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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Hamilton Rating Scale for Depression

12,752 Shared Subjects

N/A
Clinical Assessments
Depression
12/09/2014
hrsd01
01/04/2024
View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR* guid, nimhid, z1
src_subject_id String 20 Required Subject ID how it's defined in lab/project catieid, id, participant_id, ptid, randid, record_id, subject_id, subjectid, subjid, z2
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY bprs_doa, day_of_visit, hamd_date_stability, hamd_date_stability_percent, hamd_todays_date, hamddt, intvdate, testdate, v10_hamd_age, v10_hamd_date, v1_hamd_date, v2_hamd_date, visit_date, z3
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month. age, intvage, v1_hamd_age, v2_hamd_age, z4
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender, z5
crcid String 40 Recommended CRC ID/ROA ID
date Date Recommended Open Label Baseline date MM/DD/YYYY Complete only if starting Open Label Phase. OL Baseline contact is visit where participant is given active drug - included in random data set.
Query update Integer Recommended Updated form 0;1 1= yes; 0= no
Query lang_visit Integer Recommended Language during visit 0;1 1=Spanish; 0=English spanish
Query hsoin Integer Recommended HRS Initial insomnia 0::2;-9 0=Absent: No difficulty falling asleep; 1=Mild:Complains of occasional difficulty falling asleep — i.e., more than 1/2 hour; 2=Severe: Complains of nightly difficulty falling asleep; -9 = Not answered 10013, ham4, ham_initial_insomnia, ham_insom_early, hamd17_early_insomnia, hamd4, hamd_06, hamd_4, hamd_4_stability, hamd_4_stability_percent, hamilton4, hdrs_4, hrsd4, insom_er, insom_hrsd, insomnia, insomnia_early, insomniaearly, v10_hamd_6_insomnia_early, v1_hamd_6_insomnia_early, v2_hamd_6_insomnia_early
Query hmnin Integer Recommended HRS Middle insomnia 0::2;-9 0=Absent: No difficulty; 1=Mild: Patient complains of being restless and disturbed during the night; 2=Severe: Waking during the night—any getting out of bed rates 2 (except for purposes of voiding); -9 = Not answered 10014, ham5, ham_insom_mid, ham_insomnia_middle, hamd17_middle_insomnia, hamd5, hamd_07, hamd_5, hamd_5_stability, hamd_5_stability_percent, hamilton5, hdrs_5, hrsd5, insom_md, insomnia_middle, insomniamiddle, middle, midinsom_hrsd, v10_hamd_7_insomnia_middle, v1_hamd_7_insomnia_middle, v2_hamd_7_insomnia_middle
Query hemin Integer Recommended HRS Late insomnia 0::2;-9 0=Absent: No difficulty; 1=Mild: Waking in early hours of the morning but goes back to sleep; 2=Severe: Unable to fall asleep again if he gets out of bed; -9 = Not answered 10015, delayed, delayinsom_hrsd, ham6, ham_insom_late, ham_terminal_insomnia, hamd17_late_insomnia, hamd6, hamd_08, hamd_6, hamd_6_stability, hamd_6_stability_percent, hamilton6, hdrs_6, hrsd6, insom_lt, insomnia_late, insomnialate, v10_hamd_8_insomnia_late, v1_hamd_8_insomnia_late, v2_hamd_8_insomnia_late
Query hmdsd Integer Recommended HRS Depressed mood 0::4;-9 0=Absent; 1= Doubtful or trivial:These feeling states indicated only on questioning; 2=Mild:These feeling states spontaneously reported verbally/Feels sad, hopeless, helpless, worthless no more than 2 days; 3=Moderate:Communicates feeling states non-verbally—i.e., through facial expression, posture, voice, and tendency to weep/Feels any of the symptoms noted above more days than not, or missed one day of work, or experienced suicidal thoughts during one day; 4=Severe: Patient reports VIRTUALLY ONLY these feeling states in his spontaneous verbal and non-verbal communication; -9 = Not answered 10010, depmood, depress, depress_hrsd, depressed, ham1, ham_depressed, hamd1, hamd17_depmood, hamd6_1, hamd_01, hamd_1, hamd_1_stability, hamd_1_stability_percent, hamilton1, hdrs_1, hrsd1, mood_hrsd, v10_hamd_1_depressedmood, v1_hamd_1_depressedmood, v2_hamd_1_depressedmood
Query hpanx Integer Recommended HRS Psychic anxiety 0::4;-9 0=Absent: No difficulty; 1=Doubtful or trivial: Subjective tension and irritability; 2=Mild: Worrying about minor matters; 3=Moderate: Apprehensive attitude apparent in face or speech; 4=Severe: Fears expressed without questioning; -9 = Not answered 10021, anxiety_psychic, anxietypsychic, ham10, ham_anx_psy, ham_anxiety_psychic, hamd10, hamd17_anxpsychic, hamd6_5, hamd_10_stability, hamd_10_stability_percent, hamd_24, hamilton10, hdrs_10, hrsd10, psychic, psychicanx_hrsd, v10_hamd_12_anxiety_psychic, v1_hamd_12_anxiety_psychic, v2_hamd_12_anxiety_psychic
Query hinsg Integer Recommended HRS Loss of insight 0::2;-9 0=Acknowledges being depressed and ill; 1=Acknowledges illness but attributes cause to bad food, climate, over work, virus, need for rest, etc.; 2=Denies being ill at all; -9 = Not answered 10041, ham17, ham_insight, ham_insight_loss, hamd16, hamd17, hamd17_insight, hamd_17_stability, hamd_17_stability_percent, hamd_28, hamilton17, hdrs_17, hrsd17, insight, insight_hrsd, lossinsight_hrsd, v10_hamd_15_insight, v1_hamd_15_insight, v2_hamd_15_insight
Query happt Integer Recommended HRS Appetite 0::2;-9 0=Normal appetite; 1=Mild reduction; 2=Moderate to severe reduction; -9 = Not answered 10036, appetite_hrsd, ham12, ham_som_gastro, hamd12, hamd17_somsxs_gastro, v10_hamd_4_somaticgastro, v1_hamd_4_somaticgastro, v2_hamd_4_somaticgastro
Query hwl Integer Recommended HRS Weight loss 0::2;-9 0=No weight loss; 1=Probably weight loss associated with present illness; 2=Definite (according to patient) weight loss; -9 = Not answered 10035, ham16, ham_weight_loss, ham_weightloss, hamd17_weight, hamd_14, hamd_16_stability, hamd_16_stability_percent, hamilton16b, hrsd16a, weight, wghtloss, wghtlss_hrsd, wtloss
Query hsanx Integer Recommended HRS Somatic anxiety 0::4;-9 0 = Absent: No somatic anxiety; 1 =Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2= Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3=Moderate: Greater number and frequency of symptoms; accompanied by subjective distress and serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time; -9 = Not answered 10031, anxiety_somatic, anxietysomatic, ham11, ham_anx_som, hamd11, hamd17_anxiety_somatic, hamd_11_stability, hamd_11_stability_percent, hamd_26, hamilton11, hrsd11, somatic, somaticanx_hrsd, v10_hamd_13_anxiety_somatic, v1_hamd_13_anxiety_somatic, v2_hamd_13_anxiety_somatic
Query hhypc Integer Recommended HRS Hypochondriasis 0::4;-9 0=Absent; 1=Mild; 2=Moderate; 3=Moderately severe; 4=Severe; -9 = Not answered 10040, ham15, hamd15, hamd17_hypochondriasis, hamd_27, hamdd_15, hamdd_15_stability, hamdd_15_stability_percent, hamilton15, hrsd15, hypochon_hrsd, hypochondriasis, hypocodr, v10_hamd_14_hypochond, v1_hamd_14_hypochond, v2_hamd_14_hypochond
Query hvwsf Integer Recommended HRS Guilt feelings and delusions 0::4;-9 0=Absent; 1=Doubtful or trivial: Self reproach, feels he has let people down; 2=Mild:Ideas of guilt or rumination over past errors or sinful deeds; 3=Moderate: Present illness is a punishment. Delusions of guilt; 4=Severe: Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations; -9 = Not answered 10011, feelings_of_guilt, guilt, guilt_hrsd, ham2, ham_guilt, hamd17_guilt, hamd2, hamd6_2, hamd_2, hamd_21, hamd_2_stability, hamd_2_stability_percent, hamilton2, hdrs_2, hrsd2, v10_hamd_10_guilt, v1_hamd_10_guilt, v2_hamd_10_guilt
Query hsuic Integer Recommended HRS Suicide 0::4;-9 0=Absent; 1=Feels life is empty; 2=Wishes for death; 3=Active suicidal thoughts; 4=Serious suicide attempt; -9 = Not answered 10012, ham3, ham_suicide, hamd17_suicide, hamd3, hamd_23, hamd_3, hamd_3_stability, hamd_3_stability_percent, hamilton3, hdrs_3, hrsd3, suicide, suicide_hrsd, v10_hamd_11_suicide, v1_hamd_11_suicide, v2_hamd_11_suicide
Query hintr Integer Recommended HRS Work and interests 0::4;-9 0=Absent: No difficulty; 1=Doubtful or trivial: Thoughts and feelings of incapacity , fatigue or weakness related to activities; work or hobbies; 2=Mild: Loss of interest in activity; hobbies or work—either directly reported by patient, or indirect in listlessness, indecision and vacillation (feels he has to push self to work or activities); 3=Moderate: Decrease in actual time spent in activities or decrease in productivity; 4=Severe: Stopped working because of present illness; -9 = Not answered 10018, activities, apathy_hrsd, ham7, ham_work, ham_workact, hamd17_activities, hamd6_3, hamd7, hamd_03, hamd_7, hamd_7_stability, hamd_7_stability_percent, hamilton7, hdrs_7, hrsd7, v10_hamd_2_workandactivities, v1_hamd_2_workandactivities, v2_hamd_2_workandactivities, work1, work_act_interest, workact
Query hengy Integer Recommended HRS Somatic energy 0::2;-9 0 = Absent: No change in energy; 1 = Mild: Infrequent, feelings noted but not marked; 2 =Obvious and severe: Tires very quickly, exhausted much of the time, spontaneously mentions symptoms ; -9 = Not answered ham13, ham_som_gen, hamd13, hamd17_somsxs_gen, motor_activity_energy_hrsd, somaenergy_hrsd
Query hslow Integer Recommended HRS Retardation. Psychomotor (Slowness of thought and speech; impair ed ability to concentrate; decr eased motor activity). 0::4;-9 0=Absent: Normal speech and thought; 1=Mild: Slight retardation at interview; 2=Moderate: Obvious retardation at interview; 3=Severe: Interview difficult; 4=Extreme: Complete stupor; -9 = Not answered 10019, ham8, ham_psychomotor, ham_retardation, hamd17_retardation, hamd6_4, hamd8, hamd_30, hamd_8, hamd_8_stability, hamd_8_stability_percent, hamilton8, hdrs_8, hrsd8, psychoretard_hrsd, retard, retardation, speech_rate_amount_re_hrsd, v10_hamd_16_retardation, v1_hamd_16_retardation, v2_hamd_16_retardation
Query hagit Integer Recommended HRS Agitation 0::5; -9 0=Absent: None; 1=Mild: Fidgetiness; 2=Moderate: Playing with hands, hair, etc.;3=Severe: Moving about, can't sit still; 4=Extreme: Hand wringing, nail biting, hair-pulling, biting of lips; 5=Definite; -9=NA 10020, agitate, agitation, agitation_hrsd, ham9, ham_agitation, hamd17_agitation, hamd9, hamd_29, hamd_9, hamd_9_stability, hamd_9_stability_percent, hamilton9, hdrs_9, hrsd9, irritability_agitation_hrs, v10_hamd_17_agitation, v1_hamd_17_agitation, v2_hamd_17_agitation
Query hsex Integer Recommended HRS Libido 0::2;-9 0 =Absent: No loss or inadequate information; 1 = Mild: Loss of libido and/or some impairment of sexual function; 2 =Severe: Complete loss of sexual drive ; -9 = Not answered 10039, genital, ham14, ham_genital_symptoms, ham_libido, hamd14, hamd17_genitalsxs, hamd_14, hamd_14_stability, hamd_14_stability_percent, hamd_20, hdrs_14, libido_hrsd, libido_sexual_interest_hrs, v10_hamd_3_genitalsymptoms, v1_hamd_3_genitalsymptoms, v2_hamd_3_genitalsymptoms
Query hdtot_r Integer Recommended HRS total score (recorded) hamd_total, hamd_total_17, hamd_total_stability, hamd_total_stability_percent, hdrs_total, hrsdscr, score_hrsd, v10_hamd_totalscore, v1_hamd_totalscore, v2_hamd_totalscore
Query days_baseline Integer Recommended Days since baseline vdahrsd
level String 10 Recommended Treatment level
Query month Integer Recommended Month in Follow-Up
Query time_point Integer Recommended Assessment time point 1=Baseline (STARD); 2=Level exit (STARD); 3= Quarterly follow up (STARD);5= Screening; 10= Baseline; 21, 22, 23 = Mid-point 1, 2, 3; 30= End-of-treatment; 41, 42, 43= Follow-up1, 2, 3 etc.; 601 = 6 Month Reassessment ; 602 = 12 Month Reassessment ; 603 = 18 Month Reassessment
Query hrsd_total Integer Recommended HRS total score hrsd_r, hrsd_tot
Query hamd_02 Integer Recommended Hopelessness 0::4;-9 0=Absent; 1=Mild; 2=Moderate; 3=Moderately severe; 4=Severe; -9 = Not answered ham23, ham27, ham_hopeless, hopeless, hopelessness
Query hamd_04 Integer Recommended Helplessness 0::4;-9 0=Absent; 1=Mild; 2=Moderate; 3=Moderately severe; 4=Severe; -9 = Not answered ham22, ham26, ham_helpless, helpless, helplessness
Query hamd_05 Integer Recommended Social withdrawal 0::4 0=Absent; 1=Mild; 2=Moderate; 3=Moderately severe; 4=Severe hamilton23
Query hamd_09 Integer Recommended Hypersomnia 0::2;-9 0 =Absent; 1 =Mild: Less than 60 minutes; 2 = Obvious and definite: goes to bed more than 60 minutes earlier on most nights ; -9 = Not answered 10017, ham_hypersom_time, hamilton28, hypersomnia
Query hamd_10 Integer Recommended Somatic symptoms gastrointestinal 0::2 0=Normal; 1=Mild; 2=Moderate to severe 10028, gastro, ham_somatic_gastro, hamd12, hamd_12_stability, hamd_12_stability_percent, hamilton12, hrsd12, symptomsgastro
Query hamd_11 Integer Recommended Appetite increase 0::3; -9 0=Absent; 1=Mild: Minimal or slight increase in appetite, food cravings; 2=Obvious: Definite and marked increase in food Intake; 3=Severe; -9 =NA appetite, apptinc, ham_appetite_incr, hamilton24
Query hamd_12 Integer Recommended Increased eating 0::3 0=Absent; 1=Mild; 2=Moderate; 3=Marked hamilton25
Query hamd_13 Integer Recommended Carbohydrate craving 0::3 0=Absent; 1=Mild; 2=Moderate; 3=Marked carbcrav, hamilton26
Query hamd_15 Integer Recommended 14b Loss of weight rated by ward staff 0::2 0=Normal; 1=Mild; 2=Moderate to severe ham_wlossrec, hamd17
Query hamd_16 Integer Recommended 15a Weight Gain 0::2;-9 0 = Absent; 1 = Doubtful or minimal: Less than 5 lbs in 2 wks; 2 = Obvious: Greater than or equal to 5 lbs over the past 2 weeks ; -9 = Not answered 10037, ham_weight_gain, hamilton27, wtgain
Query hamd_17 Integer Recommended 15b Gain of weight rated by ward staff 0::2 0=Normal; 1=Mild; 2=Moderate to severe
Query hamd_18 Integer Recommended Somatic symptoms general 0::2 0=Normal; 1=Mild; 2=Moderate to severe 10038, general, hamd13, hamd6_6, hamd_13_stability, hamd_13_stability_percent, hamilton13, hrsd13, som_gen, symptomsgeneral, v10_hamd_9_somaticgeneral, v1_hamd_9_somaticgeneral, v2_hamd_9_somaticgeneral
Query hamd_19 Integer Recommended Fatiguability 0::4 0=Absent; 1=Mild; 2=Moderate; 3=Moderately severe; 4=Severe anergia, fatigue, hamilton22
Query hamd_22 Integer Recommended Worthlessness 0::4;-9 0=Absent; 1=Mild; 2=Moderate; 3=Moderately severe; 4=Severe; -9 = Not answered ham24, ham28, ham_worthless, worthles, worthlessness
Query hamd_25 Integer Recommended Concentration 0::4 0=Absent; 1=Mild; 2=Moderate; 3=Moderately severe; 4=Severe 10033
Query hamd_31 Integer Recommended 29A. (H18) Diurnal Variation 0::3 0=No variation or not currently depressed; 1=Worse in AM; 2=Worse in PM; 3=Worse in afternoon depint, diurnal
Query hamd_32 Integer Recommended 29B. When present, mark the severity of the variation: 0::2;-9 0=Normal; 1=Mild; 2=Moderate to severe; -9 = Not answered diurnalampm, diurnalv, ham18, ham_diurnal, ham_diuvarsev
Query hamd_33 Integer Recommended Depersonalization/derealization 0::4 0=Absent; 1=Mild; 2=Moderate; 3=Moderately severe; 4=Severe deperson, depersonalization, dereal, ham19, ham_dereal, hamilton19
Query hamd_34 Integer Recommended Paranoid symptoms 0::4 0=Absent; 1=Mild; 2=Moderate; 3=Moderately severe; 4=Severe ham20, ham_paranoid, hamilton20, paranoia, paranoid
Query hamd_35 Integer Recommended Obsessive and compulsive symptoms 0::2 0=Normal; 1=Mild; 2=Moderate to severe ham21, ham_obsess, hamilton21, hdrs_21, hocd, obsess, obsession
Query hamd_36 Float Recommended HAMD Total 17 Item Score _score17, ham17tot, ham_tot17, ham_total_score, hamd17_tot, hamdscor, score17
Query hamd_score_24 Float Recommended HAMD Total 24 Item Score _score24, ham24tot, score, score24
subject_description String 4,000 Recommended Subject related information (e.g the affection, phenotype, disease information, etc.).
Query site String 101 Recommended Site Study Site siteid
session_id String 20 Recommended session ID/screening ID screeningid
Query visit String 60 Recommended Visit name visit_name, visitn, visitnum, vtypbima, vtypbprs
Query version_form String 121 Recommended Form used/assessment name form_name
Query completed Integer Recommended Checks if completed 0::3 0=No; 1=Yes; 2=Yes, lost; 3=Unverified tstst
Query study String 100 Recommended Study; The code for each individual study vistyp
Query week Float Recommended Week in level/study 99=week 10-week 14 intid
Query hypersom_1 Integer Recommended Hypersomnia: During the past week, have you been sleeping too much? 0::4 0=No increase in sleep length, 1=At least one hour increase, 2=2+hours increase, 3=3+hours increase, 4=4+hours increase,
Query hyplen Integer Recommended Sleep length used to measure Hypersomnia 1;2 1=Euthymic, 2=8-Hour,
Query ca220 Integer Recommended Current condition - Other depressive symptoms: Diurnal variation 1::3 1=Worse in morning; 2=Worse in evening; 3=No difference depintim
Query diurvar Integer Recommended Diurnal variation: mood/energy 0::3 0=No variation or not currently present; 1=Mild intensity; 2=Moderate intensity;3=Severe intensity diurnalv
Query diurtm Integer Recommended Diurnal variation mood/energy: time period 1;2 1=Afternoon;2=Evening
Query phase Integer Recommended Phase 9 =follow up
Query vis_type Integer Recommended Visit type 0::2 1=Phone/remote; 0=doctor's office/In person; 2=No, not phone interview phone
Query hwl_hx Integer Recommended HRS Weight loss by history 0::3 0=No weight loss; 1=Probable weight loss associated with present illness; 2=Definite weight loss; 3= not assessed hamd16a, hamilton16a, hdrs_16, v1_hamd_5_weightloss, v1_hamd_5_weightloss_history, v2_hamd_5_weightloss_history
Query hwl_wk Integer Recommended HRS Weight loss by week 0::3 0=Less than 1lb. during past week; 1=Greater than 1lb. During the past week; 2=Greater than 2lb. during the past week; 3=not assessed hamd16b, hdrs_16b, hrsd16b, v10_hamd_5_weightloss, v1_hamd_5_weightloss_weekly, v2_hamd_5_weightloss_weekly
date_updated Date Recommended Date record updated edit_date
neurotmh String 10 Recommended Time Hours timeh
neurotmm String 10 Recommended Time Minutes timem
Query study_id Integer Recommended Study ID number 46=Acute Phase; 47=Stabilization Phase
mildtime String 2 Recommended Diurnal variation: mild variation time AM;PM eosdthdt
sevtime String 2 Recommended Diurnal variation: severe variation time AM;PM eosalvdt
Query saps_ad10 Integer Recommended Rater number
Query ksd1dur Integer Recommended Duration of Depressed Mood (weeks) 888=NA; 999=Missing v10_hamd_1_depressedmood_length, v1_hamd_1_depressedmood_length, v2_hamd_1_depressedmood_length
Query visnum Float Recommended Numeric Visit Number -1.5 = Pre-Screening; -1 = Screening; 0 = Baseline; ## = Visit ## (from 1 to 10); Whole numbers = standard monthly visits; #.001 - #.009 = Unscheduled; #.1 = End of Phase 1; #.2 = End of Phase 2; #.3 = End of Phase 3; #.4 = End of Open Choice Phase; #.5 = End of Study; #.6 = Genetic Analysis; 1000=all visits visitdatehamd1, visitdatehamd1_stability, visitdatehamd1_stability_percent
Query hamsc21 Integer Recommended Score 21 items sum items 1-21 (including 16A, 16B, and 18B--but not 18A following Rating Instructions)
Query hamsc28 Integer Recommended score 28 items sum items 1-28 (including 16A, 16B, and 18B--but not 18A following Rating Instructions) ham_tot28, hamtot28
Query ham18a Integer Recommended Diurnal Variation Severity AM 0::2 GRID D = Symptom Intensity Absent; Mild or Probable; Marked or Definite.
Query ham18b Integer Recommended Diurnal Variation Severity PM 0::2 GRID D = Symptom Intensity Absent; Mild or Probable; Marked or Definite.
Query me2 Integer Recommended Status 0;1 0 = Past [Inactive]; 1 = Active
Query hsleep Integer Recommended Oversleeping 0::2;-9 0 = Absent; 1 = Mild or infrequently: Oversleeps less than 60 minutes; 2 =Obvious or definite: Oversleeps more than 60 minutes most days ; -9 = Not answered ham_hypersom_over
Query hnap Integer Recommended Napping 0::2;-9 0 = Absent; 1 = Mild or infrequently: Naps less than 30 minutes; 2 =Obvious or definite: Naps more than 30 minutes most days; -9 = Not answered ham_hypersom_naps
Query hpre Integer Recommended Psychic Retardation (Slowness of speech and thought processes. Describes inhibition of will or feeling as if thought processes are paralyzed) 0::4;-9 0 = Absent; 1 = Mild: Slight slowing of speech or thought; 2 = Moderate: Delayed in answering questions, describes volitional inhibition; 3 = Severe: Slowness of speech and thought processes sufficient to markedly prolong interview; 4 =Extreme: Nearly mute, minimally responsive ; -9 = Not answered ham_psyc_retard
Query hmre Integer Recommended Motoric Retardation (Slowness in movement and affective expression.) 0::4;-9 0= Absent; 1 = Mild: Slight flattening of affect, fixed expression; 2 = Moderate: Monotonous voice and decrease in spontaneous movement; 3 = Severe: Obvious slowness of movement and gait; blunted affect; 4 =Extreme: Stuporous. Marked motoric retardation in gait and posture ; -9 = Not answered ham25, ham_motor_retard
Query scoreatyp Integer Recommended sum of items 25, 26, 27, and 28 on the assessment
Query hrsd_24 Integer Recommended Rejection Sensitivity 0::3 0=Absent; 1=Mild; 2=Moderate; 3=Severe rejection
Query hrsd_26 Integer Recommended Hypersomnia (severity level) 0::3 0=Absent; 1=Mild; 2=Moderate; 3=Severe
Query visitid Integer Recommended MetaTrial Visit ID System variable: unique code for each type of visit -use to merge files
Query agitate1 Integer Recommended Agitation (Restlessness associated with anxiety) 0::2; -9 0=Absent: None; 1= Occasional: Playing with hands, hair, etc.;2= Frequent: Hand wringing, nail biting, hair-pulling, biting of lips; -9=NA hamd9
Query aescode Integer Recommended Staff code number of person completing this form 999= Missing Data rater_hamd1
Query work_act_drive Integer Recommended Initiative/Drive 0::4 0=No difficulty; 1=Thoughts and feelings of incapacity , or disinterest related to activities, work or hobbies; 2=Loss of interest in activity; hobbies or work either directly reported by patient, or indirect in listlessness, indecision and vacillation (feels he/she has to push self to work or activities); 3=Decrease in actual time spent in activities or decrease in productivity; 4=Complete loss of interest, anhedonia, stopped working because of present illness
Query work_act_produc Integer Recommended Activity Level/Productivity 0::4 0=No difficulty; 1=Thoughts and feelings of incapacity , or disinterest related to activities, work or hobbies; 2=Loss of interest in activity; hobbies or work either directly reported by patient, or indirect in listlessness, indecision and vacillation (feels he/she has to push self to work or activities); 3=Decrease in actual time spent in activities or decrease in productivity; 4=Complete loss of interest, anhedonia, stopped working because of present illness
Query work_act_pleasure Integer Recommended Pleasure/Ability to enjoy 0::4 0=No difficulty; 1=Thoughts and feelings of incapacity , or disinterest related to activities, work or hobbies; 2=Loss of interest in activity; hobbies or work either directly reported by patient, or indirect in listlessness, indecision and vacillation (feels he/she has to push self to work or activities); 3=Decrease in actual time spent in activities or decrease in productivity; 4=Complete loss of interest, anhedonia, stopped working because of present illness
Query hrs_appetite Integer Recommended Appetite (Increased/Decreased). Pick the highest of the two scores 0::2 0=Normal appetite; 1=Mild; 2=Definite Change appetite
Query weight_hrsd Integer Recommended Weight (Loss/Gain). Pick the highest of the two scores 0::2 0=No change in weight; 1=Mild; 2=Definite Change
Query par_class Integer Recommended Participant Classification 1::3 1=Patient, 2=Healthy Control, 3=Family Member status_hrsd
Query work_and_activities Float Recommended Work and Activities (overall average score) 0::4 0=No difficulty; 1=Thoughts and feelings of incapacity , or disinterest related to activities, work or hobbies; 2=Loss of interest in activity; hobbies or work�either directly reported by patient, or indirect in listlessness, indecision and vacillation (feels he/she has to push self to work or activities); 3=Decrease in actual time spent in activities or decrease in productivity; 4=Complete loss of interest, anhedonia, stopped working because of present illness ham_workactivities
sample Integer Recommended Training or randomized case 1::5 1 = randomized; 2 = training; 3=randomized-control; 4=randomized-intervention; 5=concurrent cohort-intervention
atypical_totalscore Integer Recommended Total 8-Item Atypical Score
sighsad_totalscore Integer Recommended Total 29-Item SIGH-SAD Score
atypbal_balancescore Integer Recommended Atyipcal Balance Score: Total 8-item atypical score divided by total 29-item SIGH-SAD score, multiplied by 100 atypical score divided by total 29-item SIGH-SAD score, multiplied by 100):
timepoint_trtint Integer Recommended Treatment week interview administered 1::9 1=A1; 2=A2; 3=A3; 4=A4; 5=A5; 6=A6; 7=A7; 8=A8; 9=A9
rxchange Integer Recommended Has your antidepressant medication changed in any way since you started the study such as taking a new medication or taking the same medication at a higher dose? 0;1 1=Yes; 0=No
newtrt Integer Recommended Have you started any new treatments outside of the treatment you are receiving in this study such as light therapy, talk therapy, or medications? 0;1 1=Yes; 0=No
stim_med Integer Recommended Do you take a stimulant medication (such as Adderall, Provigil, or Nuvigil for ADHD, sleep apnea, or another condition)? 0;1 1=Yes; 0=No
sick_pweek Integer Recommended Have you been physically sick or ill over the last week? 0;1 1=Yes; 0=No
trip_lab Integer Recommended Have you taken any trips outside of the area since you were last here in the lab? 0::2 0=None; 1=Non-Tropical; 2=Tropical
ss10b_a5b Integer Recommended Has the (CRAVING OR EATING) occurred at any particular time of day? 0::3 0 = it comes and goes at various times; 1 = usually morning; 2 = usually afternoon or evening; 3 = virtually all the time
ham_anxiety_somatic Integer Recommended HRSD - Anxiety somatic 0::4 0 = Absent; 1 = Mild (symptom(s) present only infrequently, no impairment, minimal distress); 2 = Moderate (symptom(s) more persistent, or some interference with usual activities, moderate distress); 3 = Severe (significant impairment in functioning); 4 = Incapacitating hdrs_11
ham_depressed_mood Integer Recommended HRSD - Depressed Mood (sadness, hopeless, helpless, worthless) 0::4 0 = Absent; 1 = Indicated only on questioning (occasional, mild depression); 2 = Spontaneously reported verbally (persistent, mild to moderate depression); 3 = Communicated non-verbally, i.e., facial expression, posture, voice, tendency to weep (persistent, moderate to severe depression); 4 = VIRTUALLY ONLY those feeling states reported in spontaneous verbal and non-verbal communication (persistent, very severe depression, with extreme hopelessness or tearfulness)
ham_somatic_general Integer Recommended HRSD - General Somatic Symptoms 0::2 0 = None; 1 = Heaviness in limbs, back, or head. Backaches, headaches, muscle aches. Loss of energy and fatigability (somewhat less energy than usual; mild, intermittent loss of energy or muscle aches/heaviness); 2 = Any clear-cut symptoms (persistent, significant loss of energy or muscle aches/heaviness)
ham_hypochon Integer Recommended HRSD - Hypochondriasis 0::4 0 = Not present (absence of inappropriate worry OR completely reassured); 1 = Self-absorption (bodily, some inappropriate worry about his/her health OR slightly concerned despite reassurance); 2 = Preoccupation with health (often has excessive worries about his/her health OR definitely concerned has specific illness despite medical reassurance); 3 = Frequent complaints, requests for help, etc. (is certain there is a physical problem which the doctors cannot confirm; exaggerated or unrealistic concerns about body and physical health); 4 = Hypochondriacal delusions (e.g., feels parts of body decaying or rotting away; occurs rarely in outpatients) hdrs_15
sigh_sad_hyp Integer Recommended SIGH-SAD: Hypersomnia 0::4 0=No increase in sleep length; 1=At least 1 hour increase in sleep length; 2=2 hour increase; 3=3 hour increase; 4=4 or more hour increase
sigh_sad_sleep_len Integer Recommended SIGH-SAD: Hypersomnia sleep length used (if not established, use 8 hours) 0::24 In hours
sigh_sad_da Integer Recommended SIGH-SAD: Difficulty awakening (including weekends) 0::4 0=No difficulty; 1=Needs alarm to wake up at desired time, wide awake within 30 minutes; 2=Feels sleepy for at least 30 minutes after alarm; 3=Requires major effort to get out of bed, feels sleep for at least 3 hours after alarm; 4=Often falls back asleep after alarm, feels sleepy for at least 5 more hours
sigh_sad_alm_min Integer Recommended SIGH-SAD: Difficulty awakening, time of alarm (hour) 1::12
sigh_sad_alm_ampm Integer Recommended SIGH-SAD: Difficulty awakening, time of alarm (min) 0::59
sigh_sad_alm_hr Integer Recommended SIGH-SAD: Difficulty awakening, time of alarm (AM or PM) 1;2 1=AM; 2=PM
sigh_sad_ftg Integer Recommended SIGH-SAD: Fatigiability 0::4 0=Does not feel more fatigued than usual; 1=Feels more fatigued than usual but this has not impaired function significantly; 2=More fatigued than usual, at least one hour a day, at least three days a week; 3=Fatigued much of the time most days; 4=Fatigued almost all of the time
sigh_sad_dv_slump Integer Recommended SIGH-SAD: Diurnal variation type B 0::3 0=No; 1=Yes, of mild intensity; 2=Yes, of moderate intensity; 3=Yes, of severe intensity
sigh_sad_dv Integer Recommended SIGH-SAD: Diurnal variation type B, what type of slump(s)? 1::3 1=Mood slump; 2=Energy slump; 3=Both mood and energy slumps
sigh_sad_score Integer Recommended SIGH-SAD: Total atypical score
sigh_sad_sw Integer Recommended SIGH-SAD: Social withdrawal 0::4 0=Interacting with other people as usual; 1=Less interested in socializing with others, but continues to do so; 2=Interacting less with other people in social (optional) situations; 3=Interacting less with other people in work or family situations (i.e., where this is necessary); 4=Marked withdrawal from others in family or work situations
sigh_sad_wg Integer Recommended SIGH-SAD: Weight gain 0::2 0=No weight gain; 1=Probable weight gain due to current depression; 2=Definite (according to patient) weight gain due to depression
sigh_sad_ai Integer Recommended SIGH-SAD: Appetite increase 0::3 0=No increase in appetite; 1=Wants to eat a little more than usual; 2=Wants to eat somewhat more than usual; 3=Wants to eat much more than usual
sigh_sad_ie Integer Recommended SIGH-SAD: Increased eating 0::3 0=Is not eating more than usual; 1=Is eating a little more than usual; 2=Is eating somewhat more than usual; 3=Is eating much more than normal
sigh_sad_starch_sweet Integer Recommended SIGH-SAD: Have you been craving or eating mainly starches or mainly sweets? 1::3 1=Mainly starches; 2=Mainly sweets; 3=Both starches and sweets
sigh_sad_crave_eat Integer Recommended SIGH-SAD: Have you been actually eating more starches or sweets, or just craving them? 1::3 1=Craving; 2=Eating; 3=Both craving and eating
sigh_sad_cce Integer Recommended SIGH-SAD: Carbohydrate craving or eating (in relation to total amount of food desired or eaten) 0::3 0=No change in food preference or consumption; 1=Craving or eating more carbohydrates than before; 2=Craving or eating much more carbohydrates than before; 3=Irresistable craving or eating of sweets or starches
hs_anx Integer Recommended HRS Somatic anxiety 0::4 0 = ABSENT; 1 = MILD: 2 days a week; 2 = MODERATE: 1 or more days a week; 3 = MARKED: Almost every day; 4 = SEVERE: Interference with work, social, or family functioning
hdrs_23 Integer Recommended HOPELESSNESS 0 :: 4 0= Not present; 1= Intermittently doubts that things will improve but can be reassured; 2= Consistently feels hopeless but accepts reassurance; 3= Expresses feelings of discouragement, despair, pessimism about future, which cannot be dispelled; 4= Spontaneously and inappropriately perseverates, I'll never get well or its equivalent.
hdrs_24 Integer Recommended WORTHLESSNESS (Ranges from mild loss of esteem, feelings of inferiority, self depreciation to delusions notions of worthlessness.) 0 :: 4 0= Not present; 1= Indicates feelings of worthlessness (loss of self esteem) only on questioning.; 2= Spontaneously indicates feelings of worthlessness (loss of self esteem).; 3= Different from 2 by degree: Patient volunteers that he is no good, inferior, etc.; 4= Delusional notions of worthlessness ie. I am a heap of garbage or its equivalent.
hdrs_12 Integer Recommended SOMATIC SYMPTOMS GASTROINTESTINAL 0 :: 2 0= None; 1= Loss of appetite but eating with staff encouragement. Heavy feelings in abdomen.; 2= Difficulty eating without staff urging. Requests or requires laxatives or medications for bowels or medications for GI symptoms.
hdrs_13 Integer Recommended SOMATIC SYMPTOMS GENERAL 0 :: 2 0= None; 1= Heaviness in limbs back or head. Backaches, headache, muscle aches. Loss of energy and fatiguability.; 2= Any clear cut symptom rates 2
hdrs_18a Integer Recommended DIURNAL VARIATION (AM) 0 :: 2 0= Absent; 1= Mild; 2= Severe
hdrs_18b Integer Recommended DIURNAL VARIATION (PM) 0 :: 2 0= Absent; 1= Mild; 2= Severe
hdrs_19 Integer Recommended DEPERSONALIZATION AND DEREALIZATION 0 :: 4 0= Absent; 1= Mild; 2= Moderate; 3= Severe; 4= Incapacitating
hdrs_20 Integer Recommended PARANOID SYMPTOMS 0 :: 4 0= None (extreme self consciousness is not rated as suspiciousness); 1= Doubtful or trivial suspicion; 2= Suspiciousness; 3= Ideas of reference; 4= Delusions of reference and persecution
hdrs_22 Integer Recommended HELPLESSNESS 0 :: 4 0= Not present; 1= Subjective feelings which are elicited only by inquiry; 2= Patient volunteers his helpless feelings; 3= REQUIRES urging, guidance, and reassurance to accomplish ward chores or personal hygiene; 4= Requires physical assistance for dress, grooming, eating, bedside tasks or personal hygiene
hamd17_8 Integer Recommended In the past 7 days, have you been feeling guilt about anything that you have or have not done? 0::4 0 = Absent; 1 = Doubtful or trivial: Feelings of self-reproach or letting people down; 2 = Mild: Ideas of guilt spontaneously expressed; 3 = Moderate: Believes that present illness may be a punishment; ruminations over past errors or sins; may state that illness and suffering are deserved; 4 = Severe: Guilty delusions; accuses self of unlikely or impossible blame; may have accusing ordenouncing auditory or visual hallucinations
hamd17_9 Integer Recommended In the past 7 days, have you had thoughts that you have, in some way, brought your depression on yourself, or that you are being punished? 0::4 0 = Absent; 1 = Doubtful or trivial: Feelings of self-reproach or letting people down; 2 = Mild: Ideas of guilt spontaneously expressed; 3 = Moderate: Believes that present illness may be a punishment; ruminations over past errors orsins; may state that illness and suffering are deserved; 4 = Severe: Guilty delusions; accuses self of unlikely or impossible blame; may have accusing ordenouncing auditory or visual hallucinations
hamd17_10 Integer Recommended In the 7 days, have there been mornings you wish you would not wake up? 0::4 0 = Absent; 1 = Doubtful or trivial: In response to direct questioning, says life is empty, not worth living; 2 = Mild: Recurrent thoughts of death, death wishes spontaneously given or elicited; 3 = Moderate: Active suicidal thoughts, threats, or gestures; 4 = Severe: Actual attempt at suicide
hamd17_11 Integer Recommended In the past 7 days, have you had any thoughts that your life is not worth living 0::4 0 = Absent; 1 = Doubtful or trivial: In response to direct questioning, says life is empty, not worth living; 2 = Mild: Recurrent thoughts of death, death wishes spontaneously given or elicited; 3 = Moderate: Active suicidal thoughts, threats, or gestures; 4 = Severe: Actual attempt at suicide
hamd17_12 Integer Recommended If YES: Have you been thinking a lotabout death, or that you would be better off dead? 0::4 0 = Absent; 1 = Doubtful or trivial: In response to direct questioning, says life is empty, not worth living; 2 = Mild: Recurrent thoughts of death, death wishes spontaneously given or elicited; 3 = Moderate: Active suicidal thoughts, threats, or gestures; 4 = Severe: Actual attempt at suicide
hamd17_13 Integer Recommended In the past 7 days, Have you had thoughts about hurting or killing yourself? 0::4 0 = Absent; 1 = Doubtful or trivial: In response to direct questioning, says life is empty, not worth living; 2 = Mild: Recurrent thoughts of death, death wishes spontaneously given or elicited; 3 = Moderate: Active suicidal thoughts, threats, or gestures; 4 = Severe: Actual attempt at suicide
hamd17_14 Integer Recommended If YES: What have you thought about?Plan? Intent? 0::4 0 = Absent; 1 = Doubtful or trivial: In response to direct questioning, says life is empty, not worth living; 2 = Mild: Recurrent thoughts of death, death wishes spontaneously given or elicited; 3 = Moderate: Active suicidal thoughts, threats, or gestures; 4 = Severe: Actual attempt at suicide
hamd17_15 Integer Recommended In the past 7 days, have you actually done anything to hurt yourself? 0::4 0 = Absent; 1 = Doubtful or trivial: In response to direct questioning, says life is empty, not worth living; 2 = Mild: Recurrent thoughts of death, death wishes spontaneously given or elicited; 3 = Moderate: Active suicidal thoughts, threats, or gestures; 4 = Severe: Actual attempt at suicide
hamd17_16 Integer Recommended In the past 7 days, after your head hits the pillow and the lights go out, how long does it take you to fall asleep? 0::2 0 = Absent: 15 minutes or less; 1 = Mild, trivial, infrequent: Complains of occasional difficulty falling asleep, less that 30 minutes; 2 = Obvious and severe: More that 30 minutes on most nights
hamd17_17 Integer Recommended In the past 7 days, how many nights this week have you had this trouble falling asleep? 0::2 0 = Absent: 15 minutes or less; 1 = Mild, trivial, infrequent: Complains of occasional difficulty falling asleep, less that 30 minutes; 2 = Obvious and severe: More that 30 minutes on most nights
hamd17_18 Integer Recommended In the past 7 days, do you wake up in the middle of the night? 0::2 0 = Absent: (or getting up to go to the bathroom); 1 = Mild, infrequent: Complains of being restless and disturbed during the night. If wakes tovoid, unable to return to sleep quickly (>15 minutes); 2 = Obvious and severe: Wakes once or more after being asleep and has difficulty sleeping again. Any getting out of bed (other that to go to the bathroom)
hamd17_19 Integer Recommended If YES: Do you get out of bed? What do you do? 0::2 0 = Absent: (or getting up to go to the bathroom); 1 = Mild, infrequent: Complains of being restless and disturbed during the night. If wakes tovoid, unable to return to sleep quickly (>15 minutes); 2 = Obvious and severe: Wakes once or more after being asleep and has difficulty sleeping again. Any getting out of bed (other that to go to the bathroom)
hamd17_20 Integer Recommended In the past 7 days, how long are you out of bed or awake? 0::2 0 = Absent: (or getting up to go to the bathroom); 1 = Mild, infrequent: Complains of being restless and disturbed during the night. If wakes tovoid, unable to return to sleep quickly (>15 minutes); 2 = Obvious and severe: Wakes once or more after being asleep and has difficulty sleeping again. Any getting out of bed (other that to go to the bathroom)
hamd17_21 Integer Recommended In the past 7 days, when you get back in bed, are you able to fall right back to sleep? 0::2 0 = Absent: (or getting up to go to the bathroom); 1 = Mild, infrequent: Complains of being restless and disturbed during the night. If wakes tovoid, unable to return to sleep quickly (>15 minutes); 2 = Obvious and severe: Wakes once or more after being asleep and has difficulty sleeping again. Any getting out of bed (other that to go to the bathroom)
hamd17_22 Integer Recommended In the past 7 days, are you waking up earlier that you need to or want to? 0::2 0 = Absent; 1 = Mild, infrequent: Wakes earlier than usual but eventually sleeps again until normal time; 2 = Obvious and severe: Wakes 1-3 hours before time and is unable to sleep again
hamd17_23 Integer Recommended In the past 7 days, what time do you used to get up? What time now? 0::2 0 = Absent; 1 = Mild, infrequent: Wakes earlier than usual but eventually sleeps again until normal time; 2 = Obvious and severe: Wakes 1-3 hours before time and is unable to sleep again
hamd17_24 Integer Recommended In the past 7 days, are you able to get back to sleep? 0::2 0 = Absent; 1 = Mild, infrequent: Wakes earlier than usual but eventually sleeps again until normal time; 2 = Obvious and severe: Wakes 1-3 hours before time and is unable to sleep again
hamd17_25 Integer Recommended In the past 7 days, how often did this happen? 0::2 0 = Absent; 1 = Mild, infrequent: Wakes earlier than usual but eventually sleeps again until normal time; 2 = Obvious and severe: Wakes 1-3 hours before time and is unable to sleep again
hamd17_26 Integer Recommended In the past 7 days, have you been less interested in things that usual? 0::4 0 = Absent: No disturbance; 1 = Doubtful or trivial: Feels incapable, listless, less efficient (distinguish from fatigue, anergia); 2 = Mild: Has to push to undertake normal activities; loss of interest, sees no point, gets lesssatisfaction; 3 = Moderate: Clearly decreased efficiency; gets less done; spends less time working, doing choresor recreations; 4 = Severe: Stopped working because of present illness; does not shave, bathe, etc.
hamd17_27 Integer Recommended In the past 7 days, have you been getting less pleasure or satisfaction from things you used to enjoy? 0::4 0 = Absent: No disturbance; 1 = Doubtful or trivial: Feels incapable, listless, less efficient (distinguish from fatigue, anergia); 2 = Mild: Has to push to undertake normal activities; loss of interest, sees no point, gets lesssatisfaction; 3 = Moderate: Clearly decreased efficiency; gets less done; spends less time working, doing choresor recreations; 4 = Severe: Stopped working because of present illness; does not shave, bathe, etc.
hamd17_1 Integer Recommended In the past 7 days, (since last _______), what?s your mood been like? 0::4 0 = Absent: Not depressed; 1 = Doubtful or trivial: Behavioral evidence and feeling states elicited only on direct questioning; 2 = Mild: Occasional weeping, feeling state reported spontaneously; 3 = Moderate: Obvious behavioral evidence, frequent weeping and behavioral state comprise a large part of spontaneous communication; 4 = Severe: Exhibits VIRTUALLY ONLY this feeling state in spontaneous verbal and non-verbalcommunications
hamd17_28 Integer Recommended In the past 7 days, are you feeling motivated in doing those things, or do you feel you have to push yourself to do them? 0::4 0 = Absent: No disturbance; 1 = Doubtful or trivial: Feels incapable, listless, less efficient (distinguish from fatigue, anergia); 2 = Mild: Has to push to undertake normal activities; loss of interest, sees no point, gets lesssatisfaction; 3 = Moderate: Clearly decreased efficiency; gets less done; spends less time working, doing choresor recreations; 4 = Severe: Stopped working because of present illness; does not shave, bathe, etc.
hamd17_29 Integer Recommended In the past 7 days, are you getting less things done or falling behind? 0::4 0 = Absent: No disturbance; 1 = Doubtful or trivial: Feels incapable, listless, less efficient (distinguish from fatigue, anergia); 2 = Mild: Has to push to undertake normal activities; loss of interest, sees no point, gets lesssatisfaction; 3 = Moderate: Clearly decreased efficiency; gets less done; spends less time working, doing choresor recreations; 4 = Severe: Stopped working because of present illness; does not shave, bathe, etc.
hamd17_30 Integer Recommended In the past 7 days, have you stopping doing anything you used to do? 0::4 0 = Absent: No disturbance; 1 = Doubtful or trivial: Feels incapable, listless, less efficient (distinguish from fatigue, anergia); 2 = Mild: Has to push to undertake normal activities; loss of interest, sees no point, gets lesssatisfaction; 3 = Moderate: Clearly decreased efficiency; gets less done; spends less time working, doing choresor recreations; 4 = Severe: Stopped working because of present illness; does not shave, bathe, etc.
hamd17_31 Integer Recommended If YES: Why? 0::4 0 = Absent: No disturbance; 1 = Doubtful or trivial: Feels incapable, listless, less efficient (distinguish from fatigue, anergia); 2 = Mild: Has to push to undertake normal activities; loss of interest, sees no point, gets lesssatisfaction; 3 = Moderate: Clearly decreased efficiency; gets less done; spends less time working, doing choresor recreations; 4 = Severe: Stopped working because of present illness; does not shave, bathe, etc.
hamd17_32 Integer Recommended In the past 7 days, how?s your concentration? How?s your memory? 0::4 0 = Absent; 1 = Mild: Slight flattening of affect, retardation at interview; 2 = Moderate: Monotonous voice, delay in answering question, tends to sit motionless; obviousretardation at interview; 3 = Severe: Retardation prolongs interview to a marked degree, slowness; 4 = Extreme: Depressive stupor, interview impossible
hamd17_33 Integer Recommended In the past 7 days, have your thoughts been slowed down? 0::4 0 = Absent; 1 = Mild: Slight flattening of affect, retardation at interview; 2 = Moderate: Monotonous voice, delay in answering question, tends to sit motionless; obviousretardation at interview; 3 = Severe: Retardation prolongs interview to a marked degree, slowness; 4 = Extreme: Depressive stupor, interview impossible
hamd17_34 Integer Recommended In the past 7 days, are you talking more slowly, or a lot less? 0::4 0 = Absent; 1 = Mild: Slight flattening of affect, retardation at interview; 2 = Moderate: Monotonous voice, delay in answering question, tends to sit motionless; obviousretardation at interview; 3 = Severe: Retardation prolongs interview to a marked degree, slowness; 4 = Extreme: Depressive stupor, interview impossible
hamd17_35 Integer Recommended In the past 7 days, have you been physically slowed down? 0::4 0 = Absent; 1 = Mild: Slight flattening of affect, retardation at interview; 2 = Moderate: Monotonous voice, delay in answering question, tends to sit motionless; obviousretardation at interview; 3 = Severe: Retardation prolongs interview to a marked degree, slowness; 4 = Extreme: Depressive stupor, interview impossible
hamd17_36 Integer Recommended In the past 7 days, have you felt physically restless or unable to sit still? 0::4 0 = Absent: No agitation; 1 = Mild: Fidgety at interview, clenching fists or side of chair, kicking feet; 2 = Moderate: Wringing hand, biting lips, gesturing with arms, picking at hands, hair or clothes,restless; 3 = Severe: Includes features of 2. In addition, cannot stay in chair during interview; pacing; 4 = Extreme: Interview has to be conducted 'on the run', pulling clothes, tearing hair, picking atface, almost continuous pacing. Looks bewildered or distraught
hamd17_37 Integer Recommended In the past 7 days, have you been fidgeting, wringing your hand, biting your lips, or pacing? 0::4 0 = Absent: No agitation; 1 = Mild: Fidgety at interview, clenching fists or side of chair, kicking feet; 2 = Moderate: Wringing hand, biting lips, gesturing with arms, picking at hands, hair or clothes,restless; 3 = Severe: Includes features of 2. In addition, cannot stay in chair during interview; pacing; 4 = Extreme: Interview has to be conducted 'on the run', pulling clothes, tearing hair, picking atface, almost continuous pacing. Looks bewildered or distraught
hamd17_2 Integer Recommended In the past 7 days, on a scale of 1 to 10 (10 being the worst and 1 being a normal, even mood) how have you been feeling? 0::4 0 = Absent: Not depressed; 1 = Doubtful or trivial: Behavioral evidence and feeling states elicited only on direct questioning; 2 = Mild: Occasional weeping, feeling state reported spontaneously; 3 = Moderate: Obvious behavioral evidence, frequent weeping and behavioral state comprise a large part of spontaneous communication; 4 = Severe: Exhibits VIRTUALLY ONLY this feeling state in spontaneous verbal and non-verbalcommunications
hamd17_38 Integer Recommended In the past 7 days, have other people noticed? 0::4 0 = Absent: No agitation; 1 = Mild: Fidgety at interview, clenching fists or side of chair, kicking feet; 2 = Moderate: Wringing hand, biting lips, gesturing with arms, picking at hands, hair or clothes,restless; 3 = Severe: Includes features of 2. In addition, cannot stay in chair during interview; pacing; 4 = Extreme: Interview has to be conducted 'on the run', pulling clothes, tearing hair, picking atface, almost continuous pacing. Looks bewildered or distraught
hamd17_39 Integer Recommended In the past 7 days, have you been anxious, nervous, tense, or unable to relax? 0::4 0 = Absent: No psychic anxiety; 1 = Doubtful or trivial: Reports few symptoms and low frequency only on direct questioning; 2 = Mild: Spontaneously expresses feeling states; good control and no incapacitating; 3 = Moderate: Behavioral evidence of anxiety; spontaneous expression of feeling states in significantnumber and frequency; 4 = Severe: Feeling states comprise large part of spontaneous verbal and non-verbalcommunication; panic episodes observed
hamd17_40 Integer Recommended In the past 7 days, have you been irritable, easily startles, or worrying about little things? 0::4 0 = Absent: No psychic anxiety; 1 = Doubtful or trivial: Reports few symptoms and low frequency only on direct questioning; 2 = Mild: Spontaneously expresses feeling states; good control and no incapacitating; 3 = Moderate: Behavioral evidence of anxiety; spontaneous expression of feeling states in significantnumber and frequency; 4 = Severe: Feeling states comprise large part of spontaneous verbal and non-verbalcommunication; panic episodes observed
hamd17_41 Integer Recommended In the past 7 days, have you been afraid of anything? 0::4 0 = Absent: No psychic anxiety; 1 = Doubtful or trivial: Reports few symptoms and low frequency only on direct questioning; 2 = Mild: Spontaneously expresses feeling states; good control and no incapacitating; 3 = Moderate: Behavioral evidence of anxiety; spontaneous expression of feeling states in significantnumber and frequency; 4 = Severe: Feeling states comprise large part of spontaneous verbal and non-verbalcommunication; panic episodes observed
hamd17_42 Integer Recommended In the past 7 days, have you felt panicky or afraid you might lose it? 0::4 0 = Absent: No psychic anxiety; 1 = Doubtful or trivial: Reports few symptoms and low frequency only on direct questioning; 2 = Mild: Spontaneously expresses feeling states; good control and no incapacitating; 3 = Moderate: Behavioral evidence of anxiety; spontaneous expression of feeling states in significantnumber and frequency; 4 = Severe: Feeling states comprise large part of spontaneous verbal and non-verbalcommunication; panic episodes observed
hamd17_43 Integer Recommended Have you had problems in this past week with: Your stomach? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_44 Integer Recommended Have you had problems in this past week with: Diarrhea? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_45 Integer Recommended Have you had problems in this past week with: Heart palpitations? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_46 Integer Recommended Have you had problems in this past week with: Shaking? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_47 Integer Recommended Have you had problems in this past week with: Indigestion? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_3 Integer Recommended In the past 7 days, have you been feeling down or depressed? Sad? Blue? Hopeless? 0::4 0 = Absent: Not depressed; 1 = Doubtful or trivial: Behavioral evidence and feeling states elicited only on direct questioning; 2 = Mild: Occasional weeping, feeling state reported spontaneously; 3 = Moderate: Obvious behavioral evidence, frequent weeping and behavioral state comprise a large part of spontaneous communication; 4 = Severe: Exhibits VIRTUALLY ONLY this feeling state in spontaneous verbal and non-verbalcommunications
hamd17_48 Integer Recommended Have you had problems in this past week with: Nausea? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_49 Integer Recommended Have you had problems in this past week with: Hyperventilating? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_50 Integer Recommended Have you had problems in this past week with: Flushing? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_51 Integer Recommended Have you had problems in this past week with: Gas? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_52 Integer Recommended Have you had problems in this past week with: Headaches? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_53 Integer Recommended Have you had problems in this past week with: Sweating? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_54 Integer Recommended Have you had problems in this past week with: Urinary problems? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_55 Integer Recommended Have you had problems in this past week with: Any other physical complaints? 0::4 0 = Absent: No somatic anxiety; 1= Doubtful or trivial: Minor symptoms elicited only by direct questioning; 2 = Mild: Spontaneously describes symptoms, which are not marked or incapacitating; 3 = Moderate: Greater number and frequency of symptoms; accompanied by subjective distressand serve to impair normal functioning; 4 = Severe: Symptoms are numerous, persistent and incapacitating much of the time
hamd17_56 Integer Recommended In the past 7 days, how has your appetite been? 0::2 0 = Absent: No change; 1= Mild: Infrequent symptoms, eats without encouragement from others, food intake about normal; 2 = Obvious and severe: Marked reduction of appetite and food intake, difficulty eating withouturging from others
hamd17_57 Integer Recommended In the past 7 days, do you have to be reminded to eat? 0::2 0 = Absent: No change; 1= Mild: Infrequent symptoms, eats without encouragement from others, food intake about normal; 2 = Obvious and severe: Marked reduction of appetite and food intake, difficulty eating withouturging from others
hamd17_4 Integer Recommended In the past 7 days, how often have you felt this way? 0::4 0 = Absent: Not depressed; 1 = Doubtful or trivial: Behavioral evidence and feeling states elicited only on direct questioning; 2 = Mild: Occasional weeping, feeling state reported spontaneously; 3 = Moderate: Obvious behavioral evidence, frequent weeping and behavioral state comprise a large part of spontaneous communication; 4 = Severe: Exhibits VIRTUALLY ONLY this feeling state in spontaneous verbal and non-verbalcommunications
hamd17_58 Integer Recommended In the past 7 days, have you been eating less? 0::2 0 = Absent: No change; 1= Mild: Infrequent symptoms, eats without encouragement from others, food intake about normal; 2 = Obvious and severe: Marked reduction of appetite and food intake, difficulty eating withouturging from others
hamd17_59 Integer Recommended In the past 7 days, how has your energy been? 0::2 0 = Absent: No change in energy; 1 = Mild: Infrequent, feelings noted but not marked; 2 = Obvious and severe: Tires very quickly, exhausted much of the time, spontaneously mentionssymptoms
hamd17_60 Integer Recommended In the past 7 days, are you more tired than usual? 0::2 0 = Absent: No change in energy; 1 = Mild: Infrequent, feelings noted but not marked; 2 = Obvious and severe: Tires very quickly, exhausted much of the time, spontaneously mentionssymptoms
hamd17_61 Integer Recommended How much more tired? 0::2 0 = Absent: No change in energy; 1 = Mild: Infrequent, feelings noted but not marked; 2 = Obvious and severe: Tires very quickly, exhausted much of the time, spontaneously mentionssymptoms
hamd17_62 Integer Recommended In the past 7 days, are you absolutely exhausted? 0::2 0 = Absent: No change in energy; 1 = Mild: Infrequent, feelings noted but not marked; 2 = Obvious and severe: Tires very quickly, exhausted much of the time, spontaneously mentionssymptoms
hamd17_63 Integer Recommended In the past 7 days, has your interest in sex been normal for you? (not just sexual activity, but sexual thoughts and feelings) 0::2 0 = Absent: No loss or inadequate information; 1 = Mild, infrequent: Loss of libido and/or some impairment of sexual function; 2 = Obvious and severe: Complete loss of sexual drive
hamd17_64 Integer Recommended In the past 7 days, how has your health been? 0::4 0 = Absent; 1 = Mild: Some preoccupation with bodily functions and physical symptoms; 2 = Moderate: Much attention given to physical symptoms; tendency to 'somaticize' clinicalpresentation; 3 = Severe: Convictions of organic disease to explain present condition, e.g., brain tumor, cancer; 4 = Extreme: Hypochondriacal delusions
hamd17_65 Integer Recommended In the past 7 days, have you been worrying or preoccupied by your physical health? 0::4 0 = Absent; 1 = Mild: Some preoccupation with bodily functions and physical symptoms; 2 = Moderate: Much attention given to physical symptoms; tendency to 'somaticize' clinicalpresentation; 3 = Severe: Convictions of organic disease to explain present condition, e.g., brain tumor, cancer; 4 = Extreme: Hypochondriacal delusions
hamd17_66 Integer Recommended In the past 7 days, what is your understanding of why you are in treatment? 0::2 0 = Absent; 1 = Doubtful, mild: Some denial; 2 = Obvious and severe: Denies being ill at all
hamd17_67 Integer Recommended In the past 7 days, do you think you are depressed? 0::2 0 = Absent; 1 = Doubtful, mild: Some denial; 2 = Obvious and severe: Denies being ill at all
hamd17_5 Integer Recommended In the past 7 days, have you been crying at all? 0::4 0 = Absent: Not depressed; 1 = Doubtful or trivial: Behavioral evidence and feeling states elicited only on direct questioning; 2 = Mild: Occasional weeping, feeling state reported spontaneously; 3 = Moderate: Obvious behavioral evidence, frequent weeping and behavioral state comprise a large part of spontaneous communication; 4 = Severe: Exhibits VIRTUALLY ONLY this feeling state in spontaneous verbal and non-verbalcommunications
hamd17_68 Integer Recommended In the past 7 days, have you lost any weight over the past 2 weeks? 0::2 0 = Absent; 1 = Doubtful or trivial: Less than 5 lbs. in 2 weeks; 2 = Obvious and severe: Greater than or equal to 5 lbs. in the past 2 weeks
hamd17_69 Integer Recommended If so, how much? 0::2 0 = Absent; 1 = Doubtful or trivial: Less than 5 lbs. in 2 weeks; 2 = Obvious and severe: Greater than or equal to 5 lbs. in the past 2 weeks
hamd17_70 Integer Recommended In the past 7 days, have you been dieting? 0::2 0 = Absent; 1 = Doubtful or trivial: Less than 5 lbs. in 2 weeks; 2 = Obvious and severe: Greater than or equal to 5 lbs. in the past 2 weeks
hamd17_71 Integer Recommended Total Score: Sum of responses to all elements
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data
hamd17_6 Integer Recommended In the past 7 days, have you been especially critical of yourself? 0::4 0 = Absent; 1 = Doubtful or trivial: Feelings of self-reproach or letting people down; 2 = Mild: Ideas of guilt spontaneously expressed; 3 = Moderate: Believes that present illness may be a punishment; ruminations over past errors or sins; may state that illness and suffering are deserved; 4 = Severe: Guilty delusions; accuses self of unlikely or impossible blame; may have accusing ordenouncing auditory or visual hallucinations
hamd17_7 Integer Recommended In the past 7 days, have you been thinking a lot about things in the past that you should have or could have done differently? 0::4 0 = Absent; 1 = Doubtful or trivial: Feelings of self-reproach or letting people down; 2 = Mild: Ideas of guilt spontaneously expressed; 3 = Moderate: Believes that present illness may be a punishment; ruminations over past errors or sins; may state that illness and suffering are deserved; 4 = Severe: Guilty delusions; accuses self of unlikely or impossible blame; may have accusing or denouncing auditory or visual hallucinations
hamd32_10 Integer Recommended 10. Now let's talk about your appetite and weight. How has your appetite been this past week? (What about compared to your usual appetite?) IF LESS: How much less than usual? Have you had to force yourself to eat? Have other people had to urge you to eat? (Have you skipped meals?) 0::2 0 = None; 1 = Loss of appetite but eating without encouragement (appetite somewhat less than usual); 2 = Difficulty eating without urging (or appetite significantly less than usual) hamd31_10
hamd32_14 Integer Recommended 14. Have you lost any weight since this (Depression) began? IF YES: Did you lose any weight this last week? (Was it because of feeling depressed or down?) How much did you lose? IF NOT SURE: Do you think your clothes are any looser on you? AT FOLLOW UP: Have you gained any of the weight back? IF YES: How much? 0::2 0 = No weight loss; 1 = Probable weight loss due to current depression; 2 = Definite (according to participant) weight loss due to depression hamd31_14
hamd32_24 Integer Recommended 24. Tell me if you've had any of the following physical symptoms in the past week. (Read list) GL - dry mouth, gas, indigestion, diarrhea, stomach cramps, belching CV - heart palpitations, headaches Resp - hyperventilating, sighing Urinary frequency Sweating For each SX acknowledged as present: How much has (THE SX) been bothering you this past week? How bad has it gotten? How much of the time, or how often, have you had it? Did (the symptom) interfere at all with your functioning or your usual activities? NOTE: DO NOT RATE SX'S THAT ARE CLEARLY RELATED TO A DOCUMENTED PHYSICAL CONDITION. 0::4 0 = Not present; 1 = Mild (symptoms present only infrequently, no impairment, minimal distress); 2 = Moderate (symptoms more persistent, or some interference with usual activities, moderate distress); 3 = Severe (significant impairment in functioning); 4 = Incapacitating hamd31_24
hamd32_25 Integer Recommended 25. In the last week, how much have your thoughts been focused on your physical health or how your body is feeling (compared to your normal thinking)? (Have you worried a lot about being or becoming physically ill? Have you really been preoccupied with this?) Have you worried a lot that you had a specific medical illness? Do you complain much about how you feel physically? Have you seen a doctor about these problems? IF YES: What did the doctor say? 0::4 0 = Not present; 1 = Self = absorption (bodily) (some inappropriate worry about his/her health OR slightly concerned despite reassurance); 2 = Preoccupation with health (often has excessive worries about his/her health OR definitely concerned has specific illness despite medical reassurance); 3 = Frequent complaints, requests for help, etc. (is certain there is a physical problem which the doctors cannot confirm; exaggerated or unrealistic concerns about body and physical health); 4 = Hypochondriacal delusions hamd31_25
hamd32_19 Integer Recommended 19. Have you been putting yourself down this past week, feeling you've done things wrong or let others down? IF YES: what have your thoughts been? 0::4 0 = Absent; 1 = Self = reproach, feels he/she has let people down; 2 = Ideas of guilt or rumination over past errors or sinful deeds (feelings of guilt, remove or shame); 3 = Present illness is a punishment. Delusions of guilt. (severe, pervasive feelings of guilt); 4 = Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations hamd31_19
hamd32_21 Integer Recommended 21. This past week, have you had any thoughts that life is not worth living? What about thinking you would be better off dead? Have you had thoughts of hurting or killing yourself? IF YES: What have you thought about? Have you actually done anything to hurt yourself? 0::4 0 = Absent; 1 = Feels life is not worth living; 2 = Wishes (s)he were dead or any thoughts of possible death to self; 3 = Suicidal ideas or gestures; 4 = Attempts at suicide hamd31_21
hamd32_3 Integer Recommended 3. How have you been spending your time this past week (when not at work)? Have you felt interested in doing (THOSE THINGS), or do you feel you have to push yourself to do them? How much less interested in these things have you been this past week compared to when you're not depressed? How hard do you have to push yourself to do them? Have you stopped doing anything you used to do? IF YES: Why? (What about hobbies?) About how many hours a day do you spend doing things that interest you? Is there anything you look forward to? 0::4 0 = No difficulty; 1 = Thoughts and feelings of incapacity, fatigue, or weakness related to activities, work or hobbies (mild reduction in interest or pleasure; no clear impairment in functioning); 2 = Loss of interest in activity, hobbies or work = by direct report of the patient or indirect listlessness, indecision and vacillation (feels has to push self to work or do activities; clear reduction in interest, pleasure or functioning); 3 = Decrease in actual time spent in activities or decrease in productivity. In hospital, patient spends less than 3 hrs/day in activities (hospital job or hobbies) exclusive of ward chores (profound reduction in interest, pleasure, or functioning); 4 = Stopped working because of present illness. In hospital, no activities except ward chores, or fails to perform ward chores unassisted. (unable to work or fulfill primary role because of illness, and total loss of interest) hamd31_3
hamd32_16 Integer Recommended 16. How has your energy been this past week? IF LOW ENERGY: Have you felt tired? (How much of the time? How bad has it been?) This week, have you had any aches or pains? (What about backaches or muscle aches?) (How much of the time? How bad has it been?) Have you felt any heaviness in your limbs, back or head? Have you been getting tired more easily than when you were feeling well? 0::2 0 = None; 1 = Heaviness in limbs, back or head. Backaches, headache, muscle aches. Loss of energy and fatigability. (somewhat less energy than usual; mild, intermittent loss of energy or muscle aches/heaviness); 2 = Any clear = cut symptoms (persistent, significant loss of energy or muscle aches/heaviness) hamd31_16
hamd32_28 Integer Recommended 28. Have you felt slowed down in your thinking, speaking, or movement this last week? IF YES: Have others commented on this? Based on observation during interview 0::4 0 = Normal speech and thought; 1 = Slight retardation at interview (mild psychomotor retardation); 2 = Obvious retardation at interview (moderate; some difficulty with interview, noticeable pauses and slowness of thought); 3 = Interview difficult (severe psychomotor retardation; very long pauses); 4 = Complete stupor (extreme retardation; interview barely possible) hamd31_28
hamd32_27 Integer Recommended 27. Have you felt fidgety or restless this last week? Have you found it difficult to stay seated or felt like you need to move around? Based on observation during interview 0::4 0 = None; 1 = Fidgetiness (slight agitation or mild restlessness); 2 = Playing with hands, hair, etc. (moderate to marked restlessness or agitation); 3 = Moving about, can't sit still (cannot remain seated); 4 = Hand = wringing, nail biting, hair = pulling, biting of lips hamd31_27
hamd32_18 Integer Recommended 18. Sometimes, along with depression or anxiety, people might lose interest in sex. This week, how has your interest in sex been? (I'm not asking about actual sexual activity, but about your interest in sex.) Has there been any change in your interest in sex (from when you were feeling OK?) IF YES: How much less interest do you have compared to when you're not depressed? (Is it a little less or a lot less?) 0::2 0 = Absent; 1 = Mild (somewhat less interest than usual); 2 = Severe (a lot less interest than usual) hamd31_18
hamd_score Float Recommended Pulls in score from HAM-D
hamd32_2 Integer Recommended 2. How are you feeling about the future? If UNKNOWN: Have you been feeling discouraged or pessimistic? IF YES: What have your thoughts been? IF UNKNOWN: How discouraged/pessimistic have you felt? Do you think that you'll get well or that things are going to get better? When people tell you that you will get well or that things will get better, do you feel reassured? In the last week, how often have you felt (OWN EQUIVALENT FOR PESSIMISTIC/DISCOURAGED/HOPELESS)? Every day? All day? 0::4 0= No feelings of pessimism; 1= Patient is more optimistic than pessimistic, but has doubts (at least 2 days per week); 2= Persistent (at least 5 days per week) moderate pessimism (but states that can be reassured by others or that it is able to lift); 3= Persistent (at least 5 days per week) intense feelings of discouragement, pessimism, or hopelessness, which cannot be relieved by reassurance or by the patient's efforts; 4= Patient reports feeling completely hopeless and utterly despairing. Interview is dominated by frequent, repetitive and spontaneous statements of despair and hopelessness that cannot be dispelled hamd31_2
hamd32_4 Integer Recommended 4. In the past week, have you been able to get as much done as you usually do (work or chores)? How much less productive or efficient are you compared to before you were depressed? During the past week, did you feel you had trouble coping with routine activities? Were there times when you felt overwhelmed and unable to complete your activities or responsibilities? IF YES: Can you give me an example? How often did you feel this way during the past week? Were these feelings so bad that you would say you felt helpless? Did other people have to encourage or urge you to tend to your work (school) or household responsibilities? During the past week, did you feel that you were giving up trying to cope with life? During the past week, did you need the physical help of others to complete simple activities like grooming, dressing, or eating? 0::4 0 = No evidence of subjective or objective helplessness; 1 = Patient reports mild feelings of inability to accomplish usual tasks, or reports occasional desire for assistance of others to accomplish usual tasks (school work, household chores, or job = related duties); 2 = Patient reports feelings of being overwhelmed and unable to cope with usual tasks, OR moderate feelings of helplessness (overwhelmed, unable to cope, need for help) that are manifest at least 5 days per week; 3 = Patient requires the urging or guidance of others to complete the usual tasks (personal hygiene, school work, household chores, or job = related duties); 4 = Patient requires the physical assistance of others for elementary tasks of daily living (personal hygiene, eating, dressing, grooming) hamd31_4
hamd32_15 Integer Recommended 15. Have you gained any weight since this (DEPRESSION) began? IF YES: Did you gain any weight this last week? (Was it because of feeling depressed or down?) How much did you gain? IF NOT SURE: Do you think your clothes are any tighter on you? AT FOLLOW-UP: Have you gained any of the weight back? IF YES: How much? 0::2 0 = No weight gain; 1 = Probable weight gain due to current depression; 2 = Definite (acc to pt) weight gain due to depression hamd31_15
hamd32_17 Integer Recommended 17. Fatigability (or low energy, or feelings of being heavy, leaden, weighed down): 0::4 0 = Does not feel more fatigued than usual; 1 = Feels more fatigued than usual but this has not impaired function significantly; less frequent than in (2); 2 = More fatigued than usual; at least one hour per day; at least three days per week; 3 = Fatigued much of the time most days; 4 = Fatigued almost all of the time hamd31_17
hamd32_20 Integer Recommended 20. During the past week, have you felt that you are not as good as other people whom you know and respect? Have you felt that others are better than you? If YES to either of the above: During the past week, did you feel that you are ''no good'' or ''inferior''? Would you say that you had feelings of being ''worthless''? How often did you feel this way during the past week? Have you been feeling guilty about anything that you've done or not done? IF YES: What have your thoughts been? What about things that happened a long time ago? IF UNKNOWN: How often have you thought about that this past week? Have you thought that you've brought (This Depression) on yourself in some way? (Have you been hearing voices or seeing visions in the last week? IF YES: Tell me about them) 0::4 0 = No loss of self = esteem or feelings of inferiority; 1 = Occasional feelings of poor self = esteem or feelings of inferiority; 2 = Feelings of inferiority or loss of self = esteem that are persistent and moderate in intensity; 3 = Severe and persistent loss of self = esteem and feelings of inferiority. Notions of worthlessness should be pervasive, i.e., patient believes that there is nothing worthwhile about them; 4 = Delusion of worthlessness (or other self = deprecatory delusion) hamd31_20
hamd32_29a Integer Recommended 29A. Note whether symptoms are regularly (i.e. at least 5 days per week) worse in morning or evening or afternoon. If NO diurnal variation in mood, mark ''none''. Diurnal Variation (Mood Only) During the past week, have you regularly felt better or worse at any particular part of the day, morning, afternoon or evening? 0::3 0 = No variation OR not currently depressed; 1 = Worse in A.M.; 2 = Worse in P.M.; 3 = Worse in afternoon hamd31_29a
hamd32_29b Integer Recommended 29B. IF VARIATION: How much worse do you feel in the (MORNING, AFTERNOON OR EVENING?) IF UNSURE: How much worse do you feel at this time? A little bit worse or a lot worse? How many days in the last week did this happen? When present, mark the severity of the variation: 0::2 0 = None; 1 = Mild; 2 = Severe hamd31_29b
hamd32_30 Integer Recommended 30. During the past week, have you ever suddenly had the sensation that everything is unreal, or you're in a dream, or cut off from other people in some strange way? Have you felt like you were outside of your body or like you were watching yourself do things? IF YES: Tell me about these feelings. How bad has that been? How often this week has that happened? How many days during the past week did you have these feelings? Did it interfere with work or home life? 0::4 0 = Absent; 1 = Mild (occasional, mild symptoms); 2 = Moderate (persistent, mild to moderate symptoms); 3 = Severe (persistent, moderate to severe symptoms); 4 = Incapacitating (persistent, very sensitive feelings of unreality with self/environment) hamd31_30
record_id String 20 Recommended Record ID
hamd32_31 Integer Recommended 31. This past week, have you thought that anyone was trying to give you a hard time or hurt you? What about talking about you behind your back? IF YES: Tell me about that. Who and why? How often 0::4 0 = None; 1 = Fleeting suspiciousness; 2 = More persistent or intense suspiciousness; 3 = Relatively fixed ideas of persecution or malevolence; 4 = Paranoid ideation is delusional (e.g. a paranoid system) hamd31_31
hamd32_32 Integer Recommended 32. In the past week, have there been things you had to do over and over again, like checking locks and the doors several times, or washing your hands? Have you had any thoughts that don't make any sense to you, but that keep running over and over in your mind? IF YES TO EITHER: Can you give me examples? IF YES to any of the above: How many days this past week did you have these (Repetitive behaviors or disturbing thoughts?) How much of each day? Have these (Repetitive behaviors or disturbing thoughts) interfered with anything? 0::2 0 = Absent; 1 = Mild; 2 = Severe hamd31_32
hamd_17_score Integer Recommended HamD 17 Score 0::68 sum([hamd31_1], [hamd31_3], [hamd31_6], [hamd31_7], [hamd31_8], [hamd31_10], [hamd31_14], [hamd31_16], [hamd31_18], [hamd31_19], [hamd31_21], [hamd31_22], [hamd31_24], [hamd31_25], [hamd31_26], [hamd31_27], [hamd31_28])
hamd32_6 Integer Recommended 6. Now let's talk about your sleep. What were your usual hours of going to sleep and waking up, before this began? When have you been falling asleep and waking up over the past week? Have you had any trouble falling asleep at the beginning of the night? (Right after you go to bed, how long has it been taking you to fall asleep?) How many nights this week have you had trouble falling asleep? Have you changed the time at which you try to get to sleep since you've been depressed? 0::2 0 = No difficulty falling asleep; 1 = Complains of occasional difficulty falling asleep (i.e., 30 minutes or more, 2 = 3 nights); 2 = Complains of nightly difficulty falling asleep (i.e., 30 minutes or more, 4 or more nights) hamd31_6
hamd32_7 Integer Recommended 7. During the past week, have you been waking up in the middle of the night? IF YES: Do you get out of bed? What do you do? (Only to use the bathroom?) When you get back in bed, are you able to fall right back asleep? How long does it take you to fall back asleep? Do you wake up more than once during the night? (IF YES: How long does it take for you to fall back asleep each time?) Have you felt your sleeping has been restless or disturbed some nights? How many nights this week have you had that kind of trouble? 0::2 0 = No difficulty; 1 = Complains of being restless and disturbed during the night (or Occasional difficulty, i.e., 2 = 3 nights, 30 minutes or more); 2 = Waking during the night; any getting out of bed (except to void) (Often i.e., 4 or more nights of difficulty, 30 minutes or more) hamd31_7
hamd32_8 Integer Recommended 8. What time have you been waking up in the morning for the last time, this past week? IF EARLY: Is that with an alarm clock or do you wake up on your own? What time do you usually awake (when you are well)? How many mornings this past week have you awakened early? 0::2 0 = No difficulty; 1 = Waking in early hours of morning but goes back to sleep (occasional i.e., 2 = 3 nights difficulty); 2 = Unable to fall asleep again if gets out of bed (often i.e., 4 or more nights difficulty) hamd31_8
hamd32_1 Integer Recommended 1. What's your mood been like this past week (compared to when you feel OK?) Have you been feeling down or depressed? IF YES: Can you describe what this feeling has been like for you? How bad is the feeling? In the last week, how often have you felt (OWN EQUIVALENT FOR DEPRESSED MOOD)? On how many days? For how long each day? How long (MONTHS/YEARS) have you been feeling (OWN WORDS)?Depressed mood: sadness, hopeless, helpless, worthless 0::4 0 = Absent; 1 = Indicated only on questioning; 2 = Spontaneously reported; 3 = Communicated non = verbally, i.e. facial expression, posture, voice, tendency to weep; 4 = VIRTUALLY ONLY this unspontaneous verbal and non = verbal communication hamd31_1
hamd32_22 Integer Recommended 22. Have you been feeling anxious or tense this past week? IF YES: Is this more than normal for you? Have you been feeling irritable this past week? IF YES: Can you give me some examples? How bad has it been? Have you been worrying a lot about little things, things you don't ordinarily worry about? IF YES: Like what, for example? How about worrying about big problems more than you need to? How often have you felt this way the past week? Has this caused you any problems or difficulties? IF YES: Like what, for example? 0::4 0 = No difficulty; 1 = Subjective tension and irritability (mild, occasional); 2 = Worrying about minor matters (moderate, causes some distress); 3 = Apprehensive attitude apparent in face or speech (severe, significant impairment in functioning due to anxiety); 4 = Fears expressed without questioning (symptoms incapacitating) hamd31_22
hamd32_26 Integer Recommended 26. Rating based on observation during interview 0::2 0 = Acknowledges being depressed and ill OR not currently depressed; 1 = Acknowledges illness but attributes cause to bad food, overwork, virus, need for rest, etc.; 2 = Denies being ill at all hamd31_26
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