Table of Contents
What do PHQ and GAD scores mean?
Scores represent: 0-5 = mild 6-10 = moderate 11-15 = moderately severe. 16-20 = severe depression. GAD-7 Anxiety Severity. 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 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. DOI: 10.1176/appi.ps.60.10.1372. Page 4. Generalized Anxiety Disorder Scale (GAD-7) The clinical cut-off scores for the PHQ-9 BSL is eight and for the GAD-7 BSL it is six. 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.
What do PHQ and GAD scores mean?
Scores represent: 0-5 = mild 6-10 = moderate 11-15 = moderately severe. 16-20 = severe depression. GAD-7 Anxiety Severity. Score 0-4: Minimal Anxiety. Score 5-9: Mild Anxiety. Score 10-14: Moderate Anxiety. Score greater than 15: Severe Anxiety. 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]. What do GAD antibody results mean? The GAD antibody test results confirm the level of GAD antibodies in the blood. A normal result is under 5 units/ml. High levels of GAD antibodies often occur in people with a lower body mass index (BMI) and predict a more rapid progression toward requiring insulin.
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. Scores are rated as normal (0-2), mild (3-5), moderate (6-8), and severe (9-12). Total score ≥3 for first 2 questions suggests anxiety. Total score ≥3 for last 2 questions suggests depression. Reprinted with permission from Kroenke K, Spitzer RL, Williams JB, Löwe B. The GAD-7 score is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of “not at all,” “several days,” “more than half the days,” and “nearly every day,” respectively, and then adding together the scores for the seven questions. GAD-7 total score for the seven items ranges from 0 to 21. 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 represent: 0-5 = mild 6-10 = moderate 11-15 = moderately severe. 16-20 = severe depression. •
What does a PHQ-9 score mean?
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. 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). GAD-7 total score for the seven items ranges from 0 to 21. Scores of 5, 10, and 15 represent cut points for mild, moderate, and severe anxiety, 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.
What does a GAD score of 9 mean?
Scores represent: 0-5 = mild 6-10 = moderate 11-15 = moderately severe. 16-20 = severe 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. The PHQ-9 is the depression module, which scores each of the nine DSM-IV criteria as 0 (not at all) to 3 (nearly every day). It has been validated for use in primary care. It is not a screening tool for depression but it is used to monitor the severity of depression and response to treatment. GAD-7 total score for the seven items ranges from 0 to 21. Scores represent: 0-5 mild 6-10 moderate 11-15 moderately severe anxiety 15-21 severe anxiety. The GAD-7 represents an anxiety measure based on seven items which are scored from zero to three. The whole scale score can range from 0 to 21 and cut-off scores for mild, moderate and severe anxiety symptoms are 5, 10 and 15 respectively [13]. At the cut-off score of 10 both sensitivity as well as specificity exceed .
Is GAD-7 part of Phq?
The PHQ-ADS is the sum of the PHQ-9 and GAD-7 scores and thus can range from 0 to 48, with higher scores indicating higher levels of depression and anxiety symptomatology. 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). 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. Although the GAD-7 was designed to detect generalized anxiety disorder, it is fairly accurate for panic, social anxiety, and posttraumatic stress disorders.
What is the difference between PHQ-9 and GAD-7?
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. GAD-7 Anxiety Severity Scores represent: 0-5 mild. 6-10 moderate. 11-15 moderately severe anxiety. 15-21 severe anxiety. In primary care patients, the Generalized Anxiety Disorder scale (GAD-7) had high sensitivity for detecting generalised anxiety disorder and panic disorder. The GAD-2 had high sensitivity and specificity for GAD and high specificity for panic disorder, social anxiety disorder, and post-traumatic stress disorder. The reliability coefficient Cronbach’s α for the overall GAD-7 scale is 0.895, which is greater than the recommended value of 0.80 suggesting excellent reliability [63]. Criteria for Diagnosing GAD The presence of excessive anxiety and worry about a variety of topics, events, or activities. Worry occurs more often than not for at least six months and is clearly excessive. The worry is experienced as very challenging to control.
How is GAD-7 score calculated?
The GAD-7 score is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of “not at all,” “several days,” “more than half the days,” and “nearly every day,” respectively, and then adding together the scores for the seven questions. GAD-7 total score for the seven items ranges from 0 to 21. GAD-7 total score for the seven items ranges from 0 to 21. Scores of 5, 10, and 15 represent cut points for mild, moderate, and severe anxiety, respectively. GAD-7 total score for the seven items ranges from 0 to 21. 0–4: minimal anxiety. 5–9: mild anxiety. 10–14: moderate anxiety. 15–21: severe anxiety. The Generalized Anxiety Disorder (GAD-7) questionnaire is a seven-item, self-report anxiety questionnaire designed to assess the patient’s health status during the previous 2 weeks.