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Hamilton Anxiety Scale

Trends anxiety over time.

id

1843

full_title

Hamilton Anxiety Scale

short_title

Hamilton Anxiety Scale

med_description

Rates level of anxiety based on clinical questions.

description

The Hamilton Anxiety Scale rates level of anxiety based on clinical questions.

keywords

Anxiety level, hamilton anxiety, hamilton anxiety score, hamilton gad score, anxiety rating, hamilton rating, hamilton calc, hamilton anxiety calc, HAM-A calc, hamilton anxiety calc, hamilton anxiety level, anxiety level assessment, ham anx, ham anxiety, hamilton anx, hamilton anx level, hamilton anx dx, hamilton anx diagnosis, hamilton anxiety dx, hamilton anxiety diagnosis

complaint

[ "Anxious" ]

formula

Addition of the selected points. Point Values: 0=Not Present +1=Mild +2=Moderate +3=Severe +4=Very Severe

evidence

measurements

[]

information

Score interpretation:

  • Scores ≤17 indicate mild anxiety severity.
  • Scores of 18-24 indicate mild to moderate anxiety severity
  • Scores of 25-30 indicate moderate to severe anxiety severity
  • Scores >30 indicate severe anxiety

refrences

{ "Clinical Practice Guidelines": [ { "href": "", "text": "" } ], "Manufacturer Website": [ { "href": "", "text": "" } ], "Original/Primary Reference": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/13638508", "text": "Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32:50–55." } ], "Other References": [ { "href": "https://www.intechopen.com/books/different-views-of-anxiety-disorders/measuring-states-of-anxiety-with-clinician-rated-and-patient-rated-scales", "text": "Per Bech. Measuring States of Anxiety with Clinician-Rated and Patient-Rated Scales, Different Views of Anxiety Disorders. 2011, DOI: 10.5772/21246." } ], "Outcomes": [ { "href": "", "text": "" } ], "Validation": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/2963053", "text": "Maier W, Buller R, Philipp M, Heuser I. The Hamilton Anxiety Scale: reliability, validity and sensitivity to change in anxiety and depressive disorders. J Affect Disord 1988;14(1):61–8." } ], "Validations": [] }

pearls

usecase

  • Evaluating new patients to assess their level of anxiety and functioning.
  • Trending a patient’s anxiety level over time.

reasons

The Hamilton Anxiety Scale can help objectify and rate the severity of a patient's anxiety.

next_advice

Patients with anxiety can often benefit from cognitive behavioral therapy (CBT); most can be managed as outpatients.

next_actions

next_management

diseases

[ "Anxiety", "Depression/Suicidality" ]

instructions

published

2022-04-21T20:29:02.137Z

purpose

[ "Diagnosis" ]

search_terms

[ "Anxiety", "psych", "diagnosis", "rule out", "GAD", "worrying", "nervous" ]

seo

{ "keywords_en": "Anxiety level, hamilton anxiety, hamilton anxiety score, hamilton gad score, anxiety rating, hamilton rating, hamilton calc, hamilton anxiety calc, HAM-A calc, hamilton anxiety calc, hamilton anxiety level, anxiety level assessment, ham anx, ham anxiety, hamilton anx, hamilton anx level, hamilton anx dx, hamilton anx diagnosis, hamilton anxiety dx, hamilton anxiety diagnosis", "meta_description_en": "The Hamilton Anxiety Scale rates level of anxiety based on clinical questions." }

specialty

[ "Family Practice", "Geriatrics", "Internal Medicine", "Primary Care", "Psychiatry" ]

departments

[ "Psychiatric" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 2021, "short_title_en": "AUDIT-C", "slug": "audit-c-alcohol-use" }, { "calcId": 1727, "short_title_en": "GAD-7", "slug": "gad7-general-anxiety-disorder7" }, { "calcId": 1845, "short_title_en": "QIDS", "slug": "quick-inventory-depressive-symptomatology-qids" } ]

ismed

false

section

[ "whenToUseViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "psychiatry" ]

cleaned_use

[ "Evaluating new patients to assess their level of anxiety and functioning.", "Trending a patient’s anxiety level over time." ]

pub

true

1. Anxious mood: Worries, anticipation of the worst, fearful anticipation, irritability.
2. Tension: Feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.
3. Fears: Of dark, of strangers, of being left alone, of animals, of traffic, of crowds.
4. Insomnia: Difficulty in falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.
5. Intellectual: Difficulty in concentration, poor memory.
6. Depressed mood: Loss of interest, 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, fainting feelings, missing beat.
10 . Respiratory symptoms: Pressure or constriction in chest, choking feelings, sighing, dyspnea.
11. Gastrointestinal symptoms: Difficulty in swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation.
12. Genitourinary symptoms: Frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation,loss of libido, impotence.
13. Autonomic symptoms: Dry mouth, flushing, pallor, tendency to sweat, giddiness, tension headache, raising of hair.
14. Behavior at interview: Fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.