Of the 9 items, b, c, or d are circled as at least more than half the days. Over the last two weeks, how often have you experienced. This phq 9 patient health questionnaire calculator evaluates depressive symptoms a patient may experience to determine depression severity. Of the 9 items, 5 or more are checked as at least more than half the days 2. Depressed mood over the last 2 weeks and anhedonia over the last 2 weeks. Defining successful treatment outcome in depression using. It also monitors symptom changes and the effect of treatment over time. It is the 9question depression scale from the patient health questionnaire phq. Also, alternative or abbreviated versions of the phq9 and gad7 are sometimes used in. This calculator operates entirely from your device. The depression module of the patient health questionnaire9 phq9 is a widely used depression screening instrument in nonpsychiatric settings. Interpretation of total score and treatment suggestions score range treatment 04 normal no action 59 mild watchful waiting. Clinicians can quickly score the phq9 once the patient has completed its 9 questions. Incorporating mental health screening into adolescent office visits phq9 administering the patient health questionnaire modified for teens phq9 modified can be used with patients between the ages of 12 and 18 and takes less than five minutes to complete and score.
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. Phq9 patient depression questionnaire for initial diagnosis. The phq9 is the depression module, which scores each of the 9 dsmiv criteria as 0 not at all to 3 nearly every day. To assist the clinician in making the diagnosis of depression. The phq9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetricsgynecology clinics. Phq 9 patient health questionnaire calculator mdapp. This phq 9 patient health questionnaire calculator assesses depression severity and whether the patient suffers from similar disorders.
Reception will present the phqa phq9 modified for adolescents questionnaire using the script below. One of the most common mental disorders is major depression, so there is an understandable desire for a tool that can give the clinician a quick sense of whether there might be a problem. To quantify depression symptoms and monitor depression severity. It has also been specifically validated for use over the telephone and in the primary care setting. 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 large psicap. The formula to prorate the partial raw score to total raw score is. Phq9 questionnaire for depression scoring and interpretation. Screening and managing depressed and suicidal patients in. We are screening for symptoms of depressed mood at. Name and address for subsequent recall i am going to give you a name and address.
Instruction manual instructions for patient health. The purpose of the phq2 is to screen for depression in a firststep approach. Depression any screening by a two item phq2 calculator. Phq9 questionnaire for depression scoring and interpretation guide. 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. How often have you been bothered by each of the following symptoms during the past two weeks.
Phq9 questionnaire for depression scoring and interpretation guide for physician use only scoring. For each symptom put an x in the box beneath the answer that best describes how you have been feeling. Clinical risk assessment calculators and tools for vision 3 medical software. Personal health questionnaire phq9 score interpretation. Administering patient checks in at the reception desk.
Phq9 scoring card for severity determination instructions for use for doctor or healthcare professional use only phq9 quick depression assessment for initial diagnosis. The original validation study of the phq9 defined clinically significant change as a posttreatment score of. The phq9 objectively determines initial symptom severity in depression. To further evaluate patients with phq2 scores of 3 or more, administer or have them complete the questionnaire on the next page. Patient health questionnaire9 phq9 calculate by qxmd. The prevalence of major depressive disorder mdd in spanish primary care pc centres is high. Incorporating mental health screening into adolescent. A tool for the overdiagnosis of depression physicians and other clinicians like to have quick and easy screening tools for common disorders. The phq 9 and gad7 are designed to facilitate the recognition for depressive disorders and anxiety disorders respectively. It is used as a screening form for other conditions as well.
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. The phqa is a modified version of the phq9 questionnaire. The phq9 is a measurement for depression and the gad7 is a measurement for anxiety disorders. Phq9 scoring instructions and interpretation scoring. The phq9 is the depression module, which scores each of the nine dsmiv criteria as 0 not at all to 3 nearly every day. Utility of the phq9 to identify major depressive disorder. Administering the patient health questionnaires 2 and 9. Electronic screening and assessment gets staff out of the loop, using your clients as a data entry resource. Depression screening by a nineitem patient health questionnaire phq9 in adults.
The phq9 is the 9item depression module from the full phq sidebar, page 514. 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. How does this phq 9 patient health questionnaire calculator work. The phq9 was designed to diagnose both the presence of depressive symptoms as well as to characterize the severity of depression. However, mdd is frequently underdiagnosed and consequently only some patients receive the appropriate treatment. Implement the phq 9 using pti apps and portals patientcentered care starts with patient input, but the process is timeconsuming and costly when you use paper. Patient health questionnaire phq9 university of michigan. Patient health questionnaire9 phq9 mental disorders. The phq 9 is a selfadministered version of the primemd diagnostic instrument for common mental disorders. The phq 9 patient health questionnaire 9 objectifies and assesses degree of depression severity via questionnaire. Methods a crosssectional study was conducted on 839 residents aged 60 years and above in rural areas of liuyang county.
Robert l spitzer, janet bw williams, kurt kroenke, and colleagues, with an educational grant. General practitioner assessment of cognition gpcog score. General practitioner assessment of cognition gpcog gpcog patient examination unless specified, each question should only be asked once. Severity measure for depression, child age 11 to 17 phq9. The total of all 9 responses from the phq9 aims to predict the presence and severity of depression. Phq9 is one of many depression rating scales that have been validated for use in primary care and other settings. The phq9 modified can be administered and scored by a nurse, medical.
Patient health questionnaire phq9 rehabmeasures database. Learn more about the questions, the score interpretation and first aid in depressive conditions below the tool. Although the phq9 is widely used in primary care, little is known about its performance in quantifying improvement. Find out about the patient health questionnaire 9 phq9, one of the tools used to monitor the severity of depression and response to. If on a hosted server please make sure that you download and install this. At the calculator level, ecalcs comes delivered with default keywords that can be leveraged in the searchfilter field to enable specialty or system driven calculator searching. Administering the patient health questionnaires 2 and 9 phq 2 and 9 in integrated care settings purpose of this document this document has been developed to help clarify and address common questions on the use and administration of the patient health questionnaires 2. Nonetheless, selfreport questionnaires such as the 9item phq9 and the 8item phq8 patient health questionnaire depression measure can provide a dimensional assessment for depression because they are scored by summing how often a number of typical depressive symptoms occur 5, 9. Consider scheduling a followup visit in a few weeks, patient.
The patient health questionnaire9 phq9 instructions. Objectives this study aimed to explore cutoff scores of the 9item patient health questionnaire phq9 and 2item patient health questionnaire phq2 for depression screening in chinese rural elderly. The patient health questionnaire phq9 overview the phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of not at all. Phq 9 patient depression questionnaire for initial diagnosis. Patient completes phq9 quick depression assessment. Question one to score the first question, tally each response by the number value of each response.
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. The percentage of adolescent patients 12 to 17 years of age and adult patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed phq 9 during each applicable 4 month period in which there was a qualifying depression encounter. Patient completes phq 9 quick depression assessment. This is a self reported diagnosis tool that can be used to evaluate the presence and if positive, the severity of mental health conditions such as anxiety or depression. Phq9 parent report printable pdf download fillable online patient health questionnaire9 phq9 fax. Malpass et al, in a mixed methods study assessing phq9 scores and patients experiences, report that patients found the phq9 to be helpful, 1 concurring with other recent qualitative work that suggested that patients viewed such measures as an objective adjunct to medical judgement. Phq9 and phq2 for screening depression in chinese rural. Instructions how to score the phq9 major depressive disorder is suggested if. Primary care providers frequently use the phq9 to screen for depression in patients. Patients who screen positive should be further evaluated with the phq9 to determine whether they meet criteria for a depressive disorder.
Patient health questionnaire 9 phq9 health navigator nz. What is the abbreviation for patient health questionnaire9. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Patients who screen positive with the phq2 should be further evaluated with the phq9, other diagnostic instruments or direct interview. Phq9 is adapted from prime md today, developed by drs. 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 phq9 can be scored using different methods, including an algorithm based on diagnostic and statistical manual of mental disorders, fourth edition criteria and a cutoff based on summeditem scores. The phq 9 is a measurement for depression and the gad7 is a measurement for anxiety disorders.
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