As recommended by macarthur foundation and pfizer, inc. A definitive diagnosis is made taking into account how well the patient understood the questionnaire, as well as other relevant information from the patient. The patient health questionnaire phq9 overview the phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Phq 9 is adapted from prime md today, developed by drs robert l. The phq 2 and 9 are validated tools, developed and owned by pfizer, and are quick and easy to administer. The diagnostic validity of the 9 item phq 9 was established in studies involving 8 primary care and 7 obstetrical clinics. At a phq 2 threshold score of 2 or more, 26% of patients will continue to complete the full phq 9.
Phq9 is adapted from prime md today, developed by drs robert l. That 63 patients with major depression would be missed at a threshold score of 3 or higher on the phq 2 would probably trouble most primary care clinicians. Initial assessment and monitoring for healthcare professional use only phq9 quick depression assessment tool. Primary care evaluation of mental disorders primemd. At a phq2 threshold score of 2 or more, 26% of patients will continue to complete the full phq9. The for the phq9 was formerly held with pfizer, who provided the educational grant for drs spitzer, williams and kroenke who originally designed it. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. 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. Thoughts that you would be better off dead or of hurting yourself in some way.
The patient health questionnaire phq is a 3page questionnaire that can be entirely selfadministered by the patient. Inclusion criteria eligible studies compared phq 9 scores with major depression diagnoses. This health survey was adapted from the primemd patient. Patient health questionnaire phq9 michigan medicine. Physician uses clinical judgment about treatment, based on patients duration of symptoms and functional impairment. The patient health questionnaire phq is a selfadministered version of the primemd tool for common mental health disorders administered by health care professionals. Patient completes phq9 quick depression assessment on accompanying tearoff pad. Objective to determine the accuracy of the patient health questionnaire 9 phq 9 for screening to detect major depression. The phq9 is a brief, 9item scale that includes only the depressionrelated items from the phq. Phq 9 over the last 2 weeks, how often have you been bothered. Over the last 2 weeks, how often have you been bothered by any of the following. The patient health questionnaire phq is a self report version of the. Phq9 patient health questionnaire over the last 2 weeks, how often have you been bothered by any of the following problems.
Patient health questionnaire phqsads this questionnaire is an important part of providing you with the best health care possible. Patient health questionnairephq9 name date of birth todays date over the last 2 weeks, how often have you been bothered by any of the following problems. It has usefulness as a screening tool for situations where depression is suspected, and as an. Administering the patient health questionnaires 2 and 9. That 63 patients with major depression would be missed at a threshold score of 3 or higher on the phq2 would probably trouble most primary care clinicians. Objective to determine the accuracy of the patient health questionnaire9 phq9 for screening to detect major depression. 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. Multiply that number by the value indicated below, then add the subtotal to produce a total score. How often have you been bothered by each of the following symptoms during the past two weeks.
Reliability and validity of the tool have indicated it has sound psychometric properties. Results may be included in patient files to assist you in setting up a treatment goal, determining degree of response, as will as guiding treatment intervention. Phq 9 scores 10 had a sensitivity of 88% and a specificity of 88% for major depressive disorder. Refer to the accompanying phq 9 scoring box to interpret the total score. They incorporate dsmiv depression criteria with other leading major depressive symptoms into a brief selfreport instruments that are commonly used for screening and diagnosis, as well as selecting and monitoring.
Phq9 quick depression assessment for initial diagnosis. The phq9 is a diagnostic tool that is specific to depression. 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. It is the 9question depression scale from the patient health questionnaire phq. The phq9 should not be used to make a definitive diagnosis of depression. Phq9 patient depression questionnaire for initial diagnosis. The phq9 was developed, based on diagnostic and statistical manual of mental disorders dsmiv 4th ed.
Guide for interpreting phq9 scores score action 04 the score suggests the patient may not need depression treatment 514 mild major depressive disorder. Phq 9 quick depression assessment for initial diagnosis. The phq assesses 8 diagnoses, divided into threshold disorders disorders that. This examination addresses 12 different mental health disorders. Depression screening by a nineitem patient health questionnaire phq9 in adults. Over the last two weeks, how often have you been bothered by any of the following problems. Inclusion criteria eligible studies compared phq9 scores with major depression. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of not at all. The phq 2 is a preliminary screening tool administered prior to the phq 9. Administering the patient health questionnaires 2 and 9 phq. 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.
The phq9 and phq2, components of the longer patient health questionnaire, offer psychologists concise, selfadministered tools for assessing depression. Phq 9 patient depression questionnaire for initial diagnosis. Patient health questionnaire 9 phq9 health navigator nz. The phq 9 was developed, based on diagnostic and statistical manual of mental disorders dsmiv 4th ed. The screeners are quick and userfriendly, improving the recognition rate of. No permission required to reproduce, translate, display or distribute. Psychometrics of the phq 9 as a measure of depressive symptoms in patients with heart failure muna h hammash and more. The patient health questionnaire 9 phq 9 is one of the tools used to screen for the presence and severity of depression and to monitor response to treatment. 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. Phq9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Validation of phq2 and phq9 to screen for major depression.
Administering the patient health questionnaires 2 and 9 phq 2 and 9 in integrated care settings. Data sources medline, medline inprocess and other nonindexed citations, psycinfo, and web of science january 2000february 2015. 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. The phq 9 is a brief, 9 item scale that includes only the depressionrelated items from the phq. Williams, kurt kroenke, and colleagues, with an educational grant from pfizer inc. Psychometrics of the phq9 as a measure of depressive symptoms in patients with heart failure muna h hammash and more. Add up the total number from items 19 estimated depression severity. Phq9 may only be made in accordance with the terms of use available at. Refer to the accompanying phq9 scoring box to interpret the total score. Patient completes phq 9 quick depression assessment.
Phq9 is adapted from prime md today, developed by drs spitzer, williams, kroenke and colleagues, with an educational grant from pfizer inc. Thoughts that you would be better off dead or of hurting. Phq9 over the last 2 weeks, how often have you been bothered. Patient health questionnaire phq9 british columbia.
It is the 9 question depression scale from the patient health questionnaire phq. This easy to use patient questionnaire is a selfadministered version of the primemd diagnostic instrument for common mental disorders. Patient health questionnaire9 national institute on. Scoring add up all checked boxes on phq9 for every checkmark not at all 0. Clinicians can quickly score the phq9 once the patient has completed its 9 questions. See guideline for using the phq9 for initial management. Patient health questionnaire phq9 nine symptom checklist. Patient completes phq9 quick depression assessment.
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. The patient health questionnaire phq9 overview cqaimh. Accuracy of patient health questionnaire9 phq9 for. Since the questionnaire relies on patient selfreport, all responses should be verified by the clinician, and a definitive diagnosis is made on clinical grounds, taking into account how well the patient understood the questionnaire, as well as other relevant information from the patient. 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 patient. Patient health questionnaire9 national institute on drug abuse. Patient health questionnaire9 introduction the patient health questionnaire phq is a selfreport version of the primary care evaluation of mental disorders primemd diagnostic tool for common mental disorders. The phq9 is the depression module, which scores each of the nine dsmiv criteria as 0 not at all to 3 nearly every day. This is not intended to provide a diagnosis only trained health professionals should do this. Patient completes phq 9 quick depression assessment on accompanying tearoff pad.
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