The phq 9 is a valid and reliable depression questionnaire. The phq9 patient health questionnaire9 objectifies and assesses degree of depression severity via questionnaire. The patient health questionnaire phq 9 is a brief, 9 item selfreport screening tool that may help identify symptoms that could relate to depression. The phq 9 is useful for assessing symptom count and severity for depression at the start of treatment, and monitoring the clients symptoms over the course of treatment. Questions 1 andor 2 need to be endorsed as a 2 or 3. Concordance of edinburgh postnatal depression scale epds.
Personal health questionnaire depression scale phq 8 over the last 2 weeks, how often have you been bothered by any of the following problems. Clinicians can quickly score the phq 9 once the patient has completed its 9 questions. When screening for depression the patient health questionnaire phq 2 can be used first it has a 97% sensitivity and a 67% specificity. Instruction manual instructions for patient health. This person does not meet the diagnostic criteria for depression. Its based directly on the dsmiv diagnostic criteria for major depressive disorder. The phq9 is the depression module, which scores each of the 9 dsmiv criteria as 0 not at all to 3 nearly every day. Concordance of edinburgh postnatal depression scale epds and patient health questionnaire phq 9 to assess increased risk of depression among postpartum women. Concordance of edinburgh postnatal depression scale epds and patient health questionnaire phq9 to assess increased risk of depression among postpartum women. Characteristics not tested in our studies in spanish. Pdf patient health questionnaire9 versus edinburgh. It is one of the most validated tools in mental health and can be a powerful tool.
Educational modules exist for pcps, consultant psychiatrists, phonebased care managers, and patients. Screening intervals the uspstf found no evidence on appropriate or recommended screening intervals, and the optimal screening interval is unknown. The phq9 is the 9item depression module from the full phq. Methodsas part of a randomized treatment trial for poststroke depression psd, subjects with and without psd completed the phq9, a 9item summed scale, with scores ranging from 0 no depressive symptoms to 27 all. The phq9 is a measurement for depression and the gad7 is a measurement for anxiety disorders. When screening for depression the patient health questionnaire phq2 can be used first it has a 97% sensitivity and a 67% specificity. Among these legacy measures, we focused on those tha t were available without proprietary restrictions for research applications. A score of 10 or greater is considered major depression, 20 or more is severe major depression. The phq9 is a nineitem selfreport depression scale that. Spanish personal health questionnaire depression scale phq8.
The patient health questionnaire phq 9 is a simpletoadminister, effective screening tool specifically designed to assess symptoms of major depressive disorder, but commonly used to assess symptoms of ppd. Personal health questionnaire phq9 score interpretation and possible actions total score depression severity actions needed 14 minimal depression initial assessment this score suggests the patient, at this time, may not need depression treatment. Depression screening by a nineitem patient health questionnaire phq 9 in adults formulary drug information for this topic no drug references linked in this topic. Patient health questionnaire 9 phq 9 depression scale zero suicide. In our study, this questionnaire assesseed 9 depressive symptoms experienced by participants in the 14 days prior to evaluation. The screening process starts with the patient health questionnaire phq9, a wellknown and valid tool. It is the 9 question depression scale from the patient health questionnaire phq. The patient health questionnaire phq9 is a brief, 9item selfreport screening tool that may help identify symptoms that could relate to depression.
Kurt kroenke, md, robert l spitzer, md, and janet b w williams, dsw. Scoring the phq 9 modified for teens scoring the phq 9 modified for teens is easy but involves thinking about several different aspects of depression. Clinicians can quickly score the phq9 once the patient has completed its 9 questions. For adolescents, the phq 9a with additional screening questions adq on the back page remains the recommended tool. Responders are asked to rate the frequency of depression symptoms in the last 2 weeks on a likert.
Patient health questionnaire phq9 british columbia. Performance of the phq9 as a screening tool for depression. The instrument aids in guiding criteria based diagnosis of depressive symptoms, can assist in identifying treatment goals, determining severity of symptoms, as well as. Since this scale is selfadministered in our studies, question. The phq 9 patient health questionnaire 9 objectifies and assesses degree of depression severity via questionnaire. Phq9 questionnaire for depression scoring and interpretation guide.
The phq 9 is the 9 item depression module from the full phq sidebar, page 514. Phq9 quick depression assessment for initial diagnosis. The phq 9 dep 9 in some sourcesis a 9 question instrument given to patients in a primary care setting to screen for the presence and severity of depression. Scoring the phq9 modified for teens scoring the phq9 modified for teens is easy but involves thinking about several different aspects of depression. Depression should not be diagnosed or excluded solely on the basis of a phq 9 score. You may consider a referral to eap or online coaching and provide education about depression. Initial assessment and monitoring for healthcare professional use only phq9 quick depression assessment tool. Patient health questionnaire 9 phq9 depression scale.
The phq 9 is used to diagnose and monitor the severity of depression. The phq9 is used to diagnose and monitor the severity of depression. Phq9 questionnaire for depression scoring and interpretation guide for physician use only scoring. For adolescents, the phq9a with additional screening questions adq on the back page remains the recommended tool. The phq 2 is a tool used to screen for depression, while the phq 9 tool is used to screen or diagnose depression, measure the severity of symptoms, and measure a patients response to treatment. Patient health questionnaire9 phq9 over the last 2 weeks, how often have you been bothered by any of the following problems.
Questions 1 and 2 need one or both of the first two questions endorsed as a 2 or a 3. The patient health questionnaire phq 9 scoring use of the phq 9 to make a tentative depression diagnosis. Consider other diagnoses to explain hisher symptoms. During the past two weeks, have you often been bothered by feeling down, depressed or hopeless.
Of the 9 items, 5 or more are circled as at least more than half the days either item 1a or 1b is positive, that is, at least more than half the days scoring method for diagnosis minor depressive syndrome is suggested if. Phq9 nine symptom checklist university of washington. Yes no if the answer to both questions is no, the screen is negative for depression rescreen if indicated. Previously, depression screening for adults was done by a standalone phq9 tool with. Assessment of depression severity with the phq9 in cancer. Research has shown that certain scores on the phq9 are strongly correlated with a subsequent diagnosis of major depression although not everyone with an elevated phq9 is certain to have major depression. Brief description selfadministered 9item instrument based on the nine dsmv criteria listed under criterion a for major depressive disorder. Questionnaire for adolescents phqa and the primary care version of the beck depression inventory bdi. Patient health questionnaire phq9 for depression using phq9 diagnosis and score for initial treatment selection a depression diagnosis that warrants treatment or treatment change, needs at least one of the first two questions endorsed as.
Nineitem patient health questionnaire phq9 the phq9 was originally designed to improve detection of depression in primary care and nonpsychiatric settings kroenke et al. Patient health questionnaire 9 versus edinburgh postnatal depression scale in screening for major depressive episodes. During the past two weeks, have you often been bothered by little interest or pleasure in doing things. If this is positive, the phq9 can then be used, which has 61% sensitivity and 94% specificity in adults. The patient health questionnaire 9 phq 9 a 10item, onepage, selfadministered tool that quantifies the patients neurovegetative symptoms of depression 50 is repeatedly used to track the patients progress. Of the 9 items, b, c, or d are circled as at least more than half the days. Patient health questionnaire 9 an overview sciencedirect. Post stroke depressionscreening and asseessment tools.
The phq9 can be used as a tool for diagnosing depression as well as for monitoring the patients treatment. Phq9 patient depression questionnaire for initial diagnosis. Depression screening by a nineitem patient health questionnaire phq9 in adults formulary drug information for this topic no drug references linked in this topic. The phq 9 is a measurement for depression and the gad7 is a measurement for anxiety disorders. For adults, the standalone depression screening tool phq9 has been replaced by a more expansive annual behavioral health questionnaire. Personal health questionnaire depression scale phq8. Also, alternative or abbreviated versions of the phq 9 and gad7 are sometimes used in certain screening or research settings 1014. The phq9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetricsgynecology clinics. The phq9 is the nine item depression scale of the patient health questionnaire. Patient health questionnaire9 versus edinburgh postnatal depression scale in screening for major depressive episodes. The phq 9 and gad7 are designed to facilitate the recognition for depressive disorders and anxiety disorders respectively. Administering the patient health questionnaires 2 and 9.
If this is positive, the phq 9 can then be used, which has 61% sensitivity and 94% specificity in adults. The patient health questionnaire phq 9 the phq 9 is a 9 item, depression screening scale kroenke et al. A further, freely available and more recently developed questionnaire is the. This easy to use patient questionnaire is a selfadministered version of the primemd diagnostic instrument for common mental disorders. Questionnaire for adolescents phq a and the primary care version of the beck depression inventory bdi.
A further, freely available and more recently developed questionnaire is the patient health questionnaire phq 9 11. The clinician should rule out physical causes of depression, normal bereavement and a history of a manichypomanic episode step 1. To use the phq9 as a diagnostic aid for major depressive disorder. The patient health questionnaire phq9 the phq9 is a 9item, depressionscreening scale kroenke et al.
The patient health questionnaire phq9 is a simpletoadminister, effective screening tool specifically designed to assess symptoms of major depressive disorder, but commonly used to assess symptoms of ppd. Interpreting phq 9 scores actions based on ph9 score score action minimal depression 04 mild depression 5 9 moderate depression 1014 moderately severe depression 1519 severe depression 2027 5 14 15 the score suggests the patient may not need depression treatment physician uses clinical judgment about treatment, based. From the primary care evaluation of mental disorders patient health questionnaire primemd phq. Also, alternative or abbreviated versions of the phq9 and gad7 are sometimes used in. The phq is a selfadministered version of the primemd, a screening tool that assesses 12 mental and emotional health disorders. Major depression is diagnosed if 5 or more of the 9 depressive symptom criteria have been present at least more than half the days in the past 2 weeks, and 1 of the symptoms is depressed mood or anhedonia.
Question 9 screens for the presence and duration of suicide ideation. Patient health questionnaire phq 9 for depression using phq 9 diagnosis and score for initial treatment selection a depression diagnosis that warrants treatment or treatment change, needs at least one of the first two questions endorsed as positive little pleasure, feeling depressed indicating the. Data on the accuracy of mdd screening instruments in younger children are limited. Administering the patient health questionnaires 2 and 9 phq. Patient completes phq 9 quick depression assessment.
It has modules on mood phq9, anxiety, alcohol, eating. Using the patient health questionnaire phq9 and the. Phq9 depression scale university of washington aims center. Its purpose is not to establish final diagnosis or to monitor depression severity, but rather to screen for depression. For each symptom put an x in the box beneath the answer that best describes how you have been feeling. It is not only an efficient screening tool but also a way to track patients response to treatment gilbody et al. The phq 9 was developed for use in primary care settings. Del paciente 9 phq 9 durante las ultimas 2 semanas. It is the dedication of healthcare workers that will lead us through this crisis. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Patient completes phq9 quick depression assessment on accompanying tearoff pad.
Previously, depression screening for adults was done by a standalone phq 9 tool with. Screening for depression in children and adolescents. Personal health questionnaire phq9 score interpretation. Depression should not be diagnosed or excluded solely on the basis of a phq9 score. How often have you been bothered by each of the following symptoms during the past two weeks. Adult and adolescent depression screening, diagnosis, and. Of the 9 items, 5 or more are checked as at least more than half the days. Phq9, a 9item depression scale, as a screening and diagnostic instrument for assessing depression in stroke survivors. The patient health questionnaire phq 9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Questionnaire phq9 and center for epidemiological studies depression scale cesd, were flagged as potential candidates for the toolbox battery because of their history, visibility, and research legacy. The phq9 is a depression scale consisting of nine questions.
The phq9 is the 9item depression module from the full phq sidebar, page 514. Multiply that number by the value indicated below, then add the subtotal to produce a total score. The phq9 is intended as a tool to assist clinicians with identifying and diagnosing depression but is not a substitute for diagnosis by a. To use the phq 9 as a diagnostic aid for major depressive disorder. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of not at all. Phq 9 patient depression questionnaire for initial diagnosis.
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