Williams, kurt kroenke and colleagues, with an educational grant from pfizer inc. The phq9 was completed by 6,000 patients in 8 primary care clinics. Patient health questionnaire phq9 british columbia. Gesundheitsfragebogen fur patienten phq9 kompetenzzentrum. Depression should not be diagnosed or excluded solely on the basis of a phq 9 score. The phq9 is an instrument that screens for and diagnoses depression based on dsmiv criteria. The phq 9 was developed, based on diagnostic and statistical manual of mental disorders dsmiv 4th ed. Waren ihre bewegungen oder ihre sprache so verlangsamt. Depression in adults 9item phq9 add to info cart print this screening tool. The patient health questionnaire phq9 is the major depressive disorder mdd module of the full phq.
The phq 9 is the depression module, which scores each of the 9 dsmiv criteria as 0 not at all to 3 nearly every day. The patient health questionnaire phq was developed in 1999 as a selfreport version of the primary care evaluation of mental disorders primemd, which was designed for criteriabased diagnosis of several mental disorders that are commonly encountered in primary care. Validation of the patient health questionnaire9 phq9 and. The phq9 is the depression module, which scores each of the nine dsmiv criteria as 0 not at all to 3 nearly every day. Monitoring depression treatment outcomes with the patient health questionnaire9. The phq 9 is a ninequestion form used to screen for signs and symptoms of depression and monitor changes in symptoms. The phq9 was developed, based on diagnostic and statistical manual of mental disorders dsmiv 4th ed. Utility and limitations of phq9 in a clinic specializing. Also, alternative or abbreviated versions of the phq 9 and gad7 are sometimes used in certain screening or research settings 1014. The gad7 is a measurement for anxiety disorders and the phq9 is a measurement for depression. Phq 9 patient depression questionnaire for initial diagnosis. Validation of the patient health questionnaire9 phq9.
Since these versions of the phq9 are in the public domain, many of their authors translators could not be identified and the cultural validity of most of them is. The gap between evidencebased treatments and routine care has been well established. Utility of the phq9 to identify major depressive disorder. Of the 9 items, b, c, or d are circled as at least more than half the days. Used to provisionally diagnose depression and grade severity of symptoms in general medical and mental health settings. This is not intended to provide a diagnosis only trained health professionals should do this. Also, phq 9 scores can be used to plan and monitor treatment. 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.
Its free, and its been shown to be effective in multiple settings and situations. 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. Scores each of the 9 dsm criteria of mdd as 0 not at all to 3 nearly every day, providing a 027 severity. Patient completes phq9 quick depression assessment on accompanying tearoff pad. We would like to show you a description here but the site wont allow us. Only two items q3 trouble falling or staying asleep, or sleeping too much and q4 feeling tired or having little energy. Variations, taking into account individual circumstances, may be appropriate. Also, phq9 scores can be used to plan and monitor treatment. Thus, the primary objectives of our ipd metaanalyses are to determine the diagnostic accuracy of the phq 9, phq 8, and phq 2 to detect mdd among adults across all potentially relevant cutoff scores. Depression should not be diagnosed or excluded solely on the basis of a phq9 score. This tool assesses the 15 most common physical symptoms in primary care. The phq 9 is a diagnostic tool that is specific to depression.
The authors identify a cutoff score of 3 as the optimal cut point for screening. The recommended cut point is a score of 3 or greater. Trouble falling asleep, staying asleep, or sleeping too much. 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. Pdf although screening for unipolar depression is controversial, it is potentially an. How often have you been bothered by each of the following symptoms during the past two weeks. The phq 9 is a useful tool because, as noted above, it. The phq9 is the depression module, which scores each of the 9 dsmiv criteria as 0 not at all to 3 nearly every day. Validation of the phq9 for depression screening in adults with epilepsy diagnostic accuracy of the phq9, phq2, and nddie tested using the gold standard mini test highpowered prospective study at a level 4 epilepsy center with a diverse cohort offers free nonproprietary alternative to screen depression in adults with. The phq 2 is simply the first two questions of the phq 9. The factor structure of the patient health questionnaire phq 9 in a nonclinical sample sinisa subotic9, ivan knezevic10, strahinja dimitrijevic11, dalibor miholjcic12, savina smit, mirjana karac14, jelena mijatovic15 the patient health questionnaire phq9 is a well known selfreport measure of nine. Patient health questionnaire 9 phq9 health navigator nz. In the present study a phq9 score of 5 corresponds to a percentile rank of 79.
These are the national standard measures routinely used by gps, therapists and psychiatrists as screening tools. No permission required to reproduce, translate, display. Assessment of the 9item patient health questionnaire phq. Refer to the accompanying phq 9 scoring box to interpret the total score. Patient completes phq9 quick depression assessment. In table 2, we describe the general phq9 distribution for caregivers of people with id, including the absolute number, percentage, mean, and standard deviation. Online test for depression patient health questionnaire. However, mdd is frequently underdiagnosed and consequently only some patients receive the appropriate treatment.
The phq contains modules on 12 different mental health disorders including mood, anxiety, and some of the sleep disorder modules. At a cutoff score of 7, the phq9 had a sensitivity of 79. Phq9 is one of many depression rating scales that have been validated for use in primary care and other settings. Lowe b, unutzer j, callahan cm, perkins aj, kroenke k. Pfizer to offer free public access to mental health assessment tools to improve diagnosis and patient care. Using the phq 2 and the phq 9 university of washington. You can respond anonymously, and no data will be retained from this assessment. Utility and limitations of phq9 in a clinic specializing in. The phq 2 inquires about the frequency of depressed mood, with a score ranging from 0 to 6. Recommended actions for persons scoring 3 or higher are one of the following. Please check that the email address has been entered correctly before submitting this form. The phq9 and gad7 are designed to facilitate the recognition for depressive disorders and anxiety disorders respectively. Standardization of the depression screener patient health. If you choose to include your initials and an email address, your results will be automatically sent to the email address provided.
Pdf validation and calibration of the patient health questionnaire. Instruction manual instructions for patient health. The patient health questionnaire 9 phq 9, despite its excellent reliability and validity in primary care, has not been examined for administration to psychiatric patients. Pdf validation of phq2 and phq9 to screen for major. Currently pfizer owns the of the phq9, but allows it to accessed for free. Variations, taking into account individual circumstances, may. It also does not require significant training to administer or score, making it a simple and effective way to evaluate depression. Patients who screen positive with the phq2 should be further evaluated with the phq9, other diagnostic instruments or direct interview. The patient health questionnaire phq is a selfadministered version of the primemd tool for common mental health disorders administered by health care professionals. Sbirtdepression screening workflow roanoke chowan community health center 2014 page 2 phq crafft combo age 1217 ideally paper form given at checkin or sent prior to visit via mychart during previsit planning. Of the 9 items, 5 or more are checked as at least more than half the days 2. Pdf background the patient health questionnaire9 phq9 is a brief tool to assess the presence and severity of depressive symptoms. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Administering the patient health questionnaires 2 and 9.
This easy to use patient questionnaire is a selfadministered version of the primemd diagnostic instrument for common mental disorders. Over the last 2 weeks, how often have you been bothered by any of the following. Over the last 2 weeks,how often have you been bothered by any. The phq2 inquires about the frequency of depressed mood, with a score ranging from 0 to 6. Refer to the accompanying phq9 scoring box to interpret the total score. It is the 9question depression scale from the patient health questionnaire phq. Apr, 2012 phq 9 patient depression questionnairefor initial diagnosis. Some responses to the phq 9 also prompt providers to assess their patients for their potential risk of suicide.
Over the last 2 weeks,how often have you been bothered by any of the following problems. This questionnaire is the 9item patient health questionnaire phq9. Thoughts that you would be better off dead or of hurting yourself in some way. Administering the patient health questionnaires 2 and 9 phq 2 and 9 in integrated care settings. Phq9 questionnaire for depression scoring and interpretation guide for physician use only scoring. It has also been specifically validated for use over the telephone and in the primary care setting. The results indicated that the mean score for each phq9 item varied from 0.
The diagnostic accuracy of the patient health questionnaire2. Of the 9 items, 5 or more are checked as at least more than half the days. 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. Assessment of the 9item patient health questionnaire phq9. Phq9 patient depression questionnaire for initial diagnosis. Phq9 patient depression questionnairefor initial diagnosis. 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.
The phq 9 was completed by 6,000 patients in 8 primary care clinics. The diagnostic validity of the depression module of the phq phq9 has been reported. Patient health questionnairephq9 not at all several days more than half the days nearly every day a. A phq9 score of 10 or higher appears to detect more depressed patients than the. The present study aims to determine the utility of the patient health questionnaire9 phq9 to identify mdd in a subset of pc patients participating in the. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. The patient health questionnaire phq9 overview the phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. This examination addresses 12 different mental health disorders. Oct 27, 2014 the nineitem patient health questionnaire 9 phq 9 and the shorter phq 2 and phq 8 are commonly recommended for depression screening.
The patient health questionnaire 9 phq 9 is one of the tools used to screen for the presence and severity of depression and to monitor response to treatment. The phq 9 is the depression module, which scores each of the nine dsmiv criteria as 0 not at all to 3 nearly every day. The phq9 is available in over 30 languages and it has been validated for use in different ethnicities. Thus, the primary objectives of our ipd metaanalyses are to determine the diagnostic accuracy of the phq9, phq8, and phq2 to detect mdd among adults across all potentially relevant cutoff scores.
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