Educational materials for patientfamily education discuss critical management concepts. To further evaluate patients with phq2 scores of 3 or more, administer or have them complete the questionnaire on the next page. Depression screening by a nineitem patient health questionnaire phq9 in adults. The public awareness materials include items that may be ordered for posting in your clinic as well as items that may be disseminated to patients and. A fivepoint drop in phq 9 score is considered the minimal clinically significant difference trivedi, 2009. Psychometric properties of the phq9 depression scale in. The phq 9 9 items encompasses dsmiv criteria for major depression, the phq 8 8 items excludes the thoughts of death or suicide item, and the phq 2 2 items assesses depressed mood and anhedonia. 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 nine items cover experience of pleasure, feeling down, sleep disruption, energy levels, appetite, feeling a failure, trouble.
The patient health questionnaire9 phq9 instructions. The instrument aids in guiding criteria based diagnosis of depressive symptoms, can assist in identifying treatment goals, determining severity of symptoms, as well as. Using a measurementbased approach to depression care, phq9 results and side effect evaluation should be combined with treatment algorithms to drive patients toward remission. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Screening for clinical depression and followup plan. Patient health questionnaire phq9 nzgp web directory. 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. Severity measure for depression, adultpatient health. The results of the phq 9 may be used to make a depression diagnosis according to dsmiv criteria and. Behavioral health screening, assessment, and treatment 2 webpwa000515 scoring and intervention guidelines for using the phq9 with adults phq9 scores and proposed treatment actions for depression in adults phq9 score depression severity proposed treatment recommendation 0 4 noneminimal none. Results may be included in patient files to assist you in setting up a treatment goal, determining degree of. The phq 9 has been validated for use in primary care settings and can be used to make a tentative diagnosis of depression and to monitor depression severity and response to treatment in the past 2 weeks. Providers may prescreen with patient health questionnaire2 phq 2 to determine if a longer standardized screening tool is needed. Patient health questionnaire phq9 british columbia.
The correlation between the direct promisd score and the crosswalked phq9 was moderately strong at 0. Phq9 scoring points from q19 are added up for a total score score of 10 or more indicates possible depression scores on the lower end tend to cause less impairment in the individual, so less motivation. Click on the title of an individual tool for a short description and download options. It is one of the most validated tools in mental health and can be a powerful tool to assist clinicians with diagnosing depression and monitoring treatment response. Basic coding for integrated behavioral health care.
Refer to accompanying phq9 scoring card to interpret the total score. The patient health questionnaire 9 phq 9 instructions. Severity measure for depressionadult adapted from the patient. 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. Patient education toolsother resources suicide prevention. Over the last two weeks, how often have you been bothered by any of the following problems. Physician uses clinical judgment about treatment, based on patients duration of symptoms and functional impairment. Results may be included in patient files to assist you in setting up a treatment goal, determining. The patient health questionnaire phq9 overview the phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Instruction manual instructions for patient health.
Feb 19, 2019 the phq 9 scale is notable in this context because it is freely available and has been validated to detect depression across a wide range of clinical populations including chronic severe diseases such as cancer, diabetes mellitus, rheumatoid arthritis, and stroke. Guide for interpreting phq9 scores score action 04 the score suggests the patient may not need depression treatment 514 mild major depressive disorder. Patient education toolsother resources this section contains a list of additional tools to educate providers and help increase awareness in patients, families, and communities about suicide. The nine items of the phq 9 are based directly on the nine diagnostic criteria for major depressive. The patient health questionnaire phq 9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Using a measurementbased approach to depression care, phq 9 results and side effect evaluation should be combined with treatment algorithms to drive patients toward remission. Older adults can be screened for depression using an instrument such as the phq2, phq9, cornell scale for depression in dementia, or geriatric depression scale. Of the 9 items, 5 or more are checked as at least more than half the days. Phq 9 scoring points from q1 9 are added up for a total score score of 10 or more indicates possible depression scores on the lower end tend to cause less impairment in the individual, so less motivation to fix the issue have handouts that you can discuss on depression it is treatable and not something they must suffer with.
Patient completes phq9 quick depression assessment on accompanying tearoff pad. Refer to the accompanying phq9 scoring box to interpret the total score. The phq 9 is a brief, 9 item scale that includes only the depression related items from the phq. Depression screens used are the geriatric depression scale and the phq9. Phq instruction manual patientcentered primary care collaborative. The patient health questionnaire phq9 overview cqaimh. To further evaluate patients with phq 2 scores of 3 or more, administer or have them complete the questionnaire on the next page. The phq 2 is a tool used to screen for depression, while the phq 9 tool is used to detect screen or diagnose depression, measure the severity of symptoms, and measure a patients response to.
Administering the patient health questionnaires 2 and 9 phq. Brief description selfadministered 9item instrument based on the nine dsmv criteria listed under criterion a for major depressive disorder. Depression should not be diagnosed or excluded solely on the basis of a phq9 score. Phq9 nine symptom checklist university of washington. Phq9 depression scale university of washington aims center.
Of the 9 items, b, c, or d are circled as at least more than half the days. The phq9 9 items encompasses dsmiv criteria for major depression, the phq8 8 items excludes the thoughts of death or suicide item, and the phq2 2 items assesses depressed mood and. Establishing a common metric for depressive symptoms. May 16, 2010 patient completes phq 9 quick depression assessment on accompanying tearoff pad. Phq9 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. It is the 9 question depression scale from the patient health questionnaire phq. Oct 15, 2018 older adults can be screened for depression using an instrument such as the phq 2, phq 9, cornell scale for depression in dementia, or geriatric depression scale. The phq 9 is the nine item depression scale of the patient health questionnaire. Nine items, each of which is scored 0 to 3, providing a 0 to 27 severity score. Patient completes phq9 quick depression assessment. Providers may prescreen with patient health questionnaire2 phq2 to determine if a longer standardized screening. Behavioral health screening, assessment, and treatment 2 webpwa000515 scoring and intervention guidelines for using the phq9 with adults phq9 scores and proposed treatment actions for.
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. Adapted from the patient health questionnaire9 phq9. Basic coding for integrated behavioral health care february 2019. Caregiverfocused health risk assessment may be billed only when a.
The phq 2 is a tool used to screen for depression, while the phq 9 tool is used to detect screen or diagnose depression, measure the severity of symptoms, and measure a patients response to treatment. 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. 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. Administering the patient health questionnaires 2 and 9. Results may be included in patients files to assist you in setting up a treatment goal, determining degree of response, as well as. The phq9 is a brief, 9item scale that includes only the depressionrelated items from the 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.
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