Table of Contents
How do you score adolescent PHQ-9?
To use the PHQ-9 to screen for suicide risk: All positive answers to question 9 as well as the two additional suicide items MUST be followed up by a clinical interview. To use the PHQ-9 to obtain a total score and assess depressive severity: Add up the numbers endorsed for questions 1-9 and obtain a total score. Printer-friendly version. 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 Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as “0” (not at all) to “3” (nearly every day). ShareThe PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Items: PHQ-9 : Contains the 9 items from the DSM-IV used in the diagnosis of depression. The Patient Health Questionnaire 9-item depression scale (PHQ-9) and 7-item Generalized Anxiety Disorder scale (GAD-7) are among the best validated and most commonly used depression and anxiety measures, respectively.
What is a normal PHQ-9 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. Its purpose is not to establish final diagnosis or to monitor depression severity, but rather to screen for depression. Patients who screen positive should be further evaluated with the PHQ-9 to determine whether they meet criteria for a depressive disorder. 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. 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.
What does a PHQ-9 score of 12 mean?
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]. Depression Severity: 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe. Validity has been assessed against an independent structured mental health professional (MHP) interview. PHQ-9 score ≥10 had a sensitivity of 88% and a specificity of 88% for major depression. In conclusion, the PHQ-9 is a widely used tool in primary care for diagnosing depression and determining depression severity. For practitioners, it can provide an appealing numerical and “objective” diagnosis (Tavabie & Tavabie, 2009). 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%. A score of 10 or greater on the GAD-7 represents a reasonable cut point for identifying cases of GAD. Cut points of 5, 10, and 15 might be interpreted as representing mild, moderate, and severe levels of anxiety on the GAD-7, similar to levels of depression on the PHQ-9. The PHQ-A is a substantially modified version of the PHQ developed for use in adolescents (Kroenke 2014). Fast and easy to use, the PTI App version of the PHQ9-Youth is an economical, reliable and validated method to screen and assess.
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 2 and 9 are appropriate to be used with individuals 12 years of age and older. Alternative screening tools have been developed and validated for use among special populations including youth and older adults. The PHQ-9 performs well as a screening instrument; however, in diagnosing depressive disorder, a formal diagnostic process following PHQ-9 remains imperative. The PHQ-9 does not seem adequate for measuring severity, compared to the HDSR-17.
What is age range for PHQ-9?
The PHQ 2 and 9 are appropriate to be used with individuals 12 years of age and older. Alternative screening tools have been developed and validated for use among special populations including youth and older adults. The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as “0” (not at all) to “3” (nearly every day). The 9-question Patient Health Questionnaire (PHQ-9) is a diagnostic tool introduced in 2001 to screen adult patients in a primary care setting for the presence and severity of depression. 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 Generalized Anxiety Disorder -7 (GAD-7) screening tool (Figure 1) is administered to children with diabetes, 11-21 years of age.
What score on PHQ-9 indicates depression?
PHQ-9 Depression Severity. Scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depression, respectively. Score 0-4: Minimal Anxiety. Score 5-9: Mild Anxiety. Score 10-14: Moderate Anxiety. Score greater than 15: Severe Anxiety. 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 ADRS is a useful, short, clinician-report and self-report scale to evaluate adolescent depression. Further studies to replicate our findings and evaluate ADRS sensitivity to effects of treatment and psychometric properties in populations of adolescents with several psychiatric disorders are warranted.
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 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. We found that PHQ-9 sensitivity and specificity were both 85% compared with semistructured interviews. The 9-question Patient Health Questionnaire (PHQ-9) is a diagnostic tool introduced in 2001 to screen adult patients in a primary care setting for the presence and severity of depression. The unmodified one-factor PHQ-9 was a poor fit for most racial and ethnic groups. Two-factor models presented the best fits. After modification, the one-factor PHQ-9 was partially cross-culturally invariant. The Patient Health Questionnaire 9 (PHQ-9) is a screening and monitoring test for depression. It is not a replacement for a diagnosis from a doctor. The answers to each question are given a value from 0 to 3 depending on severity. Scores range from 0 to 27, with higher scores indicating more anxiety.