汉密顿抑郁量表的注意事项 我做汉密顿抑郁量表测试怎么一分钟就做完了
\u6d4b\u8bd5\u6c49\u5bc6\u987f\u6291\u90c1\u91cf\u8868\u7684\u5f97\u5206\u662f17\u5206\uff0c\u662f\u4ec0\u6291\u7a0b\u5ea6\uff1f\u6c49\u5bc6\u987f\u6291\u90c1\u91cf\u8868\u5404\u7ea7\u7684\u6807\u51c6\u4e3a\uff1a\uff080\uff09\u65e0\uff1b\uff081\uff09\u8f7b\u5ea6\uff1b\uff082\uff09\u4e2d\u5ea6\uff1b\uff083\uff09\u91cd\u5ea6\uff1b\uff084\uff09\u6781\u91cd\u5ea6\u3002
1\uff0e\u6291\u90c1\u60c5\u7eea\uff1a\uff081\uff09\u53ea\u5728\u95ee\u5230\u65f6\u624d\u8bc9\u8ff0\uff1b\uff082\uff09\u5728\u8bbf\u8c08\u4e2d\u81ea\u53d1\u5730\u8868\u8fbe\uff1b\uff083\uff09\u4e0d\u7528\u8a00\u8bed\u4e5f\u53ef\u4ee5\u4ece\u8868\u60c5\u3001\u59ff\u52bf\u3001\u58f0\u97f3\u6216\u6b32\u54ed\u4e2d\u6d41\u9732\u51fa\u8fd9\u79cd\u60c5\u7eea\uff1b\uff084\uff09\u75c5\u4eba\u7684\u81ea\u53d1\u8a00\u8bed\u548c\u975e\u8bed\u8a00\u8868\u8fbe\uff08\u8868\u60c5\uff0c\u52a8\u4f5c\uff09\u51e0\u4e4e\u5b8c\u5168\u8868\u73b0\u4e3a\u8fd9\u79cd\u60c5\u7eea\u3002
2\uff0e\u6709\u7f6a\u611f\uff1a\uff081\uff09\u8d23\u5907\u81ea\u5df1\uff0c\u611f\u5230\u81ea\u5df1\u5df2\u8fde\u7d2f\u4ed6\u4eba\uff1b\uff082\uff09\u8ba4\u4e3a\u81ea\u5df1\u72af\u4e86\u7f6a\uff0c\u6216\u53cd\u590d\u601d\u8003\u4ee5\u5f80\u7684\u8fc7\u5931\u548c\u9519\u8bef\uff1b\uff083\uff09\u8ba4\u4e3a\u76ee\u524d\u7684\u75be\u75c5\uff0c\u662f\u5bf9\u81ea\u5df1\u9519\u8bef\u7684\u60e9\u7f5a\uff0c\u6216\u6709\u7f6a\u6076\u5984\u60f3\uff1b\uff084\uff09\u7f6a\u6076\u5984\u60f3\u4f34\u6709\u6307\u8d23\u6216\u5a01\u80c1\u6027\u5e7b\u89c9\u3002
3\uff0e\u81ea\u6740\uff1a\uff081\uff09\u89c9\u5f97\u6d3b\u7740\u6ca1\u6709\u610f\u4e49\uff1b\uff082\uff09\u5e0c\u671b\u81ea\u5df1\u5df2\u7ecf\u6b7b\u53bb\uff0c\u6216\u5e38\u60f3\u5230\u4e0e\u6b7b\u6709\u5173\u7684\u4e8b\uff1b\uff083\uff09\u6d88\u6781\u89c2\u5ff5\uff08\u81ea\u6740\u5ff5\u5934\uff09\uff1b\uff084\uff09\u6709\u4e25\u91cd\u81ea\u6740\u884c\u4e3a\u3002
4\uff0e\u5165\u7761\u56f0\u96be\uff08\u521d\u6bb5\u5931\u7720\uff09\uff1a\uff081\uff09\u4e3b\u8bc9\u6709\u5165\u7761\u56f0\u96be\uff0c\u4e0a\u5e8a\u534a\u5c0f\u65f6\u540e\u4ecd\u4e0d\u80fd\u5165\u7761\u3002\uff08\u8981\u6ce8\u610f\u5e73\u65f6\u75c5\u4eba\u5165\u7761\u7684\u65f6\u95f4\uff09\uff1b\uff082\uff09\u4e3b\u8bc9\u6bcf\u665a\u5747\u6709\u5165\u7761\u56f0\u96be\u3002
5\uff0e\u7761\u7720\u4e0d\u6df1\uff08\u4e2d\u6bb5\u5931\u7720\uff09\uff1a\uff081\uff09\u7761\u7720\u6d45\uff0c\u591a\u6076\u68a6\uff1b\uff082\uff09\u534a\u591c\uff08\u665a12\u70b9\u949f\u4ee5\u524d\uff09\u66fe\u9192\u6765\uff08\u4e0d\u5305\u62ec\u4e0a\u5395\u6240\uff09\u3002
6\uff0e\u65e9\u9192\uff08\u672b\u6bb5\u5931\u7720\uff09\uff1a\uff081\uff09\u6709\u65e9\u9192\uff0c\u6bd4\u5e73\u65f6\u65e9\u91921\u5c0f\u65f6\uff0c\u4f46\u80fd\u91cd\u65b0\u5165\u7761\uff08\u5e94\u6392\u9664\u5e73\u65f6\u7684\u4e60\u60ef\uff09\uff1b\uff082\uff09\u65e9\u9192\u540e\u65e0\u6cd5\u91cd\u65b0\u5165\u7761\u3002
7\uff0e\u5de5\u4f5c\u548c\u5174\u8da3\uff1a\uff081\uff09\u63d0\u95ee\u65f6\u624d\u8bc9\u8ff0\uff1b\uff082\uff09\u81ea\u53d1\u5730\u76f4\u63a5\u6216\u95f4\u63a5\u8868\u8fbe\u5bf9\u6d3b\u52a8\u3001\u5de5\u4f5c\u6216\u5b66\u4e60\u5931\u53bb\u5174\u8da3\uff0c\u5982\u611f\u5230\u6ca1\u7cbe\u6253\u5f69\uff0c\u72b9\u8c6b\u4e0d\u51b3\uff0c\u4e0d\u80fd\u575a\u6301\u6216\u9700\u5f3a\u8feb\u81ea\u5df1\u53bb\u5de5\u4f5c\u6216\u6d3b\u52a8\uff1b\uff083\uff09\u6d3b\u52a8\u65f6\u95f4\u51cf\u5c11\u6216\u6210\u6548\u4e0b\u964d\uff0c\u4f4f\u9662\u75c5\u4eba\u6bcf\u5929\u53c2\u52a0\u75c5\u623f\u52b3\u52a8\u6216\u5a31\u4e50\u4e0d\u6ee13\u5c0f\u65f6\uff1b\uff084\uff09\u56e0\u76ee\u524d\u7684\u75be\u75c5\u800c\u505c\u6b62\u5de5\u4f5c\uff0c\u4f4f\u9662\u8005\u4e0d\u53c2\u52a0\u4efb\u4f55\u6d3b\u52a8\u6216\u8005\u6ca1\u6709\u4ed6\u4eba\u5e2e\u52a9\u4fbf\u4e0d\u80fd\u5b8c\u6210\u75c5\u5ba4\u65e5\u5e38\u4e8b\u52a1\uff08\u6ce8\u610f\u4e0d\u80fd\u51e1\u4f4f\u9662\u5c31\u62534\u5206\uff09\u3002
8\uff0e\u963b\u6ede\uff08\u6307\u601d\u7ef4\u548c\u8a00\u8bed\u7f13\u6162\uff0c\u6ce8\u610f\u529b\u96be\u4ee5\u96c6\u4e2d\uff0c\u4e3b\u52a8\u6027\u51cf\u9000\uff09\uff1a\uff081\uff09\u7cbe\u795e\u68c0\u67e5\u4e2d\u53d1\u73b0\u8f7b\u5ea6\u963b\u6ede\uff1b\uff08\uff09\u7cbe\u795e\u68c0\u67e5\u4e2d\u53d1\u73b0\u660e\u663e\u963b\u6ede\uff1b\uff083\uff09\u7cbe\u795e\u68c0\u67e5\u8fdb\u884c\u56f0\u96be\uff1b\uff084\uff09\u5b8c\u5168\u4e0d\u80fd\u56de\u7b54\u95ee\u9898\uff08\u6728\u50f5\uff09\u3002
9\uff0e\u6fc0\u8d8a\uff1a\uff081\uff09\u68c0\u67e5\u65f6\u6709\u4e9b\u5fc3\u795e\u4e0d\u5b9a\uff1b\uff082\uff09\u660e\u663e\u5fc3\u795e\u4e0d\u5b9a\u6216\u5c0f\u52a8\u4f5c\u591a\uff1b\uff083\uff09\u4e0d\u80fd\u9759\u5750\uff0c\u68c0\u67e5\u4e2d\u66fe\u8d77\u7acb\uff1b\uff084\uff09\u6413\u624b\u3001\u54ac\u624b\u6307\u3001\u626f\u5934\u53d1\u3001\u54ac\u5634\u5507\u3002
10\uff0e\u7cbe\u795e\u6027\u7126\u8651\uff1a\uff081\uff09\u95ee\u53ca\u65f6\u8bc9\u8ff0\uff1b\uff082\uff09\u81ea\u53d1\u5730\u8868\u8fbe\uff1b\uff083\uff09\u8868\u60c5\u548c\u8a00\u8c08\u6d41\u9732\u51fa\u660e\u663e\u5fe7\u8651\uff1b\uff084\uff09\u660e\u663e\u60ca\u6050\u3002
11\uff0e\u8eaf\u4f53\u6027\u7126\u8651\uff08\u6307\u7126\u8651\u7684\u751f\u7406\u75c7\u72b6\uff0c\u5305\u62ec\uff1a\u53e3\u5e72\u3001\u8179\u80c0\u3001\u8179\u6cfb\u3001\u6253\u5443\u3001\u8179\u7ede\u75db\u3001\u5fc3\u60b8\u3001\u5934\u75db\u3001\u8fc7\u5ea6\u6362\u6c14\u548c\u53f9\u6c14\uff0c\u4ee5\u53ca\u5c3f\u9891\u548c\u51fa\u6c57\uff09\uff1a\uff081\uff09\u8f7b\u5ea6\uff1b\uff082\uff09\u4e2d\u5ea6\uff0c\u6709\u80af\u5b9a\u7684\u4e0a\u8ff0\u75c7\u72b6\uff1b\uff083\uff09\u91cd\u5ea6\uff0c\u4e0a\u8ff0\u75c7\u72b6\u4e25\u91cd\uff0c\u5f71\u54cd\u751f\u6d3b\u6216\u9700\u8981\u5904\u7406\uff1b\uff084\uff09\u4e25\u91cd\u5f71\u54cd\u751f\u6d3b\u548c\u6d3b\u52a8\u3002
12\uff0e\u80c3\u80a0\u9053\u75c7\u72b6\uff1a\uff081\uff09\u98df\u6b32\u51cf\u9000\uff0c\u4f46\u4e0d\u9700\u4ed6\u4eba\u9f13\u52b1\u4fbf\u81ea\u884c\u8fdb\u98df\uff1b\uff082\uff09\u8fdb\u98df\u9700\u4ed6\u4eba\u50ac\u4fc3\u6216\u8bf7\u6c42\u548c\u9700\u8981\u5e94\u7528\u6cfb\u836f\u6216\u52a9\u6d88\u5316\u836f\u3002
13\uff0e\u5168\u8eab\u75c7\u72b6\uff1a\uff08l\uff09\u56db\u80a2\uff0c\u80cc\u90e8\u6216\u9888\u90e8\u6c89\u91cd\u611f\uff0c\u80cc\u75db\u3001\u5934\u75db\u3001\u808c\u8089\u75bc\u75db\uff0c\u5168\u8eab\u4e4f\u529b\u6216\u75b2\u5026\uff1b\uff082\uff09\u75c7\u72b6\u660e\u663e\u3002
14\uff0c\u6027\u75c7\u72b6\uff08\u6307\u6027\u6b32\u51cf\u9000\uff0c\u6708\u7ecf\u7d0a\u4e71\u7b49\uff09\uff1a\uff081\uff09\u8f7b\u5ea6\uff1b\uff082\uff09\u91cd\u5ea6\uff1b\uff083\uff09\u4e0d\u80fd\u80af\u5b9a\uff0c\u6216\u8be5\u9879\u5bf9\u88ab\u8bc4\u8005\u4e0d\u9002\u5408\uff08\u4e0d\u8ba1\u5165\u603b\u5206\uff09\u3002
15\uff0e\u7591\u75c5\uff1a\uff081\uff09\u5bf9\u8eab\u4f53\u8fc7\u5206\u5173\u6ce8\uff1b\uff082\uff09\u53cd\u590d\u8003\u8651\u5065\u5eb7\u95ee\u9898\uff1b\uff083\uff09\u6709\u7591\u75c5\u5984\u60f3\uff1b\uff084\uff09\u4f34\u5e7b\u89c9\u7684\u7591\u75c5\u5984\u60f3\u3002
16\uff0e\u4f53\u91cd\u51cf\u8f7b\uff1a\u6309\u75c5\u53f2\u8bc4\u5b9a\uff1a\uff081\uff09\u60a3\u8005\u8bc9\u8ff0\u53ef\u80fd\u6709\u4f53\u91cd\u51cf\u8f7b\uff1b\uff082\uff09\u80af\u5b9a\u4f53\u91cd\u51cf\u8f7b\u3002\u6309\u4f53\u91cd\u8bb0\u5f55\u8bc4\u5b9a\uff1a\uff081\uff09\u4e00\u5468\u5185\u4f53\u91cd\u51cf\u8f7b\u8d85\u8fc70.5\u516c\u65a4\uff1b\uff082\uff09\u4e00\u5468\u5185\u4f53\u91cd\u51cf\u8f7b\u8d85\u8fc71\u516c\u65a4\u3002
17\uff0e\u81ea\u77e5\u529b\uff1a\uff080\uff09\u77e5\u9053\u81ea\u5df1\u6709\u75c5\uff0c\u8868\u73b0\u4e3a\u6291\u90c1\uff1b\uff081\uff09\u77e5\u9053\u81ea\u5df1\u6709\u75c5\uff0c\u4f46\u5f52\u548e\u4f19\u98df\u592a\u5dee\uff0c\u73af\u5883\u95ee\u9898\uff0c\u5de5\u4f5c\u8fc7\u5fd9\uff0c\u75c5\u6bd2\u611f\u67d3\u6216\u9700\u8981\u4f11\u606f\uff1b\uff082\uff09\u5b8c\u5168\u5426\u8ba4\u6709\u75c5\u3002
18\uff0e\u65e5\u591c\u53d8\u5316\uff08\u5982\u679c\u75c7\u72b6\u5728\u65e9\u6668\u6216\u508d\u665a\u52a0\u91cd\uff0c\u5148\u6307\u51fa\u662f\u54ea\u4e00\u79cd\uff0c\u7136\u540e\u6309\u5176\u53d8\u5316\u7a0b\u5ea6\u8bc4\u5206\uff09\uff08\u65e9\u4e0a\u53d8\u5316\u8bc4\u65e9\u4e0a\uff0c\u665a\u4e0a\u53d8\u5316\u8bc4\u665a\u4e0a\uff09\uff1a\uff081\uff09\u8f7b\u5ea6\u53d8\u5316\uff1a\u6668 1\u3001\u665a1\uff1b\uff082\uff09\u91cd\u5ea6\u53d8\u5316\uff1a\u6668 2\u3001\u665a 2\u3002
19\uff0e\u4eba\u683c\u89e3\u4f53\u6216\u73b0\u5b9e\u89e3\u4f53\uff08\u6307\u975e\u771f\u5b9e\u611f\u6216\u865a\u65e0\u5984\u60f3\uff09\uff1a\uff081\uff09\u95ee\u53ca\u65f6\u624d\u8bc9\u8ff0\uff1b\uff082\uff09\u81ea\u7136\u8bc9\u8ff0\uff1b\uff083\uff09\u6709\u865a\u65e0\u5984\u60f3\uff1b\uff084\uff09\u4f34\u5e7b\u89c9\u7684\u865a\u65e0\u5984\u60f3\u3002
20\uff0e\u504f\u6267\u75c7\u72b6\uff1a\uff081\uff09\u6709\u731c\u7591\uff1b\uff082\uff09\u6709\u7275\u8fde\u89c2\u5ff5\uff1b\uff083\uff09\u6709\u5173\u7cfb\u5984\u60f3\u6216\u88ab\u5bb3\u5984\u60f3\uff1b\uff084\uff09\u4f34\u6709\u5e7b\u89c9\u7684\u5173\u7cfb\u5984\u60f3\u6216\u88ab\u5bb3\u5984\u60f3\u3002
21\uff0e\u5f3a\u8feb\u75c7\u72b6\uff08\u6307\u5f3a\u8feb\u601d\u7ef4\u548c\u5f3a\u8feb\u884c\u4e3a\uff09\uff1a\uff081\uff09\u95ee\u53ca\u65f6\u624d\u8bc9\u8ff0\uff1b\uff082\uff09\u81ea\u53d1\u8bc9\u8ff0\u3002
22\uff0e\u80fd\u529b\u51cf\u9000\u611f\uff1a\uff08l\uff09\u4ec5\u4e8e\u63d0\u95ee\u65f6\u65b9\u5f15\u51fa\u4e3b\u89c2\u4f53\u9a8c\uff1b\uff082\uff09\u75c5\u4eba\u4e3b\u52a8\u8868\u793a\u6709\u80fd\u529b\u51cf\u9000\u611f\uff1b\uff083\uff09\u9700\u9f13\u52b1\u3001\u6307\u5bfc\u548c\u5b89\u6170\u624d\u80fd\u5b8c\u6210\u75c5\u5ba4\u65e5\u5e38\u4e8b\u52a1\u6216\u4e2a\u4eba\u536b\u751f\uff1b\uff084\uff09\u7a7f\u8863\u3001\u68b3\u6d17\u3001\u8fdb\u98df\u3001\u94fa\u5e8a\u6216\u4e2a\u4eba\u536b\u751f\u5747\u9700\u4ed6\u4eba\u534f\u52a9\u3002
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24\uff0e\u81ea\u5351\u611f\uff1a\uff081\uff09\u4ec5\u5728\u8be2\u95ee\u65f6\u8bc9\u8ff0\u6709\u81ea\u5351\u611f\uff08\u6211\u4e0d\u5982\u4ed6\u4eba\uff09\uff1b\uff082\uff09\u81ea\u52a8\u5730\u8bc9\u8ff0\u6709\u81ea\u5351\u611f\uff1b\uff083\uff09\u75c5\u4eba\u4e3b\u52a8\u8bc9\u8ff0\uff1b\u201c\u6211\u4e00\u65e0\u662f\u5904\u201d\u6216\u201c\u4f4e\u4eba\u4e00\u7b49\u201d\uff0c\u4e0e\u8bc42\u5206\u8005\u53ea\u662f\u7a0b\u5ea6\u4e0a\u7684\u5dee\u522b\uff1b\uff084\uff09\u81ea\u5351\u611f\u8fbe\u5984\u60f3\u7684\u7a0b\u5ea6\uff0c\u4f8b\u5982\u201c\u6211\u662f\u5e9f\u7269\u201d\u6216\u7c7b\u4f3c\u60c5\u51b5\u3002
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1．适用于具有抑郁症状的成年病人。
2．应由经过培训的两名评定者对患者进行HAMD联合检查。
3．一般采用交谈与观察的方式，检查结束后，两名评定者分别独立评分。
4．评定的时间范围：入组时，评定当时或入组前一周的情况，治疗后2～6周，以同样方式，对入组患者再次评定，比较治疗前后症状和病情的变化。
5．HAMD中，第8、9及11项，依据对患者的观察进行评定；其余各项则根据患者自己的口头叙述评分；其中第1项需两者兼顾。另外，第7和22项，尚需向患者家属或病房工作人员收集资料；而第16项最好是根据体重记录，也可依据病人主诉及其家属或病房工作人员所提供的资料评定。
6．有的版本仅21项，即比24项量表少第22～24项，其中第7项有的按0～2分3级记分法，现采用0～4分5级记分法。还有的版本仅17项，即无第18～24项。
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