Hamilton Anxiety Rating Scale

Hamilton Anxiety Rating Scale (HAM-A)

Scoring Guide (0-4):
0 = Not present
1 = Mild
2 = Moderate
3 = Severe
4 = Very severe

1. Anxious mood (Worries, fearfulness, irritability)

0 1 2 3 4

2. Tension (Fatigability, restlessness, trembling, inability to relax)

0 1 2 3 4

3. Fears (Darkness, strangers, being alone, crowds, animals)

0 1 2 3 4

4. Insomnia (Difficulty sleeping, nightmares, night terrors)

0 1 2 3 4

5. Intellectual (Difficulty in concentration, poor memory)

0 1 2 3 4

6. Depressed mood (Loss of interest, lack of pleasure, early waking)

0 1 2 3 4

7. Somatic (muscular: Pains, aches, stiffness, twitching, grinding teeth)

0 1 2 3 4

8. Somatic (sensory: Tinnitus, vision blur, hot/cold flushes, weakness)

0 1 2 3 4

9. Cardiovascular symptoms (Palpitations, chest pain, fainting, racing heart)

0 1 2 3 4

10. Respiratory symptoms (Shortness of breath, chest tightness, choking)

0 1 2 3 4

11. Gastrointestinal symptoms (Nausea, stomach pain, bloating, loss of weight)

0 1 2 3 4

12. Genitourinary symptoms (Frequent urination, loss of libido, impotence)

0 1 2 3 4

13. Autonomic symptoms (Sweating, dry mouth, dizziness, headache)

0 1 2 3 4

14. Behavior at interview (Fidgeting, strained face, sighing, rapid breathing)

0 1 2 3 4