Phq9 patient health questionnaire gesundheitsfragebogen fur. A new depression and diagnostic severity measure, psychiatric annals. Score of 3 or more is positive and should be further evaluated by gad7 or a mental health referral should be made. Total score greater than five indicates probably depression. Therefore, effective treatment starts with a thorough understanding. The phq9 can be used as a tool for diagnosing depression as well as for monitoring the patients treatment. Unlike the epds, the phq9 has been extensively studied in nonperinatal populations as a depression screening tool. Personal health questionnaire phq9 score interpretation. Patient health questionnaire9 national institute on drug abuse. In our study, this questionnaire assesseed 9 depressive symptoms experienced by participants in the 14 days prior to evaluation. Depression scale for children cesdc the center for epidemiological studies depression scale for children cesdc is a 20item selfreport depression inventory with possible scores ranging from 0 to 60. You may consider a referral to eap or online coaching and provide education about depression.
Apr, 2012 phq 9 patient depression questionnairefor initial diagnosis. Phq9 scoring card for severity determination instructions for use for doctor or healthcare professional use only phq9 quick depression assessment for initial diagnosis. Depression is not only a spectrum disorder but also a symptom caused by other mental health issues. The phq 8 and the phq 2 were each assessed as screening measures compared to the cidi interview algorithm for current 1month major depressive disorder mdd. A depression rating scale is a psychiatric measuring instrument having descriptive words and phrases that indicate the severity of depression for a time period. The phq9 is the depression module, which scores each of the nine dsmiv criteria as 0 not at all to 3 nearly every day. Classification of symptoms which may be difficult to obtain can be scored as. Phq9 patient depression questionnaire for initial diagnosis. The patient health questionnaire phq9 the phq9 is a 9item, depression screening scale kroenke et al. Waren ihre bewegungen oder ihre sprache so verlangsamt.
The results of the phq9 may be used to make a depression diagnosis according to dsmiv criteria and takes less than 3 minutes to complete. A plandostudyact model was utilized for the implementation of this initiative. Selfreport screening tools, such as the patient health questionnaire phq 9, require modification for low literacy populations and to assure cultural and clinical validity. Personal health questionnaire depression scale phq8. Nearly every day 3 interpretation of total score total score depression severity 14 minimal depression 59 mild depression 1014 moderate. However, instruments for identifying and monitoring somatic symptoms are few in number. The phq 9 is a brief, 9 item scale that includes only the depression related items from the phq. Gesundheitsfragebogen fur patienten phq9 kompetenzzentrum. The phq2 is a screening tool for depression that assesses the frequency of depressed mood and anhedonia over the past 2 weeks, scoring each as 0 not at all to 3 nearly every day. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Phq9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Do the phq8 and the phq2 accurately screen for depressive. It is based directly on the it is based directly on the diagnostic criteria for major depressive disorders in diagnostic and statistical manual fourth edition dsmiv 2. Monthly until remission or for first 6 months after diagnosis.
References kroenke k, spitzer rl, williams jb, the phq9. Zung selfrating anxiety scale mental health professionals. The phq4 is a validated tool to assess for anxiety and depression. Gad7 anxiety and phq9 depression score sheet torbay and. The phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity. While there are many instruments available to measure depression, the geriatric depression scale gds, first created by yesavage, et al. The brief patient health questionnaire phq9 is commonly used to screen for depression with 10 often recommended as the cutoff score. References kroenke k, strine tw, spritzer rl, williams jb, berry jt, mokdad ah. Comparative performance of the edinburgh postnatal. This easy to use patient questionnaire is a selfadministered version of the primemd diagnostic instrument for common mental disorders. 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. The phq9 is a depression scale consisting of nine questions. The new scale was tested in household interview surveys and in psychiatric settings. In the present study a phq9 score of 5 corresponds to a percentile rank of 79.
Concurrent validity was assessed by correlating total score of phq 9 with that of centre for epidemiological studies depression scale cesd. Psychometric comparison of phq9 and hads for measuring. To use the phq9 as a diagnostic aid for major depressive disorder. For each scoring method, we calculated sensitivity and specificity for mdd. Patient completes phq 9 quick depression assessment. The phq9 is a 9item questionnaire used to screen for, monitor, diagnose, and measure the severity of depressive symptoms. Dec 23, 2018 the patient health questionnaire is a selfadministered tool of 2 phq2 or 9 phq9 items.
How to use patients will circle 1 of the 4 numbers in response to the questions. Hamilton depression rating scale the total hamilton depression hamd rating scale provides and indication of depression and, over time, provides a valuable guide to progress. Phq9 questionnaire for depression scoring and interpretation. Standardization of the depression screener patient health. The 12month incidence and predictors of phq9screened.
The phq 9 is the nine item depression scale of the patient health questionnaire. The phq8 as a measure of current depression in the. Phq 9 patient depression questionnaire for initial diagnosis. It is the 9question depression scale from the patient health questionnaire phq. Patient health questionnaire phq9 michigan medicine.
Using the phq9 for depression screening and treatment. Personal health questionnaire depression scale phq9. Jerome a yesavage geriatric depression scale psychopharmacology bulletin 1988 24. The patient health questionnaire has been developed further to encompass the phq 15 for severity of somatic symptoms, an ultrabrief version phq 4, and the phq 8 to measure current depression in the general population3,4,5. When used, an observer may make judgements and rate a person at a specified scale level with respect to identified characteristics. The healthcare provider, nurse, or medical staff assistant. Patient health questionnaire phq9 british columbia. Scoring the phq9 modified for teens scoring the phq9 modified for teens is easy but involves thinking about several different aspects of depression. We summarized the psychometric properties of the phq9. Phq9 questionnaire for depression scoring and interpretation guide.
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. We summarized the psychometric properties of the phq 9. Primero, depression screenings, specifically the phq9, will be administered with adult patients of alivio with a diagnosis of type 2 diabetes. The zung selfrating depression scale sds is a wellestablished selfreport screening measure of adult depression severity. Center for epidemiological studies depression scale for. It has been used in a variety of mental health areas including primary care, psychiatric, drug trials, and related clinical, institutional, and research settings. The phq 8 as a measure of current depression in the general population. Phq2 depression scale the patient health questionnaire 2 phq2 is used by some clinicians and organizations to screen patients for undiagnosed depression. Somatization is prevalent in primary care and is associated with substantial functional impairment and healthcare utilization.
The validity and reliability of the sinhala translation of. The phq9 is intended as a tool to assist clinicians with identifying and diagnosing depression but is not a substitute for diagnosis by a trained clinician. Rather than being used to diagnose depression, a depression rating scale may be used to assign a score. Somatization is prevalent in primary care and is associated with substantial functional impairment and.
The 8item patient health questionnaire phq 8 is a widelyused, validated, selfreport measure that assesses depression symptoms over the last 2 weeks based on dsmiv criteria kroenke et al. Aimto assess the psychometric properties of the patient health questionnaire phq9 and the depression subscale of the hospital anxiety and depression scale hadsd for measuring depression severity in primary. Phq9 scoring card for severity determination for healthcare. The phq9 is a brief, 9item scale that includes only the depressionrelated items from the phq. The phq9 has been validated for use in primary care settings and can be used to make a tentative diagnosis of depression and to monitor depression severity and response to treatment in the past 2 weeks. The gds long form is a brief, 30item questionnaire in which participants. Depression should not be diagnosed or excluded solely on the basis of a phq9 score. Phq 9 scoring card for severity determination instructions for use for doctor or healthcare professional use only phq 9 quick depression assessment for initial diagnosis. It is the 9 question depression scale from the patient health questionnaire phq. Mq36112 3000129011 this instrument is designed for screening purposes only and is not to be used as a diagnostic tool. Mar 27, 2014 the patient health questionnaire phq 9 was adapted and translated into sinhala. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Sample consisted of 75 participants diagnosed with mdd according to dsmiv criteria and 75 gender matched controls. Phq9 depression over the last 2 weeks, how often have you been bothered by any of the following problems.
Where a score of more than five is indicated, a more. The phq8 as a measure of current depression in the general. 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. Phq 9 scores were not available for seven men and five women. Despite recognition of the burden of disease due to mood disorders in low and middleincome countries, there is a lack of consensus on best practices for detecting depression. The hamilton rating scale for depression hrsd is one of a number of diagnostic tools that may be useful in helping to evaluate patients effectively when depression is an issue. The phq9 depression scale was used to screen for depressive symptoms on the basis of dsmiv diagnostic criteria. Patient completes phq9 quick depression assessment. Validity of a new measure for evaluating the severity of somatic symptoms kurt kroenke, md, robert l. Validity of a brief depression severity measure, journal of general internal medicine. The phq 4 is a validated tool to assess for anxiety and depression.
Pdf optimal cutoff score for diagnosing depression with. Depression assessments such as the 4item geriatric depression scale are easy and quick to. Phq9 is adapted from prime md today, developed by drs robert l. Implementation barriers of the phq9 in primary care. The nine items of the phq 9 are based directly on the nine diagnostic criteria for major depressive.
Of the 9 items, 5 or more are checked as at least more than half the days. Comparative performance of the edinburgh postnatal depression. The phq 9 dep 9 in some sources is a 9 question instrument given to patients in a primary care setting to screen for the presence and severity of depression. The brief patient health questionnaire phq 9 is commonly used to screen for depression with 10 often recommended as the cutoff score. Phq 9 is adapted from prime md today, developed by drs robert l. As defined by conventional cutoffs, depression and anxiety have different prevalence rates in the sample. An informal educational intervention about administration and interpretation of the phq9 first took place at the provider level in a primary care practice. From the primary care evaluation of mental disorders patient health questionnaire primemd phq. The structured clinical interview for dsmiv scidii. Jan 01, 2008 the factor structure of the hadsd also reflects investigations on the scale in general, 18 and clinical samples where the depression subscale emerges within the overall hads items.
The original geriatric depression scale gds was a 30item questionnaire timeconsuming and challenging for some patients and staff. Patient health questionnaire9 phq 9 over the last 2 weeks, how often have you been bothered by any of the following problems. Translations the phq 9 has been translated into a range of languages e. Hamilton rating scale for depression dual diagnosis. The phq 8 was assessed using both a dimensional cutpoint and categorical dsmivbased scoring algorithm. Patient health questionnaire9 phq9 over the last 2 weeks, how often have you been bothered by any of the following problems. Aimto assess the psychometric properties of the patient health questionnaire phq 9 and the depression subscale of the hospital anxiety and depression scale hadsd for measuring depression severity in primary. This is likely to have had a minor impact, though, since prior large scale validation studies of the phq have demonstrated that the scoring for the phq8 and phq9 is the same. The results of the phq 9 may be used to make a depression diagnosis according to dsmiv criteria and. Later versions retain only the most discriminating questions. Phq9 depression scale university of washington aims center. The phq8 as a measure of current depression in the general population. The phq 9 is a 9 item questionnaire used to screen for, monitor, diagnose, and measure the severity of depressive symptoms.
Because phq9 administration is a new activity for the ces and given the sensitive nature of this. Center for epidemiological studies depression scale for children cesdc the center for epidemiological studies depression scale for children cesdc is a 20item selfreport depression inventory with possible scores ranging from 0 to 60. Our goal is to prove at the end of the program an improvement in phq9 scores among those patients. The phq9 is the nine item depression scale of the patient health questionnaire1. The items of the scale are symptoms associated with depression which have been used in previously validated longer scales.
The cesd scale is a short selfreport scale designed to measure depressive symptomatology in the general population. Phq9 scoring card for severity determination for healthcare professional use only scoringadd up all checked boxes on phq9 for every. Using the patient health questionnaire phq9 and the. Williams, kurt kroenke, and colleagues, with an educational grant from pfizer inc. The phq9 and gad7 performed similarly in detecting posttraumatic stress disorder ptsd. A metaanalysis found sensitivity to be 80% and specificity of 92%. Specifically, the suicide item is very informative but infrequently endorsed. Questions 1 andor 2 need to be endorsed as a 2 or 3. Patient health questionnaire 9 introduction the patient health questionnaire phq is a selfreport version of the primary care evaluation of mental disorders primemd diagnostic tool for common mental disorders.
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