Patient health questionnaire phq 9, beck depression inventory bdi or bdiii, center for. Phq 9 questionnaire for depression scoring and interpretation guide. Patient health questionnaire for adolescents phqa, beck depression inventoryprimary care version bdipc, mood feeling questionnaire mfq, center for epidemiologic studies depression scale cesd, patient health questionnaire phq 9, pediatric symptom checklist psc17, and. Personal health questionnaire phq9 score interpretation. 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 patient health questionnaire9 phq9 screening tool. 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.
Data sources medline, medline inprocess and other nonindexed citations, psycinfo, and web of science january 2000february 2015. The 9 item depression screening instrument was designed for use with adults in a primary care setting. The phq 9 patient health questionnaire 9 objectifies and assesses degree of depression severity via questionnaire. For each symptom put an x in the box beneath the answer that best describes how you have been feeling. It is not a screening tool for depression but it is used to monitor the severity of depression and response to treatment. Both phq 9 and phq2 are valid screening instruments for depression in the rural elderly in china, with recommended cutoff scores of 8 and 3 respectively. You may consider a referral to eap or online coaching and provide education about depression. Phq9 patient health questionnaire maternal depression. The phq2 is validated as a firststep screener for depression in adolescents and adults to be followed by full phq 9 if the phq2 is positive, but not for postpartum depression screening. The two tools are in the form of questionnaires and as their acronyms indicate, phq2 has two questions while phq 9. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Depression toolkit patient health questionnaire phq9 adolescent.
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. Apply motivational interviewing and reflective practice skills when interacting with families. Not at all several days more than half the days nearly. Selfadministered 9item instrument based on the nine dsmv criteria listed under criterion a for. The phq 9 is intended to help you begin to explore whether the feelings, thoughts, or behaviors you may be experiencing could be depression. Pdf phq9 and phq2 for screening depression in chinese. Postpartum depression screening at wellchild visits. Not at all several days more than half the days nearly every day 1. Patient health questionnaire phq9 over the last 2 weeks, how.
If you answer, a total score of ten or greater, you likely are experiencing symptoms of depression. A depression severity score of 5 or more reflects evidence of depression and an intervention should be considered see below. Request pdf screening for depression in primary care with patient health questionnaire 9 phq 9. Apr 09, 2019 objective to determine the accuracy of the patient health questionnaire 9 phq 9 for screening to detect major depression. To use the phq 9 as a diagnostic aid for major depressive disorder. Positive pre screening results indicating a patient is. Phq9 patient health questionnaire maternal depression screening. The bdiii is a revision to the original bdi tool, with 21 items for emotional, behavioral and somatic symptoms. Phq 9 depression screening algorithm in word version recommendations for screening. Summary of representative clinical depression screening tools. Administering the patient health questionnaires 2 and 9. 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. Depression should not be diagnosed or excluded solely on the basis of a phq 9 score.
Feeling bad about yourselfor that you are a failure or. Given the popularity of the phq 9 for assessing and monitoring depression severity, a new 7item anxiety scale using a response set similar to the phq 9 was. Brief description selfadministered 9 item instrument based on the nine dsmv criteria listed under criterion a for major depressive disorder. Patient health questionnaire 9 phq 9 over the last 2 weeks, how often have you been bothered by any of the following problems. Maternal depression screening algorithm patient health. The phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. The bdi is the mostused depression screening tool, and it includes the severity of depression as part of its assessment. Consider major depressive disorder if there are at least five 3s in the shaded section one of which. Phq 9 patient depression questionnaire for initial diagnosis. Patient health questionnaire phq9 british columbia. It is a self assessment that will help determine if further professional assessment of depression is needed for a n inclusa member. The instrument aids in guiding criteria based diagnosis of depressive symptoms, can assist in identifying treatment goals, determining severity of symptoms, as well as. This screening tool detects symptoms of depression and appropriate options for treatment. Jul 01, 2016 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.
The patient health questionnaire phq 9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Jun, 2012 administer the phq 9 as a screen for maternal depression. Screening for depression in primary care with patient. Phq 9 is a nine question instrument for patients to complete in a primary care setting to screen for the presence and severity of depression. Validation of phq2 and phq9 to screen for major depression. This easy to use patient questionnaire is a selfadministered version of the primemd diagnostic instrument for common mental disorders. Using a reference standard, we aimed to validate the 2 and 9 question patient health questionnaires phq2 and phq 9 in primary care settings. Describe the importance of screening for maternal depression. Patient completes phq 9 quick depression assessment. The validated tool selected by inclusa is the phq 9 depression health questionnaire. Phq9 nine symptom checklist university of washington.
All positive answers positive is defined by a 2 or 3 in questions 18 and by a 1, 2, or 3 in question 9. Adolescent depression screening and initial treatment toolkit. If the phq2 is positive for depression, the phq 9 or a clinical. Describe the importance of examining the availability of local referral resources, and where a dearth of such resources. Accuracy of patient health questionnaire9 phq9 for. Oct 15, 2018 the phq2 table 2 20 has similar sensitivity to the more comprehensive phq 9 table 3 20, but specificity of the phq 9 is higher at 91% to 94%, compared with 78% to 92% for the phq2.
Basic coding for integrated behavioral health care. Mar 23, 2021 the phq 9 is approved for use and billing of maternal depression in infant child and teen checkups well visits in minnesota. To further evaluate patients with phq2 scores of 3 or more, administer or have them complete the questionnaire on the next page. Consider major depressive disorder if there are at least five 3s in the shaded section one of.
The patient health questionnaire 9 phq 9 instructions. Phq 9 patient depression questionnaire instructions for initial diagnosis 1. Oct 04, 2005 patient completes phq 9 quick depression assessment. Inclusion criteria eligible studies compared phq 9 scores with major depression diagnoses. Patient completes phq 9 quick depression assessment 2. Over the past 20 years, the phq 9 has garnered overwhelm. Variations, taking into account individual circumstances, may be appropriate. Total score depression severity 04 no or minimal depression 5 9 mild depression 1014 moderate depression 1519 moderately severe depression 2027 severe depression use with. Of the 9 items, 5 or more are checked as at least more than half the days. Patient health questionnaire 2 phq 2 over the past two weeks, how often have you been bothered by either of. Amerihealth caritas louisiana believes that primary care providers should be equipped to screen for depression and provide immediate treatment either in their. The phq9 patient health questionnaire9 objectifies and assesses degree of depression severity via questionnaire. How often have you been bothered by each of the following symptoms during the past two weeks.
Add up the numbers endorsed for questions 1 9 and obtain a total score. The two tools are in the form of questionnaires and as their acronyms indicate, phq2 has two questions while phq 9 has nine. Over the last 2 weeks, how often have you been bothered. Patient health questionnaire phq9 primary care collaborative. The results are used to assist the provider in making a depression. It is not intended to take the place of an evaluation by a trained medical professional. To use the phq 9 to obtain a total score and assess depressive severity. Patient health questionnaire phq9 michigan medicine.
To use the phq 9 to screen for all types of depression or other mental illness. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Over the last 2 weeks, how often have you been bothered by any of the following problems. Aug 09, 2018 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. 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 phq 9 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. Patient health questionnaire called the phq 9 see below can be completed by patient and quickly scored by staff during the visit. Phq 9, which has been widelyused to screen adults for depression, has also been shown to be an effective screening tool in adolescent populations. Purpose although screening for unipolar depression is controversial, it is potentially an efficient way to find undetected cases and improve diagnostic acumen. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of not at all.
The phq2 comprises the first 2 questions of the phq 9. Questions 1 andor 2 need to be endorsed as a 2 or 3. The patient health questionnaire modified for teens phqmodified can be used with patients between the ages of 12 and 18 and takes less than five minutes to. Mental health screening tools in different languages. Phq 9 quick depression assessment for initial diagnosis. The patient health questionnaire 9 phq 9 screening tool attached below is a phq 9 depression screening tool for your own personal use. Phq9 assessment resources developed by the visn 4 mirecc. If you checked off any problem on this questionnaire so far, how difficult have these problems made it for you to do your work, take care. Administering the patient health questionnaires 2 and 9 phq. Clinicians can quickly score the phq 9 once the patient has completed its 9 questions. Adolescent depression screening and initial treatment. Of the 9 items, b, c, or d are circled as at least more than half the days. It is the dedication of healthcare workers that will lead us through this crisis.
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