How severe is your anxiety?
The Hamilton anxiety rating scale (HARS) was created as a tool to be used by doctors and psychologists to determine the severity of a patient’s anxiety. In order to measure this anxiety, there is a set of 14 questions which are aimed at the different types of anxiety that patients typically experience. The first thirteen of these questions are answered by the patient based upon interviews and questions asked, whereas the last question is used by the therapists to show how they feel the patient is actually doing.
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The HARS was developed in 1959 by Max Hamilton as a way to help measure a patients anxiety levels at both the psychic or mental level and the somatic or physical level. Adolescents, children and old people have all been shown to be suitable candidates The test itself was developed using the statistical technique of factor analysis which allowed Hamilton to create a list of the symptoms related to anxiety and then break them down into mental and physical symptoms.
The patient is questioned by a therapist or doctor and his or her answers are then graded from 0-4, with 4 representing the highest level of anxiety. All the scores are totalled and this total is then used to give the therapist an idea of the patients mental state. The questions are equally divided between physical and mental with the intention of providing a a balanced view of the two types of symptom.
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When the results are tallied, if the total is less than 17 a person is deemed to suffer from mild anxiety that can most likely be addressed with therapy. This may not always hold true. Often a patient may be embarrassed by their anxiety problems and try to cover up or hide their true feelings. A properly trained therapist will be best equipped to get the real answers from the patient and will therefore get the best results. Moderate anxiety is indicated by scores of 18-24 and can be helped if the patient applies techniques such as breathing correctly or meditation. Any patient that scores more than 25 is experiencing severe anxiety. When anxiety is this bad there may be a call for the short term use of medication which can be used in conjunction with CBT and other relaxation techniques.
The test is a useful tool in understanding how anxious a patient is but it should be borne in mind that the results are likely to be influenced by the skill of the therapist. The questions themselves are designed not only to reflect the answers from the patient but also how the therapist feels about the answers. This can lead to a certain margin for error but overall the test has been proven to work quite well. However questions have been raised regarding the similarity between the responses by those who suffer from anxiety and those who suffer from depression, since those who suffer from depression often score high on the HARS test.
Check this out to learn more about the link between depression and anxiety
Despite the possibility of skewed results, the Hamilton anxiety rating scale is still the most popular test used to evaluate patients in use today. The reality is that over very many years HARS has demonstrated that it is accurate and consistent. Combined with the correct type and degree of treatment, many people are able to cure themselves of this debilitating condition.
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