Not at all 0 several days 1 more than half the days 2 nearly every day 3 1. Add up the numbers endorsed for questions 1 9 and obtain a total score. Administering the patient health questionnaires 2 and 9 phq 2 and 9 in integrated care settings. A woman scoring above 9 could be suffering from moderate to severe depression. Patient health questionnaire phq9 spanish orange county.
To use the phq 9 to aid in the diagnosis of dysthymia. The present study aims to determine the utility of the patient health questionnaire 9 phq 9 to identify mdd in a subset of pc patients participating in the large psicap. Behavioral health screening, assessment, and treatment 2 webpwa000515 scoring and intervention guidelines for using the phq 9 with adults phq 9 scores and proposed treatment actions for depression in adults phq 9 score depression severity proposed treatment recommendation 0 4 noneminimal none. Phq 9 patient depression questionnaire for initial diagnosis. Epds and phq 9 categories of normal and increased risk for major depressive disorder. The dysthymia question in the past year should be endorsed as yes. The prevalence of major depressive disorder mdd in spanish primary care pc centres is high. All positive answers to question 9 as well as the two additional suicide items must be followed up by a clinical interview. Adapted from the patient health questionnaire phq screeners. The phq 2 is a preliminary screening tool administered prior to the phq 9. During the past 4 weeks how much of the time has your condition interfered with your social activities. The patient health questionnaire modified for teens phq9 modified can be used. Patient health questionnaire phq patient name date 1. This is the spanish version of the tool designed for use by health care professionals who wish to screen.
Also, alternative or abbreviated versions of the phq 9 and gad7 are sometimes used in. The patient health questionnaire phq 9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. To use the phq 9 to obtain a total score and assess depressive severity. Depression should not be diagnosed or excluded solely on the basis of a phq 9 score. Scores of 5, 10, 15, and 20 represent cut points for mild, moderate, moderately severe, and severe depression. Patient health questionnaire phq9 nine symptom checklist. Incorporating mental health screening into adolescent. Patient completes phq 9 quick depression assessment on accompanying tearoff pad. You may consider a referral to eap or online coaching and provide education about depression. Instruction manual instructions for patient health. The phq9 and gad7 are designed to facilitate the recognition for depressive disorders and anxiety disorders respectively. This symptom assessment tool measures health using nine items on 4point scales and a 4point scale for impact on daily life. Since these versions of the phq 9 are in the public domain, many of their authorstranslators could not be identified and the cultural validity of most of them is unknown.
Patient health questionnaire 9 phq 9 over the last 2 weeks, how often have you been bothered by any of the following problems. Responses for the phq 9 are scored from 0 to 3, with a total phq 9 score that ranges from 0 to 27. A total phq 9 score 10 see below for instructions on how to obtain a total score has a good sensitivity and specificity for mdd. Patient health questionnaire phq 9 n o t a t a a l l s e v e r l d a y s m o r t h n h a l f a t h e d n e r l y e v e r y d y 1 little interest or pleasure in doing. It includes the questionnaire translated into spanish. Recommended actions for persons scoring 3 or higher are one of the following. Spanish personal health questionnaire depression scale. Document is also available in portable document format pdf july 2016 health. Patient health questionnaire phq9 british columbia. The gad7 is a measurement for anxiety disorders and the phq 9 is a measurement for depression. Utility of the phq9 to identify major depressive disorder. Administering the patient health questionnaires 2 and 9. Phq 9 quick depression assessment for initial diagnosis.
For each symptom put an x in the box beneath the answer that best describes how you have been feeling. One validated question for adult alcohol use, and one validated question for adult drug use. Thoughts that you would be better off dead or of hurting yourself in some way. A total of 178 patients completed the full phq test, including the depression module phq 9. Patient health questionnaire phq 9 spanish version. The phq2 consists of the first 2 questions of the phq9. The recommended cut point is a score of 3 or greater. This symptom assessment tool measures seven anxiety symptoms on 4point scales. Mental health screening tools in different languages. Concordance of edinburgh postnatal depression scale epds. How often have you been bothered by each of the following symptoms during the past two weeks.
If a patient responds not at all to both questions on the phq 2 asking if the patient has experienced little interest or. Kaiser permanente patient health questionnaire phq9. Patient health questionnaire phq 9 spanish pdf this is the spanish version of the tool designed for use by health care professionals who wish to screen patients for depression. Incorporating mental health screening into adolescent office visits phq 9 spanish administering the patient health questionnaire modified for teens phq 9 modified can be used with patients between the ages of 12 and 18 and takes less than five minutes to complete and score. Patient health questionnaire phq9 is adapted from prime md today, developed by drs. The phq 9 is a nine question selfrating scale that is very commonly used for screening for adult depression. Patient health questionnaire phq9 spanish niwap web library. Referral or comanagement with mental health specialty clinician if. Overall, 97% of eligible women enrolled and 70% returned the packets that included the epds and phq 9. Personal health questionnaire phq9 score interpretation. Personal health questionnaire phq9 score interpretation and possible actions total score depression severity actions needed 14 minimal depression initial assessment this score suggests the patient, at this time, may not need depression treatment. Ptsd symptom scale pss ptsd symptom scale pss spanish version. It is not specific to pregnancy or postpartum, but it is very often used for postpartum depression screening. It is available in spanish, as well as in a modified version for adolescents the macarthur foundation initiative on depression and primary care has created a depression tool kit is intended to help primary care clinicians recognize and manage depression.
Patient health questionnaire phq 9 is the most common screening tool to identify depression. This page provides links to the phq 9 in multiple languages. However, mdd is frequently underdiagnosed and consequently only some patients receive the appropriate treatment. Total scores of 5, 10, and 15 represent cutpoints for mild, moderate, and severe anxiety. Patient completes phq 9 quick depression assessment. Patient health questionnaire phq9 spanish niwap library. Phq9 patient health questionnaire maternal depression. Tries to prevent return of symptoms within 2 years 1224 months medication therapy is recommended for at least 9 months after return to well state.
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