The MHOWS (Eissenberg et al. 1996) is a modified Himmelsbach (1941) withdrawal severity scale, with each of seven signs being rated by the observer on a 3 point scale where 0 = none and 1and 2 were ratings individualized for each sign. The signs were: Yawning, Lacrimation, Rhinorrhea, Perspiration, Gooseflesh, Bowel sounds (a stethoscope was placed on the subject's abdomen), and Restlessness. The scores for the individual items were summed to form a composite modified Himmelsbach score.
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Modified Himmelsbach Opiate Withdrawal Scale
Abbreviation
MHOWS
Description
Category
Substance Use
Subcategory
Drugs
Studies Using This Assessment