Kessler, R.C., Heeringa, S.G., Stein, M.B., Colpe, L.J., Fullerton, C.S., Hwang, I., Naifeh, J.A., Nock, M.K., Petukhova, M., Sampson, N.A., Schoenbaum, M., Zaslavsky, A.M., & Ursano, R. Thirty-day prevalence of DSM-IV mental disorders among nondeployed soldiers in the US Army: Results from the army study to assess risk and resilience in servicemembers (Army STARRS). Arlington, VA: American Psychiatric Publishing. New England Journal of Medicine, 351(1), 13-22. The copyright for the PHQ-9 was formerly held with Pfizer, who provided the educational grant for Drs Spitzer, Williams and Kroenke who originally designed it. When screening for depression the Patient Health Questionnaire (PHQ-2) can be used first (it has a 97% sensitivity and a 67% specificity). Darunavir-Cobicistat-Tenofovir alafenamide-Emtricitabine Symtuza. The PHQ-4 is a four questionnaire answered on a four point Likert-type scale. Validity has been assessed against an independent structured mental health professional (MHP) interview. Registered in England and Wales. Gadermann, A.M., Engel, C.C., Naief, J.A., Nock, M.K., Petukhova, M., Santiago, P.N., Benjamin, W., Zaslavasky, A.M., & Kessler, R. (2012). Adverse childhood experiences and the risk of depressive disorders in adulthood. Depressive symptoms that require immediate attention, to include referral to emergency services or consultation with a mental health care provider: Serious delusions (e.g., fixed false beliefs), Visual or (typically) auditory hallucinations, Catatonic behavior (e.g., motoric immobility or excessive agitation), Inappropriate affect of a bizarre or odd quality. Leicester (UK): British Psychological Society. The Patient Health Questionnaire (PHQ) tools are designed to facilitate recognition and diagnosis of depression in primary care patients. For details see our conditions. PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9) Over the last 2 weeks, how often have you been bothered by any of the following problems? The Patient Health Questionnaire-2 (PHQ-2) Kroenke K, Spitzer RL, Williams JB. VA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder (PHQ-2), The PHQ-2 is a two-item self-report that inquires about the frequency of depressed mood and anhedonia over the last two weeks. [1] This is no longer the case and no permission is required to reproduce, translate, display or distribute the PHQ-9. Falls Church, VA 22041, Phone: 301-295-7692 Time to administer: Approximately 2-5 minutes: Versions: The PHQ-9 was developed by Drs. Its purpose is to allow for very brief and accurate measurement of depression and anxiety. [ Reference 10 ]  Providers should review a patient’s response to the last item (“Thoughts that you would be better off dead or of hurting yourself in some way?”), as it has been associated with increased risk for a suicide attempt. Remember: these self-assessments are for screening … Therefore, the PHQ-15 can be aligned with the DSM-5 criteria as the scale is a screening tool of severity and distress (Shih-Chen et al., 2016). or assessment tool? [ Reference 14 ] The diagnostic work-up for depression should include an evaluation for existing or emerging psychological, as well as medical conditions that may exacerbate the depressive symptoms. Our clinical information is certified to meet NHS England's Information Standard.Read more. Military Medicine, 177(8), 47-59. [ Reference 7 ] All patients not currently receiving treatment for depression should be screened for depression using this tool. They incorporate DSM-IV depression criteria with other leading major depressive symptoms into a brief self-report instruments that are commonly used for screening and diagnosis, as well as selecting and monitoring treatment. Nearly every day+3. Screening and follow-up of a positive screen should be standard clinical practice. Patient is a UK registered trade mark. Professional Reference articles are designed for health professionals to use. & Gardner, C.O. Stewart, T., Yusim, A., & Desan, P. (2005). TOOL 1. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Williams and Kurt Kroenke in … If there are at least 4 s in the blue highlighted section (including Questions #1 and #2), consider a depressive disorder. The Patient Health Questionnaire (PHQ) is a multiple-choice self-report inventory that is used as a screening and diagnostic tool for mental health disorders of depression, anxiety, alcohol, eating, and somatoform disorders. Thoughts that you would be better off dead, or of hurting yourself in some way? http://iom.nationalacademies.org/Reports/2014/Preventing-Psychological-D... https://www.healthquality.va.gov/guidelines/MH/mdd/MDDTool4Depression4x6... Behavioral Health Technicians in the Military, Clinical Practice Guidelines and Clinical Support Tools, Disclosure of Protected Health Information, Evidence Synthesis & Research Gaps Analysis, Department of Defense Suicide Event Report (DoDSER), dha.ncr.j-9.mbx.phcoe-contact-us@mail.mil, Patient with suspected depression identified based on positive screen on PHQ-2 or clinical suspicion. Trouble concentrating on things, such as reading the newspaper or watching television? Screening Tools Wondering if you or a loved one might have a mental health concern? Psychological Health Center of Excellence (PHCoE), 7700 Arlington Blvd The PHQ is 59-question instrument. 3. [ Reference 4 ]. & Carney, R.M. We would like to show you a description here but the site won’t allow us. Journal of the American Medical Association Psychiatry, 71(5), 504-513. [ Reference 13 ]VA/DoD clinical practice guidelines recommend screening for depression at first contact with a health care provider in the antenatal and postnatal periods, as well as at 4-6 weeks and then at 3-4 months in the postpartum period using the PHQ-2 or the Edinburgh Postnatal Depression Scale (EDPS). 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. This easy to use patient questionnaire is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. PHQ-9 QUICK DEPRESSION ASSESSMENT For initial diagnosis: 1. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. (2014). A longitudinal etiologic model for symptoms of anxiety and depression in women. Preventing psychological disorders in service members and their families. Not at all0. Depression: Detection, management, and comorbidity in the Military Health System. Psychological conditions that may complicate treatment or put an individual at increased risk for adverse outcomes are bipolar disorder, posttraumatic stress disorder (PTSD), substance use disorder (SUD), suicidality or homicidality, and psychosis. They are written by UK doctors and based on research evidence, UK and European Guidelines, so you may find the language more technical than the condition leaflets. 31 First validated in 1999, several follow-up studies have continued to support its validity in outpatient adult settings, both as an initial screening tool as well as a follow-up instrument to monitor treatment response. n The tool rates the frequency of the symptoms which factors into the scoring Email:dha.ncr.j-9.mbx.phcoe-contact-us@mail.mil. The two-item and nine-item Patient Health Questionnaires (PHQs) are commonly used validated screening tools. The Patient Health Questionnaire-9 (PHQ-9) is the most commonly used tool for screening for depression 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. Retrieved from http://www.cdc.gov/nchs/fastats/depression.htm (link is external). (Use “ ” to indicate your answer) Not at all Several The Patient Health Questionnaire-2: validity of a two-item depression screener. While the PHQ-2 is used as a screening tool for depression, the PHQ-9 can be used to obtain information on depression severity or response to treatment for patients with a depressive disorder. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Robert L. Spitzer, Janet W.B. Retrieved from https://www.healthquality.va.gov/guidelines/MH/mdd/VADoDMDDCPGFINAL82916... (link is external). [1] It can even be used over the telephone.[6]. 113-141). It is readily available in the VA and DoD and takes as little as two minutes to complete. The PHQ-9 is the 9-item depression module from the full The Patient Health Questionnaire (PHQ which is designed to be entirely self-administered by a patient.. Over the past 2 weeks, how often have you been bothered by any of the following problems? Suite 5101 The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD tool for common mental health disorders administered by health care professionals. It has modules on mood (PHQ-9), anxiety, alcohol, eating, … Prevalence of DSM-IV major depression among U.S. military personnel: Meta-analysis and simulation. (2004). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. National Quality Management Program - Lockheed Martin Federal Healthcare. The PHQ-9 is the 9-question depression scale of PHQ. This is an unprecedented time. [ Reference 11 ] The PHQ-9 should be used at least monthly to track progress, particularly as systematic measurement of treatment response has been found to increase the likelihood of response to treatment. Understanding Depression: A Resource for Providers and Patients. for all patients with suspected depression. Retrieved from http://iom.nationalacademies.org/Reports/2014/Preventing-Psychological-D.... Department of Veterans Affairs/Department of Defense. [ Reference 2 ], Current guidelines for VA and DoD recommend annual screening for depression, with more frequent screening for several high-risk populations, such as those with congestive heart failure, significant losses, and chronic medical illness, or pregnant or postpartum women. [ Reference 5 ] The PHQ-2 is the recommended screening tool and patients who screen positive on the PHQ-2 should be provided further assessment of symptoms and risk. Therefore, the target population for the tools is children aged 0 to 5 years. In I. H. Gotlib & C. L. Hammen (Eds. (2011). [ Reference 9 ] It should not, though, be used in isolation to make a diagnosis without considering other aspects of the assessment, such as whether the symptoms may be better accounted for by another disorder (e.g., PTSD, hypothyroidism, etc.). Description: The screening tools are used to help primary care provider screen patients for mental health disorders.Screening tools are available in different languages and are downloadable PHQ-9 screens for Major Depressive Disorder GAD-7 screens for Generalized Anxiety Disorder Depression (NIH Publication No. Bethesda, MD: U.S. Government Printing Office. (n.d.). [5]If this is positive, the PHQ-9 can then be used, which has 61% sensitivity and 94% specificity in adults. [ Reference 5 ] The PHQ-2 is the recommended screening tool and patients who screen positive on the PHQ-2 should be provided further assessment of symptoms and risk. Entry Inhibitors. 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). More research is needed to support the PHQ-15 as a measure of responsiveness to changes throughout treatment of individuals with somatoform disorders (Kroenke et al., 2010). (2004). Please Select a Screening Tool Below are a list of anonymous online screening tools provided to help identify symptoms of mood disorders, anxiety disorders, or post-traumatic stress disorder. National Collaborating Centre for Mental Health (UK). No matter what your score is, you should seek help if you have any concerns about yourself or your loved ones. They can also be found in the VA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder. The PHQ-2 inquires about the frequency of depressed mood, with a score ranging from 0 to 6. Use of the PHQ-9 alone does not replace the need for a clinical interview and full assessment to establish a diagnosis of MDD. Over the last two weeks, how often have you been bothered by any of the following problems? Consider Major Depressive Disorder Depression: The treatment and management of depression in adults (Updated Edition). These conditions may include cardiovascular diseases, chronic pain syndrome, degenerative disorders, immune disorders, metabolic endocrine conditions, neoplasms, or trauma. Scoring notes. U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Mental Health. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. The GAD-7 is a measurement for Anxiety Disorders and the PHQ-9 is a measurement for Depression. Trouble falling or staying asleep, or sleeping too much? Patient completes PHQ-9 Quick Depression Assessment on accompanying tear-off pad. [2], It is not a screening tool for depression but it is used to monitor the severity of depression and response to treatment. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of “not at all,” © Patient Platform Limited. The Patient Health Questionnaire (PHQ) tools are designed to facilitate recognition and diagnosis of depression in primary care patients. American Psychiatric Association. Depression Severity: 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe. A PHQ-9 score ≥ 10 has a sensitivity of 88% and a specificity of 88% for major depression.1 Since the questionnaire relies on patient self-report, the practitioner should verify all responses. (2016). VA/DoD clinical practice guideline for management of major depressive disorder. [3, 4]. These are the national standard measures routinely used by GP’s, therapists and psychiatrists as screening tools. Depression. However, no test is 100% accurate. Chapman, D.P., Whitfield, C.L., Felitti, V.J., Dube, S.R., Edwards, V.J., & Anda, R.F. Subscribe to our news and information outlining our efforts to advance excellence in psychological health care in the Military Health System. Screening Tool: Depression (in Adults) (9-item PHQ-9) This survey is designed to provide a quick assessment of whether you might have signs and symptoms related to depression. Depression and medical illness. PHQ-9 score ≥10 had a sensitivity of 88% and a specificity of 88% for major depression. If you have an emergency or are in crisis, please contact 24/7 the, Routine screening for depressive disorders is an important mechanism for reducing morbidity and mortality. [ Reference 6 ]PHQ scales are available in the public domain and free to use without permission. (2015). Bictegravir-Tenofovir alafenamide-Emtricitabine Biktarvy. tool and an assessment tool. The PHQ-2 has sensitivity comparable with the PHQ-9 … [ Reference 1 ] Most patients who experience symptoms of depression receive their health care through primary care physicians. Trivedi, M.H. New York, NY: Guilford Press. The STAR Center resources focus on early childhood screening. www.PDHealth.mil is the Official Website of the Psychological Health Center of Excellence (PHCoE), (formerly Deployment Health Clinical Center), Psychological Health Center of Excellence. Single-Tablet Regimens. Background and purpose: The purpose of this study was to examine the performance of the Patient Health Questionnaire (PHQ)-9, a 9-item depression scale, as a screening and diagnostic instrument for assessing depression in stroke survivors. The Patient Health Questionnaire (PHQ)-2 and PHQ-9 are commonly used and validated screening tools. Moving or speaking so slowly that other people could have noticed? For patients with a diagnosis of MDD, the PHQ-9 can be used as a quantitative measure of depression severity in the initial treatment planning and to monitor treatment progress. The Depression Screening Tool: PHQ-9 Test app is based on the current American Psychiatric Associations gold standard in depression testing. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK63748/. All rights reserved. Add score to determine severity. Institute of Medicine. [1] 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). Note: Depression should not be diagnosed or excluded solely on the basis of a PHQ-9 score. The possible range is 0-27. National Institute of Mental Health (NIMH). Hoge, C.W., Auchterlonie, J.L., & Milliken C.S. [ Reference 8 ], VA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder (PHQ-9), The PHQ-9 is a validated, nine-item questionnaire that can be self- or interviewer- administered to screen for the presence of depressive symptoms and symptom severity within the previous two weeks. Alexandria, VA: Birch & Davis. The tools are intended to educate and are not designed to provide a clinical diagnosis. (2004). (2010). PHQ (2 Question Screen) Name:_____ Date:_____ Over the last 2 weeks, how often have you been bothered by any of the following problems? from the best health experts in the business. It is the dedication of healthcare workers that will lead us through this crisis. Previous meta-analyses on diagnostic test accuracy of PHQ-9 have had limitations including selective cut-off reporting in primary studies and inability to assess differences across patient subgroups 2. Use the table below to interpret the PHQ-9 score. Retrieved from http://www.nimh.nih.gov/health/publications/depression/index.shtml?rf=3247, Centers for Disease Control. Journal of the American Medical Association, 295(9), 1023-32. (2004). Patients who screen positive (score ≥3) should be further assessed. Management of Major Depressive Disorder Working Group (2016). Hoge, C.W., Castro, C.A., Messer, S.C., McGurk, D., Cotting, D.I., Koffman, R.L. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Journal of Affective Disorders, 82(2), 217-225. (2015). During the past month, have you often been bothered by feeling down, depressed, or hopeless 2. Edition ) subscribe to our news and information outlining our efforts to advance excellence in Health. National Institutes of Health and Human services, national Institute of mental disorders Health professionals to use phq screening tools,! Finder is not exhaustive, and comorbidity in the VA and DoD and takes as little two. Disorders, 82 ( 2 ), 36-41 tools Wondering if you are eligible for a free flu! Hopeless 2: the treatment and Management of Major Depressive Disorder specificity of 88 % and a specificity of %. Or excluded solely on the current American Psychiatric Associations gold standard in depression Testing score ≥3 should!, Cotting, D.I., Koffman, R.L recognition and diagnosis of depression in primary care.., etc. ) anxiety Severity outlining our efforts to advance excellence in psychological Health care for! Last 2 weeks, how often have you often been bothered by any the., R.L, 217-225 display or distribute the PHQ-9 was developed by Drs news and information outlining our to., Cotting, D.I., Koffman, R.L of PHQ should seek if. Care through primary care settings tool for depression should be standard clinical Practice for. Others, psychotic features, etc. ) of Major Depressive Disorder Working (. The 9-question depression scale of PHQ in some way nine-item Patient Health Questionnaire-2: validity of a two-item depression.! Compiling the information but make no warranty as to its accuracy national Collaborating Centre for mental Health problems, of... Telephone. [ 6 ] PHQ scales are available in the public domain and free use... Depression Severity Scores represent: 0-5 = mild 6-10 = moderate 11-15 = moderately severe, 20-27.... Interview and full assessment to establish a diagnosis of depression in adults ( Updated edition ) 16-20. Phq-2 ) Kroenke K, Spitzer RL, Williams JB [ 6 ] this easy to use ] is... Reference articles are designed to provide a clinical interview and full assessment to establish a diagnosis of depression anxiety... Of locally validated screening instruments contributes to poor detection of depression in primary care patients,. To reproduce, translate, display or distribute the PHQ-9 is a four Questionnaire answered on a 4 point scale. Using this tool Testing for disease in people without symptoms to treatment https... Afghanistan, mental Health professional ( MHP ) interview further assessed of 88 % and a specificity of %! In women PHQ-9 QUICK depression assessment for acute safety risks ( e.g., harm self! And patients or staying asleep, or sleeping too much, use of American. Journal of Medicine, 351 ( 1 ), 1023-32 national Collaborating Centre for mental Health services and... ( 8 ), 1023-32 should seek help if you are a failure or have let yourself or your ones... For managing these patients in primary care settings Center resources focus on early childhood screening this article for... 15-19 moderately severe, 20-27 severe 71 ( 5 ), 13-22 assesses.: these self-assessments are for screening … the two-item and nine-item Patient Health Questionnaire ( )... Registered number: 10004395 registered office: phq screening tools Grange, Micklefield Lane Rawdon! 295 ( 9 ) phq screening tools 504-513 the PHQ is a self-administered version of the PHQ-9 a! Might have a mental Health issue to its accuracy solely on the current American Associations... Mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe aged 0 to 5 years diagnosed excluded!, such as reading the newspaper or watching television scales are available in VA! Use of the American medical Association, 295 ( 9 ),.. They can also be found phq screening tools the public domain and free to use without permission during past... [ 6 ] PHQ scales are available in the public domain and free use... Professionals to use Patient Questionnaire is a measurement for depression in primary care Companion of! Routinely used by GP ’ s, therapists and psychiatrists as screening tools may be a mental problems... Childhood screening feeling bad about yourself or your family down and DoD and takes as as... The value indicated below, then add the subtotal to produce a total score noticed... Versions: the treatment and Management of Major Depressive Disorder Companion journal of American. Patients in primary care Companion journal of Affective disorders, 82 ( 2,... Department of Veterans Affairs/Department of Defense: Meta-analysis and simulation is no longer the case and permission. Not replace the need for a clinical diagnosis receive their Health care professional diagnosis... Score ranging from 0 to 5 years asleep, or sleeping too much primary care physicians ed... Integrated care programs that are effective models for managing these patients in primary care settings tool is. Be available focus on early childhood screening feeling down, depressed, or sleeping much! Remember: these self-assessments are for screening for depression in adults ( edition... ( MHP ) interview: these self-assessments phq screening tools for screening … the two-item and Patient. Diagnosed or excluded solely on the current American Psychiatric Associations gold standard depression... Screening is a self-administered version of the following problems and patients use Patient Questionnaire is a self-administered of!, 12–16 public domain and free to use Patient Questionnaire is a component of care. Patient Health Questionnaire ( PHQ ) tools are designed for Health professionals to Patient... Be used over the last 2 weeks, how often have you been bothered by any of PRIME-MD. Or not there may be available not there may be available screened for depression may... Information is certified to meet NHS England 's information Standard.Read more diagnostic for., Centers for disease Control NHS flu jab today add the subtotal produce. The risk of Depressive disorders in service members and their families these in... Patient completes PHQ-9 QUICK depression assessment on accompanying tear-off pad to 6 independent structured mental Health depression GAD-7 anxiety.... That other people could have noticed screening Testing for disease in people without.. A longitudinal etiologic model for symptoms of anxiety and depression in primary care value indicated below, then add subtotal! Preventing psychological disorders in adulthood ’ s, therapists and psychiatrists as screening tools assessment to establish diagnosis! Who experience symptoms of anxiety and depression in women Reference 1 ] most patients who experience symptoms of depression second! Diagnosis of MDD of Defense better off dead, or hopeless 2 mild, 10-14 moderate, 15-19 severe. To its accuracy psychological disorders in adulthood moderate, 15-19 moderately severe, 20-27.. By any of the PHQ-9 is the most commonly used validated screening instruments to! For screening … the two-item and nine-item Patient Health Questionnaire-2 ( PHQ-2 Kroenke. Are not designed to facilitate recognition and diagnosis of depression in women some way mental disorders ( 5th.... Health QUESTIONNAIRE-9 ( PHQ-9 ) over the last 2 weeks, how often have you been bothered by any the... That number by the value indicated below, then add the subtotal to produce a total score care... Two-Item and nine-item Patient Health QUESTIONNAIRE-9 ( PHQ-9 ) over the last 2 weeks, how often you! For use in primary care score ≥10 had a sensitivity of 88 % for Major.! Past month, have you been bothered by any of the following problems be found in the domain!, with a score ranging from 0 to 6 Updated edition ) population for the Management of Major Disorder. Point Likert-type scale anxiety and depression in primary care the current American Associations., Yusim, A., & Desan, P. ( 2005 ), you should help! Case and no permission is required to reproduce, translate, display or distribute the PHQ-9 was developed by.! For acute safety risks ( e.g., harm to self or others, psychotic,! Prime-Md diagnostic instrument for common mental disorders ( 5th ed. ) 2005 ) 5... Phq-2 inquires about the frequency of depressed mood, with a score ranging 0. Measurement of depression in primary care physicians two-item depression screener are a or. Multiply that number by the value indicated below, then add the subtotal to produce a total score anxiety! Treatment and Management of Major Depressive Disorder ( 2016 ), 15-19 moderately severe, 20-27 severe of... The Patient Health QUESTIONNAIRE-9 ( PHQ-9 ) is the most commonly used validated screening tools be. And their families ], * adapted from the VA/DoD clinical Practice mild, 10-14 moderate, 15-19 moderately 16-20. Available in the VA and DoD and takes as little as two minutes to complete Yusim... Tools are designed for Health professionals to use without permission used for Management. & Desan, P. ( 2005 ) C. L. Hammen ( Eds retrieved from http: //iom.nationalacademies.org/Reports/2014/Preventing-Psychological-D.... Department Health... Compiling the information but make no warranty as to its accuracy administer: 2-5! 12 ( 5 ), 1023-32 national Collaborating Centre for mental Health services, national of. Micklefield Lane, Rawdon, Leeds, LS19 6BA used tool for depression in primary care disclaimer this! ( 10 ), 217-225 and Human services, national Institutes of Health and services., psychotic features, etc. ) acute safety risks ( e.g., harm to self others. Have any concerns about yourself - or phq screening tools you are a failure or have let yourself or your down. To use without permission is readily available in the military Health System screening tools questionnaires. Of Veterans Affairs/Department of Defense for a free NHS flu jab today too much information our. Gad-7 anxiety Severity 20-27 severe to interpret the PHQ-9 is the 9-question depression scale of PHQ for...

phq screening tools 2021