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In 1959, there was no other test that was able to measure the psychic and somatic or physical levels of an anxiety sufferer. As a result Max Hamilton created the HARS test. The test can be used on children and younger adults although there has also been recent support for its use in older patients. 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 test is usually given by a doctor or other qualified personnel. Each answer is then rated from 0-4 with 0 being the lowest level of anxiety. When the test is finished, the doctor or therapist tots up the scores and uses the total to make a determination of the patients anxiety levels. The questions are split into seven for psychic anxieties and seven for somatic anxieties giving the therapist a well rounded look at the patient and making it easier to understand their level of anxiety.
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After adding up the results, it is felt that if a person has a score of less than 17 that this person only has mild anxiety which can be easily treated with therapy. Sometimes this can be misleading. Many people will try to mask their true feeling out of embarressment. It takes a well trained therapist to coax the real answers out and to be able to make an accurate diagnosis. 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. This level of anxiety may require medication to help bring the anxiety under control well enough that the patient can then learn to use relaxation techniques and programs like CBT overcome their anxieties once and for all.
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. Whilst not perfect, in the right hands the test has proven to work remarkably well. One area of ambiguity is the tendency for depressed patients to tend to score highly.
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The HARS test is probably the most frequently used test to measure anxiety despite the fact that the results can sometimes be skewed. In fact, HARS has a very long track record for consistently providing execllent results. Combined with the correct type and degree of treatment, many people are able to cure themselves of this debilitating condition.
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