Patient health questionnaire 9 phq9 health navigator nz. How often have you been bothered by each of the following symptoms during the past two weeks. The patient health questionnaire phq is a self report version of the. Wording under concentration question in phq a includes school work concentration. Patient health questionnaire phq9 british columbia. Patient health questionnaire phq 9 for depression using phq 9 diagnosis and score for initial treatment selection a depression diagnosis that warrants treatment or treatment change, needs at least one of the first two questions endorsed as positive little pleasure, feeling depressed indicating the. Phq 9 scoring card for severity determination instructions for use for doctor or healthcare professional use only phq 9 quick depression assessment for initial diagnosis. Of the 9 items, b, c, or d 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 planning and monitoring treatment question one. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of not at all. It is a diagnostic screener mapped to dsmiv depression criteria. Questions 1 andor 2 need to be endorsed as a 2 or 3. Add up the total number from items 1 9 estimated depression severity. Based on a structured interview, the phq 9 has a high sensitivity 73% and specificity 98% kroenke et al. 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 video demonstrations show a care manager administering the phq 9 to a primary care patient in the initial visit and in the followup visit. It has also been specifically validated for use over the telephone and in the primary care setting. The for the phq9 was formerly held with pfizer, who provided the. Phq 9 is adapted from prime md today, developed by drs robert l.
The development of the phq9 was underwritten by an educational grant from pfizer us. Patient health questionnaire phq 9 is adapted from prime md today, developed by drs. Primary care evaluation of mental disorders primemd. The patient health questionnaire phq 9 is a brief, 9 item selfreport screening tool that may help identify symptoms that could relate to depression. The phq 9 can be selfadministered or clinician administered. The patient health questionnaire phq is a multiplechoice selfreport inventory ed by pfizer inc, that is used as a screening and diagnostic tool for mental health disorders of depression, anxiety, alcohol, eating, and somatoform disorders. 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. Cambridge health alliance department of psychiatry affiliated with.
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. Instruction manual instructions for patient health. Phq9 scoring card for severity determination for healthcare. Administering the patient health questionnaires 2 and 9 phq 2 and 9 in integrated care settings. Williams, kurt kroenke, and colleagues, with an educational grant from pfizer inc. The phq9 is described in more detail at the pfizer. No permission required to reproduce, translate, display or distribute. The patient health questionnaire phq is a selfreport version of the. Over the last 2 weeks, how often have you been bothered by any of the following problems. The phq 9 depression screener is available here in english, and a version with instructions for healthcare professionals. Lexique tests psychologiques forum connexion infolettre. We would like to show you a description here but the site wont allow us.
Relationship between phq9 depression severity score and disability days. The phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Robert l spitzer, janet bw williams, kurt kroenke, and colleagues, with an educational grant from pfizer inc. The phq 9 is a 9 item questionnaire used to screen for, monitor, diagnose, and measure the severity of depressive symptoms.
The phq9 is the depression module, which scores each of the 9 dsmiv criteria as 0 not at all to 3 nearly every day. Warrants treatment for depression, using antidepressant, psychotherapy andor a combination of treatment. The company sets up a connection to pro insight that is managed remotely from a calling website. The patient health questionnaire 9 phq9 is an effective tool for identification and grading of depression symptoms. General company information i have a question about one of your pharmaceutical products. Phq9 nine symptom checklist university of washington.
Phq 9 can be used as both a diagnostic tool and a measurement of depression severity over time, to evaluate medication effectiveness and mental status spitzer et al. The phq9 is the depression module, which scores each of the nine dsmiv criteria as 0 not at all to 3 nearly every day. If you circled anyproblems, how difficult have these problems made it for you to do your work, take care of things at home. Patient health questionnaire 9 phq9 aims care partners. Phq9 scoring card for severity determination for healthcare professional use only. Williams, kurt kroenke, and colleagues, with an educational grant from p. The phq 2 and 9 are validated tools, developed and owned by pfizer, and are quick and easy to administer. Using the phq9 for depression screening and treatment. Instructions for patient health questionnaire phq and gad 7 measures website. Document is also available in portable document format pdf july 2016 health. Of the 9 items, 5 or more are checked as at least more than half the days 2.
Phq9 patient depression questionnaire cairn center. To use the phq 9 as a diagnostic aid for major depressive disorder. Provided as a service by pfizer neuroscience phq9 is adapted from prime md today, developed by drs robert l. For each symptom put an x in the box beneath the answer that best describes how you have been feeling. Patient health questionnaire 9 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.
Inform the patient the phq 2 was positive, and you would like to conduct the full screening. In past 2 weeks, how often have you been bothered by. The phq 9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetricsgynecology clinics. Utilizing a personal smartphone custom app to assess the patient health questionnaire 9 phq 9 depressive symptoms in patients. Patient completes phq 9 quick depression assessment on accompanying tearoff pad. Generalised anxiety disorder gad can be difficult to recognise as patients present with a wide range of symptoms 1. The 12month incidence and predictors of phq9screened. Le developpement du phq et du phq9 a ete finance par le laboratoire pfizer, fabricant. Gad7 pdf phq9 pdf informed consent pdf supporting documents. This connection is authorized by the use of a security token that is generated outside of the professionals web browser session. Patient health questionnaire 9 is an excellent free. A new depression diagnostic and severity measure pdf. The phq 2 is simply the first two questions of the phq 9.
Patient health questionnairephq 9 nine symptom depression checklist name. Patient health questionnaire 9 phq 9 over the last 2 weeks, how often have you been bothered by any of the following problems. Depression should not be diagnosed or excluded solely on the basis of a phq9 score. Stable resource toolkit table of contents 2 introduction to the stable project and resource toolkit 4 stable resource toolkit contents overview 5 depression screening 6 the patient health questionnaire2 phq 2 overview 7 the patient health questionnaire2 phq 2 8 the patient health questionnaire phq 9 overview 9. Phq9 is one of many depression rating scales that have been validated for use in primary care and other settings. Patient health questionnaire 9 phq 9 to further evaluate depressive symptoms during an initial visit and over time to monitor depressive symptoms and medication effectiveness in home care patients. Phq 9 patient depression questionnaire for initial diagnosis.
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 is the depression module, which scores each of the 9 dsmiv. Patient health questionnaire phq9 university of michigan. Some responses to the phq 9 also prompt providers to assess their patients for their potential risk of suicide. Patient health questionnaire phq 9 informed consent for behavioral health treatment. Patient health questionnaire phq9 cognitive behavior. Phq8 is an 8item selfadministered depression scale with its items extracted from the patient health questionnaire 9 phq 9 mood subscale, with the exception of the 9th item selfharm. Patient completes phq 9 quick depression assessment.
The american thoracic society improves global health by advancing research, patient care, and public health in pulmonary disease, critical illness, and sleep disorders. The phq 9 was developed for use in primary care settings. The phq 9 identifies clinical depression as a score. 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. Depression should not be diagnosed or excluded solely on the basis of a phq 9 score.
Phq9 is adapted from prime md today, developed by drs. Instructions how to score the phq 9 major depressive disorder is suggested if. Patient health questionnaire phq9 spanish pdf this is the spanish version of the tool designed for use by health care professionals who wish to screen patients for depression. Represents a total of 9 questions main headings use standardized wording for administering phq 9. The patient health questionnaire 9 phq 9 is a brief psychological screening instrument designed to measure symptoms of depression in primary care settings. The phq 9 is a brief, 9 item scale that includes only the depressionrelated items from the phq. Patient health questionnaire phq9 kaiser permanente. Patient health questionaire for adolescents phq a is nearly identical to phq 9. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. Pfizer is not responsible for the content of this linked page.
Select a topic below to see related frequently asked questions. If you suspect a patient may have gad, the 7item generalised anxiety disorder scale gad7 is a validated questionnaire available to screen for and assess the severity of anxiety symptoms 2. The phq 9 and phq2, components of the longer patient health questionnaire, offer psychologists concise, selfadministered tools for assessing depression. Administering the patient health questionnaires 2 and 9. The phq9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetricsgynecology clinics.
It is the 9 question depression scale from the patient health questionnaire phq. 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. This is not intended to provide a diagnosis only trained health professionals should do this. If you do not find the answers youre looking for, use our contact us form to email your information request to the appropriate pfizer contact. The patient health questionnaire 9 phq 9 was developed as a selfadministered, diagnostic screening instrument used by health care professionals for assessing and. Access to society journal content varies across our titles. The phq 9 is the depression module, which scores each of the 9 dsmiv criteria as 0 not at all to 3 nearly every day.
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. Given the popularity of the phq 9 for assessing and monitoring depression severity, a new 7item anxiety scale using a response set similar to the phq 9 was initially developed to diagnose generalized anxiety disorder hence its name, the gad7 and validated in 2740 primary care patients. It includes the questionnaire translated into spanish. 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. The phq9 is a 9question instrument given to patients in a primary care setting to screen for. Kurt kroenke, and colleagues from columbia university developed the phq in the mid 1990s and the phq9 in 1999 with a grant from pfizer. Multiply that number by the value indicated below, then add the subtotal to produce a total score. The patient health questionnaire 9 phq 9 is a selfadministered instrument that was developed by kroenke, spitzer, and williams 2001 to measure the severity of an individuals depression by. Using the phq 2 and the phq 9 university of washington. The phq 9 is a ninequestion form used to screen for signs and symptoms of depression and monitor changes in symptoms. The phq 9 is a nineitem screening the patient health questionnaire is a validated instrument that is widely used in primary care and is available. Conduct the phq 9 the healthcare provider fills out 1. Patient health questionnaire phq9 nine symptom checklist.
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