Characteristics not tested in our studies in spanish. Over the last two weeks, how often have you been bothered by any of the following problems. Summary of representative clinical depression screening tools. As seen in table 2, the phq9 scale diagnosed more than twice as many patients with severe depression in comparison with the hadsd scale, while the two scales identified equal amounts of mild forms of depression. Nineitem patient health questionnaire phq9 the phq9 was originally designed to improve detection of depression in primary care and nonpsychiatric settings kroenke et al. Severe depression notes phq 9 is adapted from prime md today, developed by drs. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of not at all. If this is positive, the phq 9 can then be used, which has 61% sensitivity and 94% specificity in adults. Mental health screening tools in different languages.
Questions 1 andor 2 need to be endorsed as a 2 or 3. Administering the patient health questionnaires 2 and 9 phq. Over the last 2 weeks, how often have you been bothered by any of the following problems. The phq9 dep9 in some sourcesis a 9question instrument given to patients in a primary care setting to screen for the presence and severity of depression. Phq9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Consider screening at least once during pregnancy and again four to eight weeks after delivery. Robert l spitzer, janet bw williams, kurt kroenke, and colleagues, with an educational grant from pfizer inc. 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. Concordance of edinburgh postnatal depression scale epds. Phq9 patient depression questionnaire for initial diagnosis. The phq9 is a depression scale consisting of nine questions. Patient health questionnaire phq9 nine symptom depression checklist name. While there are many instruments available to measure depression, the geriatric depression scale gds, first created by yesavage, et al. 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.
The screening process starts with the patient health questionnaire phq9, a wellknown and valid tool. Spanish personal health questionnaire depression scale. Administering the patient health questionnaires 2 and 9. When screening for depression the patient health questionnaire phq 2 can be used first it has a 97% sensitivity and a 67% specificity. The scale is an adaptation of the hamilton depression rating scale and has a greater sensitivity to change over time. From the primary care evaluation of mental disorders patient health questionnaire primemd phq. Phq9 questionnaire for depression scoring and interpretation guide. Multiply that number by the value indicated below, then add the subtotal to produce a total score. The phq9 is the nine item depression scale of the patient health questionnaire. The phq9 patient health questionnaire 9 objectifies and assesses degree of depression severity via questionnaire. The patient health questionnaire phq9 the phq9 is a 9item, depression screening scale kroenke et al. Personal health questionnaire depression scale phq8. The phq9 can be used as a tool for diagnosing depression as well as for monitoring the patients treatment.
The patient health questionnaire 2 phq2 overview the phq2 inquires about the frequency of depressed mood and anhedonia over the past two weeks. A score of 10 or greater is considered major depression, 20 or more is severe major depression. How often have you been bothered by each of the following symptoms during the past two weeks. It is the 9question depression scale from the patient health questionnaire phq. The apa is offering a number of emerging measures for. Pdf using the patient health questionnaire phq9 and the. The phq9 is used to diagnose and monitor the severity of depression. Psychometric properties of the phq9 depression scale in. Patient health questionnaire 9 phq9 depression scale. Patient completes phq9 quick depression assessment on accompanying tearoff pad. Patient health questionnaire phq9 british columbia. In our study, this questionnaire assesseed 9 depressive symptoms. Quick guide to primemd patient health questionnaire phq.
Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Edinburgh postnatal depression scale 1 epds postpartum depression is the most common complication of childbearing. 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. When screening for depression the patient health questionnaire phq2 can be used first it has a 97% sensitivity and a 67% specificity. Comparison of two selfrating scales to detect depression. Fill out, securely sign, print or email your depression patient health questionnaire phq9 adolescent reportdoc instantly with signnow. The patient health questionnaire phq 9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.
Not at all several days more than half the days nearly every day. Using the patient health questionnaire phq9 and the. To use the phq9 as a diagnostic aid for major depressive disorder. Clinicians can quickly score the phq 9 once the patient has completed its 9 questions. 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. Phq9 nine symptom checklist university of washington. Patient completes phq9 quick depression assessment. Phq 9 patient depression questionnaire for initial diagnosis.
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. The instrument aids in guiding criteria based diagnosis of depressive symptoms, can assist in identifying treatment goals, determining severity of symptoms, as well as. Feb 19, 2019 summation of phq9 item scores is therefore a reasonable approach to provide a global measure. Monthly until remission or for first 6 months after diagnosis. The phq9 is a nineitem selfreport depression scale. Patient health questionnaire 9 phq 9 depression scale zero suicide.
Hamilton depression r s hamd assessment psychology. Multiple research studies have evaluated the reliability consistency and validity accuracy of the phq 9. The phq 9 is a valid, quick screening instrument for depression that also can be used as a followup to a positive phq 2 result and to monitor treatment response. Quick guide to primemd patient health questionnaire phq purpose. Criterion validation of the summated phq9 score against mdd, together with concurrent validation against other established depression scales supports validity of the phq9 as a measure for the underlying construct of depression. It is the 9 question depression scale from the patient health questionnaire phq. For patients with a depressive disorder, a phq depression. In total, the phq9 scale identified 30% more patients as depressed compared to the hadsd scale.
If you checked off any problem on this questionnaire so far, how difficult have these. Personal health questionnaire phq9 score interpretation. The most secure digital platform to get legally binding. Depression should not be diagnosed or excluded solely on the basis of a phq9 score. Clinical guidelines advise screening for depression in patients with diabetes. Studies have verified that the phq 9 accurately identifies the presence of depression, as well as measures the severity of depression. The phq9 is a nine question selfrating scale that is very commonly used for screening for adult depression. Phq9 depression scale university of washington aims center. The patient health questionnaire phq is designed to facilitate the recognition and diagnosis of the most common mental disorders in primary care patients. The screening process starts with the patient health questionnaire phq 9, a wellknown and valid tool. If this is positive, the phq9 can then be used, which has 61%. It is one of the most validated tools in mental health and can be a powerful tool to assist clinicians with diagnosing depression and monitoring treatment response. Patient completes phq 9 quick depression assessment. The phq 9 is used to diagnose and monitor the severity of depression.
The phq 9 is a nineitem selfreport depression scale that. The phq 2 is a tool used to screen for depression, while the. Question 9 screens for the presence and duration of suicide ideation. The gds long form is a brief, 30item questionnaire. It is not specific to pregnancy or postpartum, but it is very often used for postpartum depression screening. Phq9 patient health questionnaire maternal depression screening oregon maternal, infant and early childhood home visiting training. Spanish personal health questionnaire depression scale phq8. 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. The results of the phq9 may be used to make a depression. Brief description selfadministered 9item instrument based on the nine dsmv criteria listed under criterion a for major depressive disorder. For each symptom put an x in the box beneath the answer that best describes how you have been feeling. Instructions to clinicians the severity measure for depression adult adapted from the patient health questionnaire 9 phq9 is a selfrated 9item measure that assesses the severity of depressive. Phq9 patient health questionnaire maternal depression. This document has been developed to help clarify and address common questions on the use and administration of the patient health questionnaires 2 and 9 phq 2 and 9 as preventive depression screening tools in the integrated care setting.
You may consider a referral to eap or online coaching and provide education about depression. The 10item montgomeryasberg depression rating scale madrs measures severity of depression in individuals 18 years and older. Perinatal depression and phq9 scoring speaker bio gabrielle kaufman, ma, lpcc, bcdmt, ncc is a dancemovement therapist and licensed professional clinical counselor with over 20 years experience. Concordance of edinburgh postnatal depression scale epds and patient health questionnaire phq9 to assess increased risk of depression among postpartum women barbara p. The patient health questionnaire phq 9 and the depression subscale of the hospital anxiety and depression scale hadsd are commonly used in primary care. Personal health questionnaire depression scale phq 8 over the last 2 weeks, how often have you been bothered by any of the following problems. 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.
The gds long form is a brief, 30item questionnaire in which participants. The patient health questionnaire phq9 overview the phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Patient health questionnaire 9 phq9 over the last 2 weeks, how often have you been bothered by any of the following problems. Phq9 fill out and sign printable pdf template signnow. The phq 9 is the nine item depression scale of the patient health questionnaire. We evaluate the validity of a singleitem visual analogue scale vas for assessing the presence and severity of depression and compare its performance with the patient health questionnaire phq 9. Using the patient health questionnaire phq 9 and the edinburgh postnatal depression scale epds to assess suicidal ideation among pregnant women in lima, peru. Of the 9 items, 5 or more are checked as at least more than half the days. It is the dedication of healthcare workers that will lead us through this crisis. If this is positive, the phq9 can then be used, which has 61% sensitivity and 94% specificity in adults. Scoring the phq9 modified for teens scoring the phq9 modified for teens is easy but involves thinking about several different aspects of depression. Patient health questionnaire phq9 for depression using phq9 diagnosis and score for initial treatment selection a depression diagnosis that warrants treatment or treatment. The results have repeatedly demonstrated that the phq 9 is an effective way to measure depression.
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