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Is there a PHQ-9 for children?
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 most common screening tools for childhood depression are the Patient Health Questionnaire for Adolescents and the Beck Depression Inventory. The United States Preventive Services Task Force recommends screening for depression in adolescents ages 12 to 18 years. 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. 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. The PHQ-9 Modified can be administered and scored by a nurse, medical technician, physical assistant, physician or other office. Sensitivity and specificity analyses showed that the PHQ-9 is sensitive but not specific at capturing depressive symptoms when compared to clinician diagnoses whereas the GAD-7 was neither sensitive nor specific at capturing anxiety symptoms. Generalized Anxiety Disorder 7 – Item Scale (GAD-7) Each item asks individuals to rate the severity of their symptoms over the past two weeks. This tool has been utilized frequently in primary care patients, the general population and adolescents.
Is there a PHQ-9 for children?
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 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. Screening scales and structured interviews based on the DSM-5 framework are the methods commonly used to screen and assess depression in children. Using these questionnaires can be helpful in detecting symptoms that are important but not part of the initial complaint. The Beck Depression Inventory (BDI) is widely used to screen for depression and to measure behavioral manifestations and severity of depression. The BDI can be used for ages 13 to 80.
Can PHQ be used for children?
The PHQ-A is a substantially modified version of the PHQ developed for use in adolescents (Kroenke 2014). The Patient Health Questionnaire (PHQ-15) is a somatic symptoms subscale derived from a self- administered version of the Primary Care Evaluation of Mental Disorders (PRIME-MD) diagnostic instrument for common mental disorders. ShareThe PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. With a cutoff score of 10 points, the PHQ-8 showed a sensitivity and specificity of 58% and 83%, respectively; likewise, those of the PHQ-9 were 56% and 88%. The PHQ-8 showed a positive predictive value (PPV) of 53% and a negative predictive value (NPV) of 86%, and the PHQ-9 showed a PPV of 53% and an NPV of 89%.
Can PHQ-9 be used for adolescent?
A diagnostic tool for mental health disorders for use in screening adolescents. Developmental Screening The tools used for developmental and behavioral screening are formal questionnaires or checklists based on research that ask questions about a child’s development, including language, movement, thinking, behavior, and emotions. The Pediatric Anxiety Rating Scale (PARS): Development and psychometric properties. Journal of the American Academy of Child and Adolescent Psychiatry, 41(9), 1061–1069. A 50-item clinician-rated measure used to assess children and adolescent anxiety symptoms, severity, impairment and change over time. The Children’s Depression Rating Scale (CDRS) was devised by Poznanski, Cook, and Carroll in 1979, to diagnose depression in 6- to 12-year-olds. The authors state a score of 30 indicates significant depression, with scores in the 20 to 30 range indicating borderline depression. 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.
Is PHQ-9 validated in youth?
Fast and easy to use, the PTI App version of the PHQ9-Youth is an economical, reliable and validated method to screen and assess. 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 PHQ-A is a substantially modified version of the PHQ developed for use in adolescents (Kroenke 2014). The Patient Health Questionnaire (PHQ)–2 and PHQ-9 are the most commonly used adult depression screening tools and demonstrate clinical utility and diagnostic accuracy.
What age is PHQ-9 validated for?
In which populations should the PHQ 2 and 9 tools be used? The PHQ 2 and 9 are appropriate to be used with individuals 12 years of age and older. The PHQ 2 and 9 should be completed by the patient, usually in the waiting room, and then scored by a staff person. Often administrative staff or medical assistants score this form and subsequently enter the score into the electronic health record. The purpose of the PHQ-2 is to screen for depression in a “first-step” approach. Patients who screen positive should be further evaluated with the PHQ-9 to determine whether they meet criteria for a depressive disorder. The PHQ-2 inquires about the frequency of depressed mood and anhedonia over the past two weeks. The PHQ-2 includes the first two items of the PHQ-9. n The purpose of the PHQ-2 is not to establish final a diagnosis or to monitor depression severity, but rather to screen for depression in a “first step” approach.