This bibliography was generated on cite this for me on tuesday, september 29, 2015. Every treatment guideline around the world recommends use of measurementbased care. Apply motivational interviewing and reflective practice skills when interacting with families. The phq 9 is the nine item depression scale of the patient health questionnaire. The apa is offering a number of emerging measures for. Its purpose is not to establish final diagnosis or to monitor depression severity, but rather to screen for depression. The measure is completed by the individual prior to a visit with the clinician. Severity measure for depression, adultpatient health. Phq9 questionnaire for depression scoring and interpretation guide for physician use only. Seven items, each of which is scored 0 to 3, providing a 0 to 21 severity score. The patient health questionnaire phq 9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. 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. 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. It is however under recognised in clinical practice, in part due to a lack of uptake for brief assessment tools and uncertainty about their psychometric properties.
The phq 9 is a depression scale consisting of nine questions. 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. The results of the phq 9 may be used to make a depression diagnosis according to dsmiv criteria and takes less than 3 minutes to complete. The phq9 patient health questionnaire9 objectifies and assesses degree of depression severity via questionnaire. Tms is an effective treatment for depression, per the phq 9 scale. Phq9 depression scale university of washington aims center. Describe the importance of examining the availability of local referral resources, and where a dearth of such resources. 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.
Of the 9 items, b, c, or d are circled as at least more than half the days. Multiply that number by the value indicated below, then add the subtotal to produce a total score. The phq 9 dep 9 in some sourcesis a 9 question instrument given to patients in a primary care setting to screen for the presence and severity of depression. Add up the numbers endorsed for questions 19 and obtain a total score. The phq 9 is the nine item depression scale of the patient health questionnaire1. Phq9 depression medicine bibliographies cite this for me. Edinburgh postnatal depression scale 1 epds postpartum depression is the most common complication of childbearing. A fivepoint drop in phq 9 score is considered the minimal clinically significant difference trivedi, 2009. Total score depression severity 04 no or minimal depression 59 mild depression 1014 moderate depression 1519 moderately severe depression 2027 severe depression use with permission. Results may be included in patients files to assist you in setting up a treatment goal, determining degree of response, as well as guiding treatment intervention. The nine items cover experience of pleasure, feeling down, sleep disruption, energy levels, appetite, feeling a failure, trouble. 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. Describe the importance of screening for maternal depression.
This easy to use patient questionnaire is selfadministered using pti apps. Depression affects approximately 25% of people with ms pwms at any given time. Epidemiology and natural history of depressive disorders. Patient health questionnaire, including phq, phq9, phq. It is the 9 question depression scale from the patient health questionnaire phq. Administer the phq 9 as a screen for maternal depression. Adapted from the patient health questionnaire phq screeners. Using a measurementbased approach to depression care, phq 9 results and side effect evaluation should be combined with treatment algorithms to drive patients toward remission. The phq 9 is the 9 item depression module from the full phq.
The severity measure for depression adult adapted from the patient health questionnaire 9 phq 9 is a selfrated 9 item measure that assesses the severity of depressive symptoms in individuals age 18 and older. 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. Refer to the accompanying phq 9 scoring card to interpret the total score. Depression screening by a nineitem patient health questionnaire phq 9 in adults.
The phq 9 screens specifically for signs or symptoms of depression, and its nine short and simple questions are built on the criteria for depression that were identified in the diagnostic and. Nine items, each of which is scored 0 to 3, providing a 0 to 27 severity score. The 20item center for epidemiologic studies depression scale cesd 20 was used to measure the existing level. The phq 9 is in the depression screening module, incorporating dsmiv. Depression should not be diagnosed or excluded solely on the basis of a phq 9 score. Adapted from the patient health questionnaire9 phq9. To use the phq 9 as a diagnostic aid for major depressive disorder. Administering the patient health questionnaires 2 and 9. Phq9 patient health questionnaire maternal depression. The phq 9 can be used as a tool for diagnosing depression as well as for monitoring the patients treatment. In older adults, the geriatric depression scale is also an appropriate screening tool for. 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. Patient completes phq 9 quick depression assessment.
Psychometric properties of the phq9 depression scale in. Patient health questionnaire 9 is an excellent free psychological screening instrument for depression by christopher fisher, phd on july 7, 2010 in assessment, depression the patient health questionnaire 9 phq 9 is a brief psychological screening instrument designed to measure symptoms of depression in primary care settings. If this is positive, the phq 9 can then be used, which has 61% sensitivity and 94% specificity in adults. How often have you been bothered by each of the following symptoms during the past two weeks. Older adults can be screened for depression using an instrument such as the phq2, phq 9, cornell scale for depression in dementia, or geriatric depression scale. The phq 9 is one module of the larger patient health questionnaire, an assessment that patients can complete to screen for mental health conditions. When screening for depression the patient health questionnaire phq2 can be used first it has a 97% sensitivity and a 67% specificity. Patients age 18 and older with the diagnosis of major depression or dysthymia who have a patient health. The patient health questionnaire 9 item phq 9 is a 9 question less specific version of the phq. Phq 9 patient depression questionnaire for initial diagnosis.
Questions 1 andor 2 need to be endorsed as a 2 or 3. It is one of the most validated tools in mental health and can be a powerful tool to assist clinicians with diagnosing depression and monitoring treatment response. The phq9 is the nine item depression scale of the patient health questionnaire. The phq 2 and 9 are validated tools, developed and owned by pfizer, and are quick and easy to administer. Patient health questionnaire 9 is an excellent free. Phq9 questionnaire for depression scoring and interpretation. The apa is offering a number of emerging measures for further research and.
The 9 item patient health questionnaire phq 9 is an attractive candidate for this role. Use of the phq9 to make a tentative depression diagnosis. Of the 9 items, 5 or more are checked as at least more than half the days. Learn phq 9 functions and how it can help you identify the severity of your depression. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of not at all. However, a shortcoming in our field is the lack of indepth knowledge about what this instrument is, how to interpret. To use the phq9 to obtain a total score and assess depressive severity. Each organization will need to identify the phq 9 score that necessitates intervention in their particular setting. Document key points, referrals and follow up in progress notes. The additional steps below will be followed based on the clients phq 9 score. 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.
Explore ways to cope, manage, or overcome depression with client and possibly her family. Phq9 questionnaire for depression scoring and interpretation guide. The patient health questionnaire phq9 overview cqaimh. This person meets diagnostic criteria for depression. The phq 9 depression screening tool is a common diagnostic tool within the field of psychiatry. It is based directly on the it is based directly on the diagnostic criteria for major depressive disorders in diagnostic and statistical manual fourth edition dsmiv 2.
Patient health questionnaire phq9 michigan medicine. 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. This screening instrument identifies depression and panic disorder and assesses stress and functionality, including gender. 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. Phq 9 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. Instruction manual instructions for patient health.
The patient health questionnaire phq 9 has rapidly become the national and international gold standard measurement tool in major depression. The phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. It is one of the most validated tools in mental health and can be a powerful tool. Refer to the accompanying phq9 scoring box to interpret the total score. 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. The phq 9 is the depression module, which scores each of the nine diagnostic criteria for major depression in diagnostic and statistical manual fourth edition as 0 not at all to 3 nearly every day. This is generally a score of 10 or above andor a positive answer on question 9 of the phq 9, which is a screening for suicidal symptoms. These are the sources and citations used to research phq 9 depression. Monthly until remission or for first 6 months after diagnosis. Over the last two weeks, how often have you been bothered by any of the following problems. See website for additional information and translations. Patient health questionnaire phq9 british columbia.
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