Patient completes phq 9 quick depression assessment. 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. Mitchell, motahare yadegarfar, john gill, brendon stubbs. Screening for depression in children and adolescents. Pregnant women should be screened for depression at least once during the perinatal period using a validated screening instrument such as the edinburgh postnatal depression scale or the phq 9. Phq 9 scoring points from q1 9 are added up for a total score score of 10 or more indicates possible depression scores on the lower end tend to cause less impairment in the individual, so less motivation to fix the issue have handouts that you can discuss on depression it is treatable and not something they must suffer with. The patient health questionnaire phq9 is the major depressive disorder mdd module of the full phq. To further evaluate patients with phq2 scores of 3 or more, administer or have them complete the questionnaire on the next page. Phq 9 assessment resources developed by the visn 4 mirecc. The phq2 includes the first two items of the phq 9. Patient health questionnairephq 9 nine symptom depression checklist name. Responders are asked to rate the frequency of depression symptoms in the last 2 weeks on a likert.
Instructions for use for doctor or healthcare professional use only phq 9 quick depression assessment for initial diagnosis. Adapted from the patient health questionnaire phq screeners. Validation of the patient health questionnaire phq 9 for prenatal depression screening article pdf available in archives of women s mental health 155. Describe the importance of screening for maternal depression. The phq9 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 phq9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.
However, mdd is frequently underdiagnosed and consequently only some patients receive the appropriate treatment. The phq 2 is a preliminary screening tool administered prior to the phq 9. Phq9 questionnaire for depression scoring and interpretation guide. This article describes the update of the 2009 us preventive services task force uspstf recommendation on screening for major. The phq 2 and 9 are quick and easy to administer 1,2. Describe the main aspects of screening for maternal depression. Over the last 2 weeks, how often have you been bothered by any of the following problems. The authors identified a score of 3 as the optimal cutpoint when using the phq2 to screen for depression. Questions 1 andor 2 need to be endorsed as a 2 or 3.
It is available in spanish, as well as in a modified version for adolescents. Major depression is diagnosed if 5 or more of the 9 depressive symptom criteria have been present at least more than half the days in the past 2 weeks, and 1 of the symptoms is depressed mood or anhedonia. The present study aims to determine the utility of the patient health questionnaire 9 phq 9 to identify mdd in a subset of pc patients participating in the large psicap study. Phq29 scores and action plans accountable health partners.
Nineitem patient health questionnaire phq 9 the phq 9 was originally designed to improve detection of depression in primary care and nonpsychiatric settings kroenke et al. Describe how the phq 9 can be used to screen for and track maternal depression. Phq 9 depression screening algorithm in word version recommendations for screening. Patient health questionnaire2 phq2 mental disorders. Used to provisionally diagnose depression and grade severity of symptoms in general medical and mental health settings. Bernd lowe, 2015, universitatsklinikum hamburgeppendorf.
Anyone who scores 2 or more on the phq 2 will need to have a phq 9 administered and a clinical evaluation to confirm or rule out a diagnosis of depression. If this is positive, the phq 9 can then be used, which has 61% sensitivity and 94% specificity in adults. Pdf validation of the patient health questionnaire phq9. Utility of the phq9 to identify major depressive disorder in. Scoring the phq9 modified for teens scoring the phq9 modified for teens is easy but involves thinking about several different aspects of depression. Patients who screen positive should be further evaluated with the phq 9, other diagnostic instruments, or direct interview to determine. Phq 9 patient depression questionnaire instructions for initial diagnosis 1. Phq9 nine symptom checklist university of washington. 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.
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. Patient completes phq 9 quick depression assessment on accompanying tearoff pad. To use the phq 9 as a diagnostic aid for major depressive disorder. One such very brief screening measure for depression is the twoitem patient health questionnaire phq 2 kroenke et al. Developed for diagnosis and severity assessment, but can be used for screening phq2 also used wendy n davis, phd 2012. Initial assessment and monitoring for healthcare professional use only phq9 quick depression assessment tool. If the phq2 is positive for depression, the phq 9 or a clinical interview should be administered. This instrument is designed for screening purposes only and is not to be used as a diagnostic tool. The patient health questionnaire 9 phq 9 was developed as a selfadministered, diagnostic screening instrument used by health care professionals for assessing and monitoring depression severity. The phq 9 is the 9 item depression module from the full phq. Patient health questionnaire phq9 university of michigan. Phq 9 patient depression questionnaire for initial diagnosis. 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 in the helping profession. For each symptom put an x in the box beneath the answer that best describes how you have been feeling.
B 15, 2022, 25 the phq 9 is a valid, quick screening instrument for depression that also can be used. Scores each of the 9 dsm criteria of mdd as 0 not at all to 3 nearly every day, providing a 027 severity. Its purpose is not to establish final diagnosis or to monitor depression severity, but rather to screen for depression. Clinicians can quickly score the phq 9 once the patient has completed its 9 questions. To further evaluate patients with phq 2 scores of 3 or more, administer or have them complete the questionnaire on the next page. Phq 9 scoring points from q1 9 are added up for a total score score of 10 or more indicates possible depression scores on the lower end tend to cause less impairment in the individual, so less motivation to fix the issue have handouts that you can discuss on depression it is. Incorporating mental health screening into adolescent. The prevalence of major depressive disorder mdd in spanish primary care pc centres is high. Case finding and screening clinical utility of the patient health questionnaire phq 9 and phq2 for depression in primary care.
Variations, taking into account individual circumstances, may be appropriate. Screening all postpartum women for depression is recommended. Administering the patient health questionnaires 2 and 9 phq. Patient health questionnaire phq 9 is the most common screening tool to identify depression. The phq9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetricsgynecology clinics. The phq2 inquires about the frequency of depressed mood and anhedonia over the past two weeks. Demonstrate how to administer and score the phq 9, utilizing appropriate language for effective screening.
Phq 9 selfadministered questionnaire, 5 10 minutes developed from the patient health questionnaire diagnostic criteria for major depressive disorder in the diagnostic and statistical manual dsmiv. The patient health questionnaire phq 9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Inclusion criteria eligible studies compared phq 9 scores with major depression. Administering the patient health questionnaires 2 and 9. Of the 9 items, b, c, or d are circled as at least more than half the days.
Describe the importance of examining the availability of local referral resources, and where a dearth of such resources. This study aimed to explore cutoff scores of the 9 item patient health questionnaire phq 9 and 2item patient health questionnaire phq2 for depression screening in chinese rural. How often have you been bothered by each of the following symptoms during the past two weeks. Brief description selfadministered 9item instrument based on the nine dsmv criteria listed under criterion a for major depressive disorder. Williams, kurt kroenke, and colleagues, with an educational grant from pfizer inc. The phq2, comprising the first 2 items of the phq 9, inquires about the degree to which an individual has experienced depressed mood and anhedonia over the past two weeks. Inclusion criteria eligible studies compared phq 9 scores with major depression diagnoses.
Objective to determine the accuracy of the patient health questionnaire 9 phq 9 for screening to detect major depression. The instrument aids in guiding criteria based diagnosis of depressive symptoms, can assist in identifying treatment goals, determining severity of symptoms, as well as. It is not only an efficient screening tool but also a way to track patients response to treatment gilbody et al. Williams, kurt kroenke and colleagues, with an educational grant from over the last 2 weeks, how often have you been bothered by any of the following problems. Incorporating mental health screening into adolescent office. One such very brief screening measure for depression is the twoitem patient health questionnaire phq2 kroenke et al. Please note that this process measure for administration of the phq 9 or phq9m depression tool, a prom that is validated for both the assessment and diagnosis of depression as well as for monitoring ongoing outcomes of treatment, is a paired process measure with related measures of depression remission phq 9 phq9m depression. Phq 9 quick depression assessment for initial diagnosis. Apply motivational interviewing and reflective practice skills when interacting with families. If the phq 2 is positive for depression, the phq 9 or a clinical interview should be administered.
Accuracy of patient health questionnaire9 phq9 for. Pdf phq9 and phq2 for screening depression in chinese. Data sources medline, medline inprocess and other nonindexed citations, psycinfo, and web of science january 2000february 2015. Maternal depression screening algorithm patient health. Patient health questionnaire 9 phq 9 f total score. The phq 2 is a tool used to screen for depression, while the phq 9 tool is used to screen or. When screening for depression the patient health questionnaire phq 2 can be used first it has a 97% sensitivity and a 67% specificity. Multiply that number by the value indicated below, then add the subtotal to produce a total score. How to score further medical assessment for depression is warranted if.
Basic coding for integrated behavioral health care february 2019. Siu, md, msph, on behalf of the us preventive services task force description. Jun, 2012 administer the phq 9 as a screen for maternal depression. Screening all postpartum women for depression is recommended by the uspstf, american academy of. Depression should not be diagnosed or excluded solely on the basis of a phq9 score. 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. Patient health questionnaire phq9 michigan medicine. The macarthur foundation initiative on depression and primary care has created a depression tool kit is intended to help primary care clinicians recognize and manage depression.
Siu, md, msph, on behalf of the us preventive services task force. Depression should not be diagnosed or excluded solely on the basis of a phq 9 score. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of not at all. Phq9 patient health questionnaire maternal depression. The phq 2 is accurate for depression screening in adolescents, adults, and older adults. See website for additional information and translations. If you circled anyproblems, how difficult have these problems made it for you to do your work, take care of things at home. The patient health questionnaire 9 phq 9 instructions. If the score is 3 or greater, major depressive disorder is likely. It may also be part of a complete psychiatric screening process that evaluates all areas of mental health. The phq 9 modified can be administered and scored by a nurse, medical. Consider major depressive disorder if there are at least 5 positive responses in themore than.
Phq9 patient health questionnaire maternal depression screening. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Any one of the first 9 symptoms is checked in the shaded area and question 10 functional impairment is checked with at leastsomewhat difficult interpreting the score. Depression is a common mental health problem, with 10% of the adult population affected at any one time. To use the phq9 as a diagnostic aid for major depressive disorder. Patient health questionnaire phq9 british columbia. When screening for depression the patient health questionnaire phq2 can be used first it has a 97% sensitivity and a 67% specificity. The phq 2 is a tool used to screen for depression, while the. Incorporating mental health screening into adolescent office visits phq 9 administering the patient health questionnaire modified for teens phq 9 modified can be used with patients between the ages of 12 and 18 and takes less than five minutes to complete and score. Us preventive services task force recommendation statement albert l. The phq 9 is a typical test included in a standard physical exam conducted by a primary care physician to help in assessing the patient. The screening process starts with the patient health questionnaire phq 9, a wellknown and valid tool.
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