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Structured Interview Guide for the Hamilton Depression Rating Scale

January 16, 2014 Comments Off

The Hamilton Depression Rating Scale (HDRS) is the most widely used scale for patient selection and follow-up in research studies of treatments of depression. Despite extensive study of the reliability and validity of the total scale score, the psychometric characteristics of the individual items have not been well studied. In the only reliability study to report agreement on individual items using a test-retest interview method, most of the items had only fair or poor agreement. Because this is due in part to variability in the way the information is obtained to make the various rating distinctions, the Structured Interview Guide for the HDRS (SIGH-D) was developed to standardize the manner of administration of the scale. A test-retest reliability study conducted on a series of psychiatric inpatients demonstrated that the use of the SIGH-D results in a substantially improved level of agreement for most of the HDRS items.

“A Beautiful Blinding Darkness”

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I saw you smile, I heard you laugh for the first time today. Your radiance, ravishing, a hurricane enraged with joy, always raging, estranged from me, and your laughter and your grinning and your […]

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Men deal with depression in different ways. They tend to keep feelings to themselves. Many try to cope with their symptoms in unhealthy ways, including excessive use of alcohol or drugs, violent outbursts, dangerous activities or burying themselves in work.

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Estimates suggest that about 20 percent of marriages are sexless, often because one partner no longer feels sexually attracted to the other. Here's what experts advise.

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People who experience a persistent sense of not fitting in anywhere can often trace those feelings to childhood emotional neglect. But there are ways to reconnect, starting with these steps.

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When relationships die, we often assume one partner committed a major offense. But more commonly, it's the result of many smaller wounds, like these, that couples may not even be fully conscious of.

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A lot of people commit to a meditation practice because they know the benefits are real and extensive. And yet many give it up soon after they begin. How can they get back to it? It starts with this.