File Name: phq 2 and 9 .zip
Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines, so you may find the language more technical than the condition leaflets. This easy to use patient questionnaire is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. It has been validated for use in primary care.
The PHQ-9 DEP-9 in some sources  is a 9-question instrument given to patients in a primary care setting to screen for the presence and severity of depression. The total of all 9 responses from the PHQ-9 aims to predict the presence and severity of depression. Primary care providers frequently use the PHQ-9 to screen for depression in patients. The PHQ is question instrument. It has modules on mood PHQ-9 , anxiety , alcohol, eating, and somatoform disorders.
Robert J. Spitzer, Dr. Janet B. Williams, Dr. A patient may take the PHQ-9 in written form or be asked the survey items by clinic staff. Questions are about the level of interest in doing things, feeling down or depressed, difficulty with sleeping, energy levels, eating habits, self-perception, ability to concentrate, speed of functioning and thoughts of suicide.
The total sum of the responses suggests varying levels of depression. Scores range from 0 to In general, a total of 10 or above is suggestive of the presence of depression. Listed below are PHQ-9 totals, the levels of depression that they relate to, and suggested treatment for each level of depression: . Any degree of suicidal thoughts counts toward this criteria. The symptoms must also cause significant distress and loss of function, and the symptoms must not be better explained by substance use or another medical or psychiatric condition.
Clinicians may also use the PHQ-9 to evaluate treatments given for depression. The test-retest reliability was assessed by the correlation between PHQ-9 scores obtained from in-person and phone interviews with the same patients. The correlation value obtained was 0. In an assessment of construct validity , the correlation coefficient between the PHQ-9 and the SF mental health scale was 0. The National Institute for Health and Clinical Excellence endorsed the PHQ-9 for measuring depression severity and responsiveness to treatment in a primary care setting.
The PHQ-9 is also the most commonly used depression measure in the United Kingdom's National Health Service , which requires providers to use a depression screening instrument when treating depression.
Studies found the PHQ-9 is also useful for screening for depression in psychiatric clinics. It contains the first 2 questions of the PHQ-9 and takes less than a minute to administer.
The Veterans Administration uses this method to screen for depression in patients. It is usually used in research settings in non-depressive patients. Responses range from "not at all" a score of 0 to "bothered a lot" a score of 2. Higher scores on the PHQ are strongly associated with functional impairment, disability and health care use. The GAD-7 is a 7-question anxiety screening instrument developed in Like the PHQ-9, scores range from 0 to 27 with scores of 5, 10, and 15 indicating mild, moderate, and severe anxiety.
A clinical interview must be given to determine the presence and type of anxiety. A total score that is greater than 3 indicates that a clinician should administer the full GAD-7 and conduct a clinical interview to assess the presence and type of anxiety disorder. From Wikipedia, the free encyclopedia. Psychiatric Annals. Desk reference to the diagnostic criteria from DSM American Psychiatric Publishing. Journal of General Internal Medicine. General Hospital Psychiatry. BMC Psychiatry. American Psychological Association.
Categories : Clinical psychology tests Psychiatric instruments: anxiety Rating scales for depression. Namespaces Article Talk. Views Read Edit View history. Help Learn to edit Community portal Recent changes Upload file.
Download as PDF Printable version. Prescribe prescription drugs. If there are poor responses to treatment, immediately refer the patient to a mental health specialist for counseling.
The PHQ-2 inquires about the frequency of depressed mood, with a score ranging from 0 to 6. The authors identify a cut-off score of 3 as the optimal cut point for screening purposes, and stated that a cut point of 2 would enhance sensitivity. The PHQ-2, 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. Its purpose is not to establish final diagnosis or to monitor depression severity, but rather to screen for depression. Patients who screen positive should be further evaluated with the PHQ-9 to determine whether they meet criteria for a depressive disorder. The PHQ-2 has been validated in 3 studies in which it showed wide variability in sensitivity Gilbody, Richards, Brealey, and Hweitt, Developed by Drs.
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Ultra-brief depression screener.
CDEs Forms. The PHQ-2 inquires about the frequency of depressed mood, with a score ranging from 0 to 6. The authors identify a cut-off score of 3 as the optimal cut point for screening purposes, and stated that a cut point of 2 would enhance sensitivity. Its purpose is not to establish final diagnosis or to monitor depression severity, but rather to screen for depression. Patients who screen positive should be further evaluated with the PHQ-9 to determine whether they meet criteria for a depressive disorder. The PHQ-2 has been validated in 3 studies in which it showed wide variability in sensitivity Gilbody, Richards, Brealey, and Hweitt,
The PHQ Based on these findings, it is recommended to use the PHQ-9 for mild depression screening among medical university students in Iran because of its high sensitivity and specificity. Depression is a serious public health problem and common mental disorder that adversely affects the quality of life Klemanski et al. A meta-analysis study indicated that the prevalence of depression among Iranian students was high in comparative to the public people living in Iran Sarokhani et al.
A more recent article on depression screening and diagnosis is available. This is a corrected version of the article that appeared in print. The U. Preventive Services Task Force recommends screening in adolescents and adults in clinical practices that have systems in place to ensure accurate diagnosis, effective treatment, and follow-up. It does not recommend for or against screening for depression in children seven to 11 years of age or screening for suicide risk in the general population.
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