Fainting feelings
Missing beat
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Respiratory symptoms:
Pressure or constriction in chest
Choking feelings
Sighing
Dyspnea
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Gastrointestinal symptoms:
Difficulty in swallowing
Wind abdominal pain
Burning sensations
Abdominal fullness
Nausea
Vomiting
Borborygmi
Looseness of bowels
Loss of weight
Constipation
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Genitourinary symptoms:
Frequency of micturition
Urgency of micturition
Amenorrhea
Menorrhagia
Development of frigidity
Premature ejaculation
Loss of libido
Impotence
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Autonomic symptoms:
Dry mouth
Flushing
Pallor
Tendency to sweat
Giddiness
Tension headache
Raising of hair
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Behavior at interview:
Fidgeting
Restlessness or pacing
Tremor of hands
Furrowed brow
Strained face
Sighing or rapid respiration
Facial pallor
Swallowing
etc.
Not Present
0
Mild
+1
Moderate
+2
Severe
+3
Very Severe
+4
Interpretation
Source: Hamilton M. The assessment of anxiety states by rating.
Br J Med Psychol
. 1959; 32:50–55.
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