Difference between revisions of "Depression PHQ-9"
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| − | + | The first two Depression questions ([[Q15]] and [[Q16]]) are called the [http://www.apa.org/pi/about/publications/caregivers/practice-settings/assessment/tools/patient-health.aspx '''Patient Health Questionnaire-2 (PHQ-2)''']. They are also the same first two question in the [http://www.apa.org/pi/about/publications/caregivers/practice-settings/assessment/tools/patient-health.aspx '''Depression PHQ-9''']. | |
| − | Return to | + | Return to the [[CDC Health Risk Assessments]] or [[Well-Being Assessment|Patient Well-Being Assessment]] |
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| + | '''If you checked off <u>any</u> problems, how <u>difficult</u> have these problems made it for you to do your work, take care of things at home, or get along with other people?'''<br> | ||
| + | □ Not difficult at all <br> | ||
| + | □ Somewhat difficult <br> | ||
| + | □ Very difficult <br> | ||
| + | □ Extremely difficult<br> | ||
| + | |||
| + | ==Interpreting PHQ-9 Scores== | ||
| + | |||
| + | {| class="wikitable sortable" | ||
| + | !style="width:20%;background: #e3e3e3" align="left"|Diagnosis | ||
| + | !style="width:10%;background: #e3e3e3;"|Total Score | ||
| + | !style="width:10%;background: #e3e3e3;"|For Score | ||
| + | !style="width:40%;background: #e3e3e3;"|Suggested Action | ||
| + | |- | ||
| + | |||
| + | |||
| + | |align="left"|Minimal depression | ||
| + | |align="center"|0-4 | ||
| + | |align="center"|≤ 4 | ||
| + | |style="background-color: #FFCCCC" align="left"|The score suggests the patient may not need depression treatment | ||
| + | |- | ||
| + | |align="left"|Mild depression<br>Moderate depression | ||
| + | |align="center"|5-9<br>10-14 | ||
| + | |align="center"|5-14 | ||
| + | |style="background-color: #FFCCCC" align="left"|Physician uses clinical judgement about treatment, based on patient's duration of symptoms and functional impairment | ||
| + | |- | ||
| + | |align="left"|Moderately severe depression<br>Severe depression | ||
| + | |align="center"|15-19<br>20-27 | ||
| + | |align="center"|> 14 | ||
| + | |style="background-color: #FFCCCC" align="left"|Warrants treatment for depression, using antidepressant, psychotherapy and/or combination of treatment | ||
| + | |- | ||
| + | |} | ||
| + | |||
| + | The PHQ-9 is described in more detail at the [http://www.phqscreeners.com/ '''Pfizer website''']. | ||
Latest revision as of 14:05, 11 May 2015
The first two Depression questions (Q15 and Q16) are called the Patient Health Questionnaire-2 (PHQ-2). They are also the same first two question in the Depression PHQ-9.
Return to the CDC Health Risk Assessments or Patient Well-Being Assessment
| Over the last 2 weeks, how often have you been bothered by the following problems? | Not at all | Several days | Over half the days | Nearly every day |
|---|---|---|---|---|
| 1. Little interest or pleasure doing things | 0 | 1 | 2 | 3 |
| 2. Feeling down, depressed, or hopeless | 0 | 1 | 2 | 3 |
| 3. Trouble failing asleep, or sleeping too much | 0 | 1 | 2 | 3 |
| 4. Feeling tired or having little energy | 0 | 1 | 2 | 3 |
| 5. Poor appetite or overeating | 0 | 1 | 2 | 3 |
| 6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down | 0 | 1 | 2 | 3 |
| 7. Trouble concentrating on things, such as reading the newspaper or watching television | 0 | 1 | 2 | 3 |
| 8. Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | 0 | 1 | 2 | 3 |
| 9. Thoughts that you would be better off dead or of hurting yourself in some way | 0 | 1 | 2 | 3 |
| Total the score | _____ + | _____ + | _____ + | _____ |
| =Total Score | _____ |
If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
□ Not difficult at all
□ Somewhat difficult
□ Very difficult
□ Extremely difficult
Interpreting PHQ-9 Scores
| Diagnosis | Total Score | For Score | Suggested Action |
|---|---|---|---|
| Minimal depression | 0-4 | ≤ 4 | The score suggests the patient may not need depression treatment |
| Mild depression Moderate depression |
5-9 10-14 |
5-14 | Physician uses clinical judgement about treatment, based on patient's duration of symptoms and functional impairment |
| Moderately severe depression Severe depression |
15-19 20-27 |
> 14 | Warrants treatment for depression, using antidepressant, psychotherapy and/or combination of treatment |
The PHQ-9 is described in more detail at the Pfizer website.
