A number of studies have used this scale for adolescent patients. Patient health questionnaire 9 phq 9 over the last 2 weeks, how often have you been bothered by any of the following problems. The phq9 is the depression module, which scores each of the 9 dsmiv criteria as 0 not at all to 3 nearly every day. To use the phq9 as a diagnostic aid for major depressive disorder. It has also been specifically validated for use over the telephone and in the primary care setting. For adolescents, the phq 9a with additional screening questions adq on the back page remains the recommended tool. The phq9 should not be used to make a definitive diagnosis of depression.
Patient completes phq9 quick depression assessment. Access to society journal content varies across our titles. Jul 07, 2010 patient health questionnaire 9 is an excellent free psychological screening instrument for depression by christopher fisher, phd on july 7, 2010 in assessment, depression the patient health questionnaire9 phq9 is a brief psychological screening instrument designed to measure symptoms of depression in primary care settings. To date, no study has published psychometric data on the phq 9 modified. The patient health questionnaire phq9 is a simpletoadminister, effective screening tool specifically designed to assess symptoms of major depressive disorder, but commonly used to assess symptoms of ppd.
Phq 9 modified for teens and scoring instructions english. To use the phq 9 as a diagnostic aid for major depressive disorder. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. This measure was adapted from the phq9 modified for. Inclusion criteria eligible studies compared phq 9 scores with major depression diagnoses.
Behavioral health screening, assessment, and treatment 2 webpwa000515 scoring and intervention guidelines for using the phq9 with adults phq9 scores and proposed treatment actions for depression in adults phq9 score depression severity proposed treatment recommendation 0 4 noneminimal none. The phq9 was completed by 6,000 patients in 8 primary care. Most of the tools below are obtained from the guidelines for adolescent depression in primary care gladpc toolkit. Patient health questionnaire phq9 michigan medicine. The patient health questionnaire phq9 adolescent toolkit. Phq9 modified for adolescents phqa larner college of medicine. Patient completes phq 9 quick depression assessment. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Scoring the phq9 modified for teens scoring the phq9 modified for teens is easy but involves thinking about several different aspects of depression. Patient health questionnaire phq 9 for depression using phq 9 diagnosis and score for initial treatment selection a depression diagnosis that warrants treatment or treatment change, needs at least one of the first two questions endorsed as positive little pleasure, feeling depressed indicating the. Score not due to other conditions engage adolescentfamily re. How often have you been bothered by each of the following. How often have you been bothered by each of the following symptoms during the past two weeks.
Phq9 administration in outpatient adolescent psychiatry. A diagnostic tool for mental health disorders for use in screening adolescents. Adapted from the patient health questionnaire phq screeners. Do phq9 evaluate patient status, initial response to therapy, medication tolerance. How often have you been bothered by each of the following symptoms during the. Phq9 parent report how often has your child been bothered by each of the following symptoms during the past 2 weeks. Phq 9 parent report how often has your child been bothered by each of the following symptoms during the past 2 weeks. Questions 1 andor 2 need to be endorsed as a 2 or 3.
Of the 9 items, 5 or more are circled as at least more than half the days either item 1a or 1b is positive, that is, at least more than half the days scoring method for diagnosis minor depressive syndrome is suggested if. Phq9 administration in outpatient adolescent psychiatry services. For each symptom, put an x in the box beneath the answer that bests describes how your child has been feeling. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. The phq9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetricsgynecology clinics. Guidelines for adolescent depression in primary care. Phq9 nine symptom checklist university of washington. Depression should not be diagnosed or excluded solely on the basis of a phq9 score. I yes i in0 if you are experiencing any of the problems on this form, how difficult have these problems made it for you to. It has usefulness as a screening tool for situations where depression is suspected, and as an aid toward following a childs.
Most tools are practical and could be adapted for use in your practice. May be from trained physician, therapist, nurse, or care manager if indicated return appointment scheduled prior to week 4. Scoring the phq 9 modified for teens scoring the phq 9 modified for teens is easy but involves thinking about several different aspects of depression. For each symptom, put an x in the box beneath the answer that bests. To date, no study has published psychometric data on the phq9 modified. Pdf establishing a common metric for depressive symptoms. Phq9 fill out and sign printable pdf template signnow. Clinicians can quickly score the phq 9 once the patient has completed its 9 questions. Patient health questionnaire 9 is an excellent free. Inclusion criteria eligible studies compared phq9 scores with major depression.
For the phq9, a score 10 suggests mdd major depressive disorder, but requires clinical validation by the pcc. Phq 9 adolescent report for youth at least 11 years old to complete name. Fill out, securely sign, print or email your depression patient health questionnaire phq9 adolescent reportdoc instantly with signnow. In the past year have you felt depressed or sad most days, even if you felt okay sometimes. Clinicians can quickly score the phq9 once the patient has completed its 9 questions. Patient health questionnaire9 phq 9 over the last 2 weeks, how often have you been bothered by any of the following problems.
Phq9 is one of many depression rating scales that have been validated for use in primary care and other settings. The screening process starts with the patient health questionnaire phq 9, a wellknown and valid tool. Depression toolkit patient health questionnaire phq9 adolescent. Incorporating mental health screening into adolescent. Previously, depression screening for adults was done by a standalone phq 9 tool with additional depression questions on the back page. Of the 9 items, b, c, or d are circled as at least more than half the days. Phq 9 patient depression questionnaire for initial diagnosis. Incorporating mental health screening into adolescent office visits phq9 administering the patient health questionnaire modified for teens phq9 modified can be used with patients between the ages of 12 and 18 and takes less than five minutes to complete and score. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Objective to determine the accuracy of the patient health questionnaire 9 phq 9 for screening to detect major depression. The patient health questionnaire phq9 overview the phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Of the 9 items, 5 or more are circled as at least more than half the days either item 1a or 1b is positive, that is, at least more than half the days minor depressive syndrome is suggested if. Data sources medline, medline inprocess and other nonindexed citations, psycinfo, and web of science january 2000february 2015.
However, as the phq9 and phq9 modified are identical with the exception of 2 additional symptoms added to the phq9 modified version in questions 1 and 4, it is reasonable to apply cutoff scores derived from the phq9 in an adolescent. The patient health questionnaire phq 9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Severity measure for depression, child age 11 to 17 phq9. Scoring the phq 9 modified for teens is easy but involves thinking about several different aspects of depression. Increase antidepressant dose to medium dose range, as tolerated. A total phq9 score 10 see below for instructions on how to obtain. Accuracy of patient health questionnaire9 phq9 for. The utility of the phq9 has been well established in primary care 4, 5, but at present there is a paucity of research detailing the extent to which the phq9. Phq9 patient depression questionnaire for initial diagnosis. However, as the phq 9 and phq 9 modified are identical with the exception of 2 additional symptoms added to the phq 9 modified version in questions 1 and 4, it is reasonable to apply cutoff scores derived from the phq 9 in an adolescent. Adult and adolescent depression screening, diagnosis, and. The phq 9 modified can be administered and scored by a nurse, medical. The patient health questionnaire phq 9 is a simpletoadminister, effective screening tool specifically designed to assess symptoms of major depressive disorder, but commonly used to assess symptoms of ppd.
For each symptom put an x in the box beneath the answer that best describes how you have been feeling. Phq 9 and gad 7 fillable forms fill online, printable. Incorporating mental health screening into adolescent office visits phq 9 administering the patient health questionnaire modified for teens phq 9 modified can be used with patients between the ages of 12 and 18 and takes less than five minutes to complete and score. Jul 01, 2018 the utility of the phq 9 has been well established in primary care 4, 5, but at present there is a paucity of research detailing the extent to which the phq 9 is effective in adolescent psychiatry settings. It has usefulness as a screening tool for situations where depression is suspected, and as an aid toward following a childs symptom severity and treatment response over time. Objective to determine the accuracy of the patient health questionnaire9 phq9 for screening to detect major depression. The patient health questionnaire9 phq9 is a brief psychological screening instrument designed to measure symptoms of depression in primary care settings.
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