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. Utility and limitations of phq9 in a clinic specializing. Robert l spitzer, janet bw williams, kurt kroenke, and colleagues, with an educational grant from pfizer inc. They should be used in research and evaluation as potentially useful tools to. Of the 9 items, 5 or more are checked as at least more than half the days. We summarized the diagnostic test accuracy of the phq 9 using the algorithm scoring method across a range of validation studies and compared the diagnostic properties of the phq 9 using the algorithm and summed scoring method at the proposed cutoff point of 10. Langues disponible en plusieurs langues, dont le francais, langlais et lespagnol. Phq 9 is adapted from prime md today, developed by drs. Assess accuracy and operating characteristics of the patient health questionnaire 9 phq 9 for depressionscreening in adults with epilepsy. Nida clinical trials network patient health questionnaire. Instruction manual instructions for patient health. The phq2 inquires about the frequency of depressed mood, with a score ranging from 0 to 6.
The patient health questionnaire 9 item depression module phq 9 is a wellvalidated, brief, selfreported, diagnostic, and severity measure of depression designed for use in primary care pc. How to score the patient health questionnaire phq9. The scores of the phq9 and phq2 well correlated with the bdiii score, the midas score, the hit6 score, and. 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. English and canadian french versions of the phq9 were retrieved.
Validation of phq2 and phq 9 to screen for major depression in the primary care population article pdf available in the annals of family medicine 84. Pdf validityreliability of phq9 and phq2 depression. The factor structure of the patient health questionnaire phq 9 in a nonclinical sample sinisa subotic9, ivan knezevic10, strahinja dimitrijevic11, dalibor miholjcic12, savina smit, mirjana karac14, jelena mijatovic15 the patient health questionnaire phq 9 is a well known selfreport measure of nine. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of not at all. The patient health questionnaire phq is a selfadministered version of the primemd tool for common mental health disorders administered by health care professionals. Patient health questionnaire phq9 university of michigan. Patient completes phq 9 quick depression assessment.
Over the last 2 weeks, how often have you been bothered by any of the following problems. 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. Consider major depressive disorder if there are at least 5 positive responses in themore than. Are scores on english and french versions of the phq9. Pdf validation of the patient health questionnaire9 phq9 and. Nida clinical trials network patient health questionnaire2 phq2 developed by drs. We would like to show you a description here but the site wont allow us. Pdf validation and calibration of the patient health questionnaire. The algorithm was the originally proposed scoring method to screen for depression. Since these versions of the phq9 are in the public domain, many of their authorstranslators could not be identified and the cultural validity of most of them is.
Refer to the accompanying phq 9 scoring box to interpret the total score. These patient assessment measures were developed to be administered at the initial patient interview and to monitor treatment progress. 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. No permission required to reproduce, translate, display or distribute. Summary of representative clinical depression screening tools.
This is a pdf file of an unedited manuscript that has been accepted for publication. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Of the 9 items, 5 or more are checked as at least more than half the days 2. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. The apa is offering a number of emerging measures for further research and clinical evaluation. Refer to the accompanying phq 9 scoring card to interpret the total score. For each symptom put an x in the box beneath the answer that best describes how you have been feeling.
Administering the patient health questionnaires 2 and 9. This study assesses the accuracy of phq 9 in screening for major depressive episode and in diagnosing major depressive episode in patients of a psychiatric specialty clinic. Since these versions of the phq9 are in the public domain, many of their authors translators could not be identified and the cultural validity of most of them is. Phq 9 patient depression questionnairefor initial diagnosis. Phq9 questionnaire for depression scoring and interpretation. When screening for depression the patient health questionnaire phq2 can be used first it has a 97% sensitivity and a 67% specificity. Depression should not be diagnosed or excluded solely on the basis of a phq 9 score. Williams, kurt kroenke and colleagues, with an educational grant from pfizer inc. Pdf validation of phq2 and phq9 to screen for major. The patient health questionnaire phq 9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.
How often have you been bothered by each of the following symptoms during the past two weeks. If this is positive, the phq 9 can then be used, which has 61% sensitivity and 94% specificity in adults. Instructions how to score the phq 9 major depressive disorder is suggested if. 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 and 9 phq 2 and 9. Pdf psychiatric problems have been commonly reported in patients with migraine. The apa is offering a number of emerging measures for. Tertiary epilepsy center patients served as the study population with 237 agreeing to structured interview using. The patient health questionnaire has been developed further to encompass the phq15 for severity of somatic symptoms, an ultrabrief version phq4, and the phq8 to measure current depression in the general population3,4,5. The patient health questionnaire 9 phq 9, despite its excellent reliability and validity in primary care, has not been examined for administration to psychiatric patients. Validation of the patient health questionnaire9 phq9.
Generalized anxiety disorder 7item gad7 scale over the last 2 weeks, how often have you been bothered by the following problems. Patient health questionnaire phq9 british columbia. Cutpoints of 10 for the phq9 and 15 for the nddie were used and ratings at or above the. How to score the patient health questionnaire phq 9 of the first nine items, five or more are checked as at least more than half the dayseither item 1. Translations the phq 9 has been translated into a range of languages e. The sample consisted of 739 english and 221 frenchspeaking ssc patients. Of the 9 items, b, c, or d are circled as at least more than half the days. Pdf background the patient health questionnaire9 phq9 is a brief tool to assess the presence and severity of depressive symptoms. Kroenke and colleagues with an educational grant from pfizer, inc.
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