Cornell Scale for Depression (CSDD)

Anxiety — anxious expression, ruminations, worrying

Sadness — sad expression, sad voice, tearfulness

Lack of reactivity to pleasant events

Irritability — easily annoyed, short-tempered

Agitation — restlessness, handwringing, hair-pulling

Retardation — slow movements, slow speech, slow reactions

Multiple physical complaints (score 0 if GI symptoms only)

Loss of interest — less involved in usual activities

Appetite loss — eating less than usual

Weight loss (2 lbs or more in 1 month)

Lack of energy — fatigues easily, unable to sustain activities

Diurnal variation of mood — symptoms worse in the morning

Difficulty falling asleep

Multiple awakenings during sleep

Early morning awakening — earlier than usual

Suicidal ideation — feels life is not worth living, has suicidal wishes, or makes attempt

Poor self-esteem — self-blame, self-depreciation, feelings of failure

Pessimism — anticipation of the worst

Mood-congruent delusions — delusions of poverty, illness, or loss