Patient health questionnaire phq 9 n o t a t a a l l s e v e r l d a y s m o r t h n h a l f a t h e d n e r l y e v e r y d y 1 little interest or pleasure in doing. Phq9 patient health questionnaire maternal depression. To use the phq 9 to aid in the diagnosis of dysthymia. Patient health questionnaire phq9 nine symptom checklist. Adapted from the patient health questionnaire phq screeners.
A woman scoring above 9 could be suffering from moderate to severe depression. Patient health questionnaire phq9 spanish niwap web library. A total phq 9 score 10 see below for instructions on how to obtain a total score has a good sensitivity and specificity for mdd. The phq2 consists of the first 2 questions of the phq9. This symptom assessment tool measures health using nine items on 4point scales and a 4point scale for impact on daily life. Kaiser permanente patient health questionnaire phq9. The gad7 is a measurement for anxiety disorders and the phq 9 is a measurement for depression. Instruction manual instructions for patient health.
Phq 9 patient depression questionnaire for initial diagnosis. For each symptom put an x in the box beneath the answer that best describes how you have been feeling. Not at all 0 several days 1 more than half the days 2 nearly every day 3 1. The phq 9 is a nine question selfrating scale that is very commonly used for screening for adult depression. The dysthymia question in the past year should be endorsed as yes. Tries to prevent return of symptoms within 2 years 1224 months medication therapy is recommended for at least 9 months after return to well state. To use the phq 9 to obtain a total score and assess depressive severity. The phq 2 is a preliminary screening tool administered prior to the phq 9. The prevalence of major depressive disorder mdd in spanish primary care pc centres is high. Personal health questionnaire phq9 score interpretation. Total scores of 5, 10, and 15 represent cutpoints for mild, moderate, and severe anxiety.
Depression should not be diagnosed or excluded solely on the basis of a phq 9 score. The phq9 and gad7 are designed to facilitate the recognition for depressive disorders and anxiety disorders respectively. Patient completes phq 9 quick depression assessment. Since these versions of the phq 9 are in the public domain, many of their authorstranslators could not be identified and the cultural validity of most of them is unknown. Recommended actions for persons scoring 3 or higher are one of the following. 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 recommended cut point is a score of 3 or greater. Incorporating mental health screening into adolescent. Document is also available in portable document format pdf july 2016 health. Utility of the phq9 to identify major depressive disorder. Patient health questionnaire phq9 spanish niwap library. Patient health questionnaire phq9 british columbia.
A total of 178 patients completed the full phq test, including the depression module phq 9. During the past 4 weeks how much of the time has your condition interfered with your social activities. This is the spanish version of the tool designed for use by health care professionals who wish to screen. Ptsd symptom scale pss ptsd symptom scale pss spanish version. Phq 9 quick depression assessment for initial diagnosis. One validated question for adult alcohol use, and one validated question for adult drug use. Administering the patient health questionnaires 2 and 9 phq 2 and 9 in integrated care settings. This symptom assessment tool measures seven anxiety symptoms on 4point scales. Patient health questionnaire phq 9 spanish version. 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. Overall, 97% of eligible women enrolled and 70% returned the packets that included the epds and phq 9. You may consider a referral to eap or online coaching and provide education about depression.
Incorporating mental health screening into adolescent office visits phq 9 spanish 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. Patient health questionnaire 9 phq 9 over the last 2 weeks, how often have you been bothered by any of the following problems. Behavioral health screening, assessment, and treatment 2 webpwa000515 scoring and intervention guidelines for using the phq 9 with adults phq 9 scores and proposed treatment actions for depression in adults phq 9 score depression severity proposed treatment recommendation 0 4 noneminimal none. Developed for diagnosis and severity assessment, but can be used for screening phq 2 also used wendy n davis, phd 2012. It is not specific to pregnancy or postpartum, but it is very often used for postpartum depression screening. It is available in spanish, as well as in a modified version for adolescents 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. Referral or comanagement with mental health specialty clinician if.
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. Thoughts that you would be better off dead or of hurting yourself in some way. Spanish personal health questionnaire depression scale. Also, a spanish version of the structured clinical interview for dsmiv axis i d isorders scidi was implemented by clinical psychologists that were blinded to the phq 9 results. Use onsrecommended tools to assess symptoms in your clinical practice. Responses for the phq 9 are scored from 0 to 3, with a total phq 9 score that ranges from 0 to 27. Patient health questionnaire phq9 is adapted from prime md today, developed by drs. All positive answers to question 9 as well as the two additional suicide items must be followed up by a clinical interview. It includes the questionnaire translated into spanish. If a patient responds not at all to both questions on the phq 2 asking if the patient has experienced little interest or. Administering the patient health questionnaires 2 and 9. Patient health questionnaire phq patient name date 1. These are the national standard measures routinely used by gps, therapists and psychiatrists as screening tools.
Mental health screening tools in different languages. Concordance of edinburgh postnatal depression scale epds. Also, alternative or abbreviated versions of the phq 9 and gad7 are sometimes used in. Kaiser permanente patient health questionnaire phq 9 name date over the last two weeks, how often have you been bothered by any of the following problems. Patient health questionnaire phq 9 is the most common screening tool to identify depression. How often have you been bothered by each of the following symptoms during the past two weeks. Scores of 5, 10, 15, and 20 represent cut points for mild, moderate, moderately severe, and severe depression. Epds and phq 9 categories of normal and increased risk for major depressive disorder. Patient completes phq 9 quick depression assessment on accompanying tearoff pad. Add up the numbers endorsed for questions 1 9 and obtain a total score. The patient health questionnaire modified for teens phq9 modified can be used. This page provides links to the phq 9 in multiple languages. However, mdd is frequently underdiagnosed and consequently only some patients receive the appropriate treatment. Patient health questionnaire phq9 spanish orange county.
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