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How do you interpret a PHQ-9 score?
PHQ-9 Score Interpretation A PHQ-9 score total of 0-4 points equals “normal” or minimal depression. Scoring between 5-9 points indicates mild depression, 10-14 points indicates moderate depression, 15-19 points indicates moderately severe depression, and 20 or more points indicates severe depression. A score of 10 to 12 on the EPDS or 5 – 14 on PHQ-9 is a sign of possible depression and may not require immediate referral; use your professional judgement and provide interventions described in the next section. Any positive score on item #10 on the EPDS or #9 on the PHQ-9 requires a referral. When screening for depression the Patient Health Questionnaire (PHQ-2) can be used first (it has a 97% sensitivity and a 67% specificity). If this is positive, the PHQ-9 can then be used, which has 61% sensitivity and 94% specificity in adults. The Patient Health Questionnaire (PHQ) is a new instrument for making criteria-based diagnoses of depressive and other mental disorders commonly encountered in primary care. The Patient Health Questionnaire – 9 (PHQ-9) and Generalized Anxiety Disorder – 7 (GAD-7) are short screening measures used in medical and community settings to assess depression and anxiety severity. 0–13: no depression. 14–19: mild depression. 20–28: moderate depression. 29–63: severe depression.
What does a PHQ score of 10 mean?
Scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depression, respectively. The Severity Measure for Depression—Child Age 11–17 (adapted from PHQ-9 modified for Adolescents [PHQ-A]) is a 9- item measure that assesses the severity of depressive disorders and episodes (or clinically significant symptoms of depressive disorders and episodes) in children ages 11–17. 10 – 14 Moderate Use clinical judgment about treatment, based on patient’s duration of symptoms and functional impairment. 15 – 19 Moderately severe Treat using antidepressants, psychotherapy or a combination of treatment. For scoring, response options for these two symptoms are coded as 0 (“not at all”), 1 (“several days”), or 2 (“more than half the days” or “nearly every day”). Thus, the total PHQ-15 score ranges from 0 to 30 and scores of ≥5, ≥10, ≥15 represent mild, moderate and severe levels of somatization. ShareThe PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.
Is PHQ-9 a rating scale?
The Patient Health Questionnaire-9 (PHQ-9) is a self-rating scale for screening and assessing depression which covering the DSM-IV algorithm for major depression (18). Studies have proven the effectiveness of the PHQ-9 in screening depression (19–24) and its ability to monitor the severity of depression (25, 26). The PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression: n The PHQ-9 incorporates DSM-IV depression diagnostic criteria with other leading major depressive symptoms into a brief self-report tool. The Patient Health Questionnaire (PHQ)-9 is the major depressive disorder (MDD) module of the full PHQ. Used to provisionally diagnose depression and grade severity of symptoms in general medical and mental health settings. Within these limitations, our findings indicate that the PHQ-9 is a psychometrically sound and unidimensional depression measure for Korean university students. The Patient Health Questionnaire Modified for Teens (PHQ-Modified) can be used with patients between the ages of 12 and 18 and takes less than five minutes to complete and score. Score 0-4: Minimal Anxiety. Score 5-9: Mild Anxiety. Score 10-14: Moderate Anxiety. Score greater than 15: Severe Anxiety.
How is PHQ score calculated?
Scores are calculated based on how frequently a person experiences these feelings. Each “not at all” response is scored as 0; each “several days” response is 1; each “more than half the days” response is 2; and each “nearly every day” response is 3. The sum value of these responses gives you your total score. Scores are calculated based on how frequently a person experiences these feelings. Each “not at all” response is scored as 0; each “several days” response is 1; each “more than half the days” response is 2; and each “nearly every day” response is 3. The sum value of these responses gives you your total score. PHQ-9 scoring Each “not at all” response is scored as 0; each “several days” response is 1; each “more than half the days” response is 2; and each “nearly every day” response is 3. The sum value of these responses gives you your total score. A PHQ-9 score total of 0-4 points equals “normal” or minimal depression. Scoring between 5-9 points indicates mild depression, 10-14 points indicates moderate depression, 15-19 points indicates moderately severe depression, and 20 or more points indicates severe depression. Scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depression, respectively. Score interpretation The following guidelines are recommended for the interpretation of scores: 0–9, normal or no anxiety; 10–18, mild to moderate anxiety; 19–29, moderate to severe anxiety; and 30–63, severe anxiety.
What is a PHQ score of 17?
The PHQ-9 total score ranges from 0 to 27 (scores of 5–9 are classified as mild depression; 10–14 as moderate depression; 15–19 as moderately severe depression; ≥ 20 as severe depression) [30]. In conclusion, the PHQ-9 is a widely used tool in primary care for diagnosing depression and determining depression severity. In particular, the PHQ-2 and GAD-2 subscores of the PHQ-4 provide separate depressive and anxiety scores, and can be used as screeners for depression and anxiety. GAD-7 Anxiety Severity Scores represent: 0-5 mild. 6-10 moderate. 11-15 moderately severe anxiety. 15-21 severe anxiety.
What is PHQ 9a?
The PHQ-9 is the nine item depression scale of the patient health questionnaire. The nine items of the PHQ-9 are based directly on the nine diagnostic criteria for major depressive disorder in the DSM-IV. The PHQ-9 is intended as a tool to assist clinicians with identifying and diagnosing depression but is not a substitute for diagnosis by a trained clinician. This is used by some clinicians and organizations to screen patients for undiagnosed depression. The PHQ-2 consists of the first two questions asked on the PHQ-9. Using the MHP reinterview as the criterion standard, a PHQ-9 score ≥10 had a sensitivity of 88% and a specificity of 88% for major depression. PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively. The Patient Health Questionnaire—9 (PHQ-9) and the Generalized Anxiety Disorder Questionnaire– 7 (GAD-7) are short screening instruments used for detection of depression and anxiety symptoms in various settings, including general and mental health care as well as the general population. The benefit of using the PHQ-A is its development for an adolescent population and inclusion of a question about suicidal ideation and suicide attempts. Although it was not designed specifically for adolescents, the PHQ-9 is the current standard depression screening instrument for adults in LVPG primary care. A PHQ-9 score of 5 was ideal for screening (sensitivity, 87.1%; specificity, 79.7%). In addition to good content validity, PHQ-9 had good 1-month test-retest reliability (r = . 875) and internal consistency (Cronbach’s a = . 835).
What is the difference between PHQ-9 and PHQ A?
The benefit of using the PHQ-A is its development for an adolescent population and inclusion of a question about suicidal ideation and suicide attempts. Although it was not designed specifically for adolescents, the PHQ-9 is the current standard depression screening instrument for adults in LVPG primary care. The Patient Health Questionnaire for Adolescents (PHQ-A) is a self-report questionnaire that is designed for the purpose of assessing anxiety, mood, eating, and substance use disorders among adolescent primary care patients. The Severity Measure for Depression—Child Age 11–17 (adapted from PHQ-9 modified for Adolescents [PHQ-A]) is a 9- item measure that assesses the severity of depressive disorders and episodes (or clinically significant symptoms of depressive disorders and episodes) in children ages 11–17. The PHQ-9 total score ranges from 0 to 27 (scores of 5–9 are classified as mild depression; 10–14 as moderate depression; 15–19 as moderately severe depression; ≥ 20 as severe depression) [30]. The Patient Health Questionnaire – 9 (PHQ-9) and Generalized Anxiety Disorder – 7 (GAD-7) are short screening measures used in medical and community settings to assess depression and anxiety severity.