Comparison of the standard and structured interview guide for the Hamilton Depression Rating Scale in depressed geriatric inpatients

Am J Geriatr Psychiatry. 2001 Winter;9(1):35-40.


The interrater reliability of the standard Hamilton Depression Rating Scale (Ham-D) and a structured interview guide for the Ham-D (the SIGH-D) were compared in a sample of 20 elderly inpatients with major depression. Each patient was independently interviewed by four raters; two used the standard 24-item Ham-D, and the other two used a 24-item modified version of the Structured Interview Guide for the Ham-D. Systematic counterbalancing of raters and scales and a stringent evaluation schedule were used to counter position effects, spontaneous symptom change, or diurnal variation. The modified SIGH-D produced uniformly higher item- and summary-scale reliabilities than the unstructured Ham-D.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Chicago
  • Depressive Disorder / diagnosis*
  • Female
  • Geriatric Assessment*
  • Humans
  • Interview, Psychological / methods*
  • Male
  • Observer Variation
  • Reproducibility of Results