Refer to the accompanying phq9 scoring box to interpret the total score. Assessing the validity of the phq9, hads, bdiii and qidssr 16 in measuring severity of depression in a uk sample of primary care patients with a diagnosis of depression author. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Pain in your arms, legs or joints knees, hips, etc. The phq2 consists of the first two questions asked on the phq9. The clinician should rule out physical causes of depression, normal bereavement and a history of a manichypomanic episode step 1. This study assesses the accuracy of phq 9 in screening for major depressive episode and in diagnosing major depressive episode in patients of a psychiatric specialty clinic.
Patient completes phq9 quick depression assessment on accompanying tearoff pad. Interpretation of total score and treatment suggestions score range treatment 04 normal no action 59 mild watchful waiting. The phq9 is the nineitem depression module of the patient health questionnaire. 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. Scoring nearly every day 3 more than half the days 2 several days 1 not at all 0 see depression phq9 for total scoring background. The diagnostic validity of the patient health questionnaire phq 9 was established in studies that involved 8 primary care and 7 obstetrical clinics across the united states. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Patient completes phq 9 quick depression assessment. This is the first validation of the use of phq9, phq2, and phq1 in primary care elderly patients in taiwan. The phq15 comprises 15 somatic symptoms from the phq, each symptom scored from 0 not bothered at all to 2 bothered a lot. The phq9 modified for teens is a item selfcompletion screening questionnaire designed to detect symptoms of depression and suicide risk in adolescents. The phq15 is widely used as an open access screening instrument for somatization syndromes in different health care settings, thus far, normative data from the general population are not available. Questions 1 and 2 need one or both of the first two questions endorsed as a 2 or a 3.
Regardless of the phq9 modified total score, endorsement of serious suicidal ideation or past suicide attempt questions 12 and on the screen should be considered a positive screen. Scoring the phq9 is a relatively straightforward process. If the patient responds affirmatively to either of the two items on the phq 2, the following seven questions on the phq 9 are asked. This study assesses the accuracy of phq9 in screening for major depressive episode and in diagnosing major depressive episode in patients of a psychiatric specialty clinic.
The phq2 inquires about the frequency of depressed mood, with a score ranging from 0 to 6. The 12month incidence and predictors of phq9screened. Depression screening by a nineitem patient health questionnaire phq9 in adults. Patients who screen positive should be further evaluated with the phq9, other diagnostic instruments, or direct interview to determine. This question is the third of the nine questions in the patient health questionnaire9 phq9 symptom assessment wellbeing assessment wba cdc health risk assessment hra.
Detecting somatoform disorders in primary care with the phq15. Patient health questionnaire 15item somatic symptom. Depression any screening by a two item phq2 calculator. Phq9 scoring card for severity determination instructions for use for doctor or healthcare professional use only phq9 quick depression assessment for initial diagnosis. Validation of the patient health questionnaire for depression. The phq15 is the 15question scale from the phq that asks about 15 symptoms relating to somatoform disorders. Standardization of a screening instrument phq15 for. Phq15 scores of 5, 10, and 15 represent cutoff points for low, medium, and high somatic symptom severity, respectively. Phq 9 scoring card for severity determination for healthcare professional use only scoring add up all checked boxes on phq 9 for every.
A study found that scores between the two tests are highly correlated r0. Not bothered at all bothered a little bothered a lot a. You may consider a referral to eap or online coaching and provide education about depression. Phq9 scoring instructions and interpretation scoring. If the patient responds affirmatively to either of the two items on the phq2, the following seven questions on the phq9 are asked. Patient health questionnaire 9 is an excellent free psychological. Phq9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Results may be included in patients files to assist you in setting up a treatment goal, determining degree of response, as well as guiding treatment intervention. 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.
Patient health questionnaire phq9 statistics solutions. Questions 1 andor 2 need to be endorsed as a 2 or 3. Patient health questionnaire15 phq15 calculate by qxmd. The phq 2 consists of the first two questions asked on the phq 9. Each of the items is scored on a 4point likert scale ranging from 0 not at all to 3 nearly every day. Translations the phq 9 has been translated into a range of languages e.
Personal health questionnaire phq9 score interpretation and. This question is the third of the nine questions in the patient health questionnaire9 phq 9 symptom assessment wellbeing assessment wba cdc health risk assessment hra. Results may be included in patient files to assist you in setting up a treatment goal, determining degree of response, as well as guiding treatment intervention. Refer to the accompanying phq9 scoring card to interpret the total score. The absence of the ninth question has little effect on scoring between the phq8 and phq9. Patient health questionnaire 15item somatic symptom severity. Weinberg depression scale for children and adolescents vdsca no access.
The authors identified a score of 3 as the optimal cutpoint when using the phq 2 to screen for depression. Phq 15 scores of 5, 10, and 15 represent cutoff points for low, medium, and high somatic symptom severity, respectively. Patients who screen positive should be further evaluated with the phq9, other diagnostic instruments. Scoring the phq9 modified for teens scoring the phq9 modified for teens is easy but involves thinking about several different aspects of depression. Validity of a new measure for evaluating the severity of somatic symptoms kurt kroenke, md, robert l. Patient health questionnaire 15item somatic symptom severity scale phq15 during the past 4 weeks, how much have you been bothered by any of the following problems.
The objectives of the study were to generate normative data and to further investigate the construct validity of the phq15 in the general population. Consider scheduling a followup visit in a few weeks, patient. 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 minor depressive syndrome is suggested if. Phq9 scoring card for severity determination for healthcare. Methods the patient health questionnaire phq is a selfadministered version of the primemd diagnostic instrument for common mental disorders. The phq9 is the depression module, which scores each of the 9 dsmiv criteria. Nearly every day 3 interpretation of total score total score depression severity 14 minimal depression 59 mild depression 1014 moderate.
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. Phq9 questionnaire for depression scoring and interpretation. An ultrabrief screening scale for anxiety and depression. The patient health questionnaire phq is a selfadministered version of the primemd tool for common mental health disorders administered by health care professionals. Translations the phq9 has been translated into a range of languages e. Phq9 scoring card for severity determination for healthcare professional use only. Administering and scoring the phq9 screening questionnaire. Pdf the psychometric properties of phq4 depression and. Jun 29, 2018 the phq 9 is the nineitem depression module of the patient health questionnaire. Fifteen items, each of which is scored 0 to 2, providing a 0 to 30 severity score. Patient health questionnaire 15item somatic symptom severity scale phq 15 during the past 4 weeks, how much have you been bothered by any of the following problems. The phq 15 has fifteen items, each of which is scored 0 to 2, providing a 0 to 30 severity score.
The patient health questionnaire9 phq 9, despite its excellent reliability and validity in primary care, has not been examined for administration to psychiatric patients. How to score the patient health questionnaire phq 9of the first nine items, five or more are checked as at least more than half the dayseither item 1. Patients who screen positive should be further evaluated with. Phq9 scores 10 had a sensitivity of 88% and a specificity of 88% for major depressive disorder. Patient health questionaire 9 family practice notebook. Phq 9 scoring instructions and interpretation scoring add the scores indicated for each item in each column and add the columns together for the total score. How to score the patient health questionnaire phq9 guide. Assessing the validity of the phq9, hads, bdiii and qidssr. May 02, 2012 the diagnostic validity of the patient health questionnaire phq 9 was established in studies that involved 8 primary care and 7 obstetrical clinics across the united states. Guide for interpreting phq9 scoresof the first nine items, 1. Phq9 depression scale university of washington aims center.
Patient health questionnaire modified for teens phq 9 modified overview. The depression any screening by a two item phq2 calculator evaluates the following clinical criteria. For most analyses, the phq9 score was divided into the following. Our results reveal that they are all reliable and valid measures for detecting mdd.
The patient health questionnaire9 phq9, despite its excellent reliability and validity in primary care, has not been examined for administration to psychiatric patients. May 01, 2009 we used the dutch version of the patient health questionnaire phq, a short, selfreport version of the primary care evaluation of mental disorders primemd. Crossvalidation of item selection and scoring for the sf12 health survey in nine countries. Phq9 scoring instructions and interpretation scoring add the scores indicated for each item in each column and add the columns together for the total score. Somatization is prevalent in primary care and is associated with substantial functional impairment and. Recommended actions for persons scoring 3 or higher are one of the following. The phq15 was administered to 6000 patients in eight general internal. The absence of the ninth question has little effect on scoring between the phq 8 and phq 9. Refer to accompanying phq 9 scoring card to interpret the total score. Applied health sciences mental health, university of aberdeen. The authors identified a score of 3 as the optimal cutpoint when using the phq2 to screen for depression. The recommended cut point is a score of 3 or greater. The phq 15 is the 15question scale from the phq that asks about 15 symptoms relating to somatoform disorders.
The patient health questionnaire9 phq9 is a brief psychological screening instrument. Patient health questionnaire phqsads open research. The patient health questionnaire phq9 scoring use of the phq9 to make a tentative depression diagnosis. This can be a particularly effective way to screen large groups of people for depression. We used the dutch version of the patient health questionnaire phq, a short, selfreport version of the primary care evaluation of mental disorders primemd.
Nine items, each of which is scored 0 to 3, providing a 0 to 27 severity score. Over the last two weeks, how often have you been bothered by any of the following problems. Patient completes phq9 quick depression assessment. The phq15 has fifteen items, each of which is scored 0 to 2, providing a 0 to 30 severity score. The patient health questionnaire has been developed further to encompass the phq15 for severity of somatic symptoms, an ultrabrief version phq4, and the phq8 to measure current depression in the general population3,4,5. The phq9 is a 9question instrument given to patients in a primary care setting to screen for. Phq9 scoring card for severity determination for healthcare professional use only scoringadd up all checked boxes on phq9 for every. Mar 20, 20 the phq 15 is widely used as an open access screening instrument for somatization syndromes in different health care settings, thus far, normative data from the general population are not available.
A change of phq9 score to less than 10 is considered a partial response to. Patient health questionnaire2 phq2 mental disorders. Patients who screen positive should be further evaluated with the phq 9, other diagnostic instruments, or direct interview to determine. The phq 2 inquires about the frequency of depressed mood, with a score ranging from 0 to 6. How to score phq9 scoring method for diagnosis major depressive syndrome is suggested if. The objectives of the study were to generate normative data and to further investigate the construct validity of the phq 15 in the general population. How to score the patient health questionnaire phq9.
Personal health questionnaire phq9 score interpretation. Seven items, each of which is scored 0 to 3, providing a 0 to 21 severity score. Scores each of the 9 dsm criteria of mdd as 0 not at all to 3 nearly every day, providing a 027 severity. The items are summed to obtain a total score ranging from 0 to 27 with higher scores indicating greater severity of depression. Patient health questionaire 9, phq9, patient health questionaire for adolescents, phqa. In a study looking at the validity of the phq9 in the. Patient health questionnaire modified for teens phq 9. A brief, nineitem measure the phq9 has been shown to have excellent reliability, as well as criterion, construct, and procedural validity for depressive disorders. Several days 1 more than half the days 2 nearly every day 3 3. Refer to the accompanying phq 9 scoring box to interpret the total score. If the score is 3 or greater, major depressive disorder is likely.
Calculate is a nextgeneration clinical calculator and decision support tool freely available to the medical community. The phq9 scores less than or equal to 10 had a sensitivity of 88% and a specificity of 88% for major depression. Used to provisionally diagnose depression and grade severity of symptoms in general medical and mental health settings. Utility and limitations of phq9 in a clinic specializing in. The patient health questionnaire phq9 is the major depressive disorder mdd module of the full phq. A change of phq9 score to less than 10 is considered a partial response to treatment and a change of phq9 score to less than 5 is considered to be remission. The authors identify a cutoff score of 3 as the optimal cut point for screening. Incorporating mental health screening into adolescent office. The phqsads instrument uses the scoring symptom of the individual tools. Reprinted with permission from kroenke k, spitzer rl, williams jb, lowe b.
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