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Hamilton Rating Scale for Depression

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The Hamilton Rating Scale for Depression ( HRSD ), also called the Hamilton Depression Rating Scale ( HDRS ), sometimes also abbreviated as HAM-D , is a multiple-item questionnaire used to provide an indication of depression , and as a guide to evaluate recovery. Max Hamilton originally published the scale in 1960 and revised it in 1966, 1967, 1969, and 1980. The questionnaire is designed for adults and is used to rate the severity of their depression by probing mood , feelings of guilt, suicide ideation, insomnia , agitation or retardation, anxiety , weight loss , and somatic symptoms.

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27-462: The HRSD has been criticized for use in clinical practice as it places more emphasis on insomnia than on feelings of hopelessness, self-destructive thoughts, suicidal cognitions and actions. An antidepressant may show statistical efficacy even when thoughts of suicide increase but sleep is improved, or for that matter, an antidepressant that as a side effect increase sexual and gastrointestinal symptom ratings may register as being less effective in treating

54-435: A balance between them if they are to survive and thrive. Ambient temperature has been shown to affect and even convert nocturnal animals to diurnality as it is a way for them to conserve metabolic energy. Nocturnal animals are often energetically challenged due to being most active in the nighttime when ambient temperatures are lower than through the day, and so they lose a lot of energy in the form of body heat. According to

81-455: Is also limited, meaning the risks of predation are less than the risk of freezing or starving to death. Many plants are diurnal or nocturnal, depending on the time period when the most effective pollinators, i.e., insects, visit the plant. Most angiosperm plants are visited by various insects, so the flower adapts its phenology to the most effective pollinators. Thus, the effectiveness of relative diurnal or nocturnal species of insects affects

108-474: Is compared to the corresponding descriptor. Assessment time is about 20 minutes. The patient is rated by a clinician on 17 to 29 items (depending on version) scored either on a 3-point or 5-point Likert-type scale. For the 17-item version, a score of 0–7 is considered to be normal while a score of 20 or higher (indicating at least moderate severity) is usually required for entry into a clinical trial. Questions 18–20 may be recorded to give further information about

135-433: Is different from Wikidata All article disambiguation pages All disambiguation pages Diurnality Diurnality is a form of plant and animal behavior characterized by activity during daytime , with a period of sleeping or other inactivity at night . The common adjective used for daytime activity is " diurnal ". The timing of activity by an animal depends on a variety of environmental factors such as

162-505: Is one of the strongest influences of the suprachiasmatic nucleus (SCN) which is part of the hypothalamus in the brain that controls the circadian rhythm in most animals. This is what determines whether an animal is diurnal or not. The SCN uses visual information like light to start a cascade of hormones that are released and work on many physiological and behavioural functions. Light can produce powerful masking effects on an animal's circadian rhythm, meaning that it can "mask" or influence

189-1071: Is what helped contribute to the success of many, especially mammals. This evolutionary movement to nocturnality allowed them to better avoid predators and gain resources with less competition from other animals. This did come with some adaptations that mammals live with today. Vision has been one of the most greatly affected senses from switching back and forth from diurnality to nocturnality, and this can be seen using biological and physiological analysis of rod nuclei from primate eyes. This includes losing two of four cone opsins that assists in colour vision , making many mammals dichromats . When early primates converted back to diurnality, better vision that included trichromatic colour vision became very advantageous, making diurnality and colour vision adaptive traits of simiiformes , which includes humans. Studies using chromatin distribution analysis of rod nuclei from different simian eyes found that transitions between diurnality and nocturnality occurred several times within primate lineages, with switching to diurnality being

216-927: The Beck Depression Inventory (BDI), the Zung Self-Rating Depression Scale , the Wechsler Depression Rating Scale, the Raskin Depression Rating Scale, the Inventory of Depressive Symptomatology (IDS), the Quick Inventory of Depressive Symptomatology (QIDS), PHQ-9 , and other questionnaires. diurnal [REDACTED] Look up diurnal in Wiktionary,

243-533: The Gran Chaco in South America showed that increased amounts of moonlight at night increased their activity levels through the night which led to a decrease of daytime activity. Meaning that for this species, ambient moonlight is negatively correlated with diurnal activity. This is also connected with the foraging behaviours of the monkeys, as when there were nights of little to no moonlight, it affected

270-644: The HDRS show more reliability than unstructured versions with informed use. The UK National Institute for Health & Clinical Excellence has specified the following "levels of depression" based on the 17-item HRSD. It previously used the terms in parentheses, which are those of the American Psychiatric Association . Other scales include the Montgomery-Åsberg Depression Rating Scale (MADRS),

297-454: The circadian thermos-energetics (CTE) hypothesis, animals that are expending more energy than they are taking in (through food and sleep) will be more active in the light cycle, meaning they will be more active in the day. This has been shown in studies done on small nocturnal mice in a laboratory setting. When they were placed under a combination of enough cold and hunger stress, they converted to diurnality through temporal niche switching, which

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324-458: The day time and inactive or have periods of rest during the night time. Commonly classified diurnal animals include mammals , birds , and reptiles . Most primates are diurnal, including humans . Scientifically classifying diurnality within animals can be a challenge, apart from the obvious increased activity levels during the day time light. Initially, most animals were diurnal, but adaptations that allowed some animals to become nocturnal

351-400: The day, and therefore conserve more energy, especially when colder seasonal temperatures hit. Light is one of the most defining environmental factors that determines an animal's activity pattern. Photoperiod or a light dark cycle is determined by the geographical location, with day time being associated with much ambient light, and night time being associated with little ambient light. Light

378-432: The daytime are described as diurnal, while those that bloom during nighttime are nocturnal. The timing of flower opening is often related to the time at which preferred pollinators are foraging. For example, sunflowers open during the day to attract bees, whereas the night-blooming cereus opens at night to attract large sphinx moths . Many types of animals are classified as being diurnal, meaning they are active during

405-486: The depression (such as whether diurnal variation or paranoid symptoms are present), but are not part of the scale. A structured interview guide for the questionnaire is available. Although Hamilton's original scale had 17 items, other versions included up to 29 items (HRSD-29). Unstructured versions of the HDRS provide general instructions for rating items, while structured versions may provide definitions and/or specific interview questions for use. Structured versions of

432-399: The depression itself than it actually is. Hamilton maintained that his scale should not be used as a diagnostic instrument. The original 1960 version contained 17 items (HDRS-17), but four other questions not added to the total score were used to provide additional clinical information. Each item on the questionnaire is scored on a 3 or 5 point scale, depending on the item, and the total score

459-420: The diurnal or nocturnal nature of the plants they pollinate, causing in some instances an adjustment of the opening and closing cycles of the plants. For example, the baobab is pollinated by fruit bats and starts blooming in late afternoon; the flowers are dead within twenty-four hours. Services that alternate between high and low utilization in a daily cycle are described as being diurnal. Many websites have

486-439: The evolution of diurnality. With about 20 transitions counted for the gecko lineages, it shows the significance of diurnality. Strong environmental influences like climate change, predation risk, and competition for resources are all contributing factors. Using the example of geckos, it is thought that species like Mediodactylus amictopholis that live at higher altitudes have switched to diurnality to help gain more heat through

513-420: The free dictionary. Diurnal (" daily ") may refer to: General [ edit ] Diurnal cycle , any pattern that recurs daily Diurnality , the behavior of animals and plants that are active in the daytime Diurnal phase shift , a phase shift of electromagnetic signals Diurnal temperature variation , a cycle of daily temperature change Astronomy [ edit ] Diurnal arc ,

540-416: The internal clock, changing the activity patterns of an animal, either temporarily or over the long term if exposed to enough light over a long period of time. Masking can be referred to either as positive masking or negative masking, with it either increasing an diurnal animals activity or decreasing a nocturnal animal's activity, respectively. This can be depicted when exposing different types of rodents to

567-604: The monkey's ability to forage efficiently, so they were forced to be more active in the day to find food. Diurnality has shown to be an evolutionary trait in many animal species, with diurnality mostly reappearing in many lineages. Other environmental factors like ambient temperature, food availability, and predation risk can all influence whether an animal will evolve to be diurnal, or if their effects are strong enough, then mask over their circadian rhythm, changing their activity patterns to becoming diurnal. All three factors often involve one another, and animals need to be able to find

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594-572: The most common transitions. Still today, diurnality seems to be reappearing in many lineages of other animals, including small rodent mammals like the Nile grass rat and golden mantle squirrel and reptiles. More specifically, geckos, which were thought to be naturally nocturnal have shown many transitions to diurnality, with about 430 species of geckos now showing diurnal activity. With so many diurnal species recorded, comparative analysis studies using newer lineages of gecko species have been done to study

621-439: The same photoperiods. When a diurnal Nile grass rat and nocturnal mouse are exposed to the same photoperiod and light intensity, increased activity occurred within the grass rat (positive masking), and decreased activity within the mouse (negative masking). Even small amounts of environmental light change have shown to have an effect on the activity of mammals. An observational study done on the activity of nocturnal owl monkeys in

648-411: The same term [REDACTED] This disambiguation page lists articles associated with the title Diurnal . If an internal link led you here, you may wish to change the link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=Diurnal&oldid=1242930963 " Category : Disambiguation pages Hidden categories: Short description

675-525: The temperature, the ability to gather food by sight, the risk of predation, and the time of year. Diurnality is a cycle of activity within a 24-hour period; cyclic activities called circadian rhythms are endogenous cycles not dependent on external cues or environmental factors except for a zeitgeber . Animals active during twilight are crepuscular , those active during the night are nocturnal and animals active at sporadic times during both night and day are cathemeral . Plants that open their flowers during

702-573: The time (expressed in right ascension) that it takes a planet etc. to move from its rising to its setting point Diurnal motion , the apparent motion of stars around the Earth Astrology [ edit ] Diurnal chart, a chart for a given date, based on the natal chart Diurnal planet, a planet in a sect for which the Sun is above the horizon See also [ edit ] Diurnality Salisbury Diurnal Topics referred to by

729-407: Was expected. Another similar study that involved energetically challenging small mammals showed that diurnality is most beneficial when the animal has a sheltered location to rest in, reducing heat loss. Both studies concluded that nocturnal mammals do change their activity patterns to be more diurnal when energetically stressed (due to heat loss and limited food availability), but only when predation

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