Patient completes phq9 quick depression assessment. Utility of the phq9 to identify major depressive disorder. In our study, this questionnaire assesseed 9 depressive symptoms experienced by participants in the 14 days prior to evaluation. The uspstf and acog have endorsed the use of a twoquestion screen, such as those included in the patient health questionnaire2 phq2, and a 2007 study by gjerdingen et al suggested using the phq2 as an initial screening test, followed by the phq9 to confirm a diagnosis for.
Utility of the phq9 to identify major depressive disorder in. Phq9 scoring instructions and interpretation scoring add the scores indicated for each item in each column and add the columns together for the total score. Add score to determine severity wendy n davis, phd 2012. Most mothers are not screened for this condition, and an ideal screening tool has. Ask the patient to complete the phq9 quick depression assessment 2.
Phq9 visual answer aid spanish the visual answer aid is administered alongside phq9 and acts as a visual representation of the answers. For each symptom, put an x in the box beneath the answer that bests describes how your child has been feeling. Phq9 scoring instructions and interpretation scoring. The patient health questionnaire phq9 the phq9 is a 9item, depressionscreening scale kroenke et al. The pediatrician also uses the psc17 scores to focus her assessment and administers the vanderbilt assessment scale parent and teacher versions to further examine the borderline attention score. Depression toolkit patient health questionnaire phq9 adolescent. Phq9 patient health questionnaire maternal depression screening. Screening recommendations postpartum support international. The phq4 is a widely used open access screening instrument for depression and anxiety in different health care and community settings.
The parent or guardian can also monitor progress and motivate the member to begin. Minnesotas postpartum depression education and information legislation requires hospitals, wic clinics and providers that serve pregnant and new mothers to provide written information about postpartum depression the info sheet and maternal wellbeing plan, these materials are available for all to use. Interpretation of total score and treatment suggestions score range treatment 04 normal no action 59 mild watchful waiting. Phq9 quick depression assessment for initial diagnosis. The present study aims to determine the utility of the patient health questionnaire 9 phq 9 to identify mdd in a subset of pc patients participating in the large psicap study. The patient health questionnaire9 phq9 is a very brief, easy to administer and interpret depression screening instrument kroenke et al. Modified patient health questionnaire9 phq9 scoring the modified phq9 cognitive behavioral therapy for children and adolescents anxiety a cbt approach depression a cbt approach. Probability of major probability of any phq2 score depressive disorder % depressive disorder % 1 15.
The mother should complete the scale herself, unless she has limited english or reading difficulties. The phq9 has been used with peo ple from a range of cultures and has been translated into many languages. Using the patient health questionnaire phq9 and the. Incorporating mental health screening into adolescent office. Request pdf the feasibility of using the spanish phq9 to screen for depression in primary care in honduras background. Interpretation of total score and treatment suggestions score range treatment 04 normal no action 5 9 mild watchful waiting.
Office visits phq9 spanish 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 phq 9 modified can be administered and scored by a nurse, medical technician, physician assistant, physician or other. Scoring the patient health questionnaire9 phq 9 625 technology drive, eden prairie, mn 55344 this guidance is to be used for easy reference. Given the sampleindependent property scheiblechner, 2009 of the rasch irt model analysis, this study provides strong evidence for the validity of the spanish version of the phq9.
Exploratory and confirmatory factor analyses were conducted to examine the latent structure of the phq9 with a pregnant spanishspeaking sample n 445 recruited during the first trimester in. Phq9 patient health questionnaire maternal depression. Incorporating mental health screening into adolescent. However, our recommendation is the epds as it was developed, standardized, and validated specifically to identify pregnancyrelated depression. The patient health questionnaire phq 9 the phq 9 is a 9 item, depressionscreening scale kroenke et al. Columbia rating scale child spanish columbia rating scale parent spanish edinbrugh postnatal depression mother phq9 modified for teens. Phq 9 patient depression questionnaire for initial diagnosis. The phq9 is a depression scale consisting of nine questions. Postpartum support international psi recommends universal screening for the presence of prenatal or postpartum mood and anxiety disorders, using an evidencebased tool such as the edinburgh postnatal depression screen epds or patient health questionnaire phq9. Since these versions of the phq 9 are in the public domain, many of their authorstranslators could not be identified and the cultural validity of most of them is unknown. To our knowledge, this is the first time that the spanish language version of the phq9 has been subjected to a rasch irt analysis. How often have you been bothered by each of the following symptoms during the past two weeks. The patient health questionnaire depression module phq9 is a brief. The phq9 asks questions about how often respondents experience the nine important symptoms of depression see sidebar.
The feasibility of using the spanish phq9 to screen for. Phq9 parent report how often has your child been bothered by each of the following symptoms during the past 2 weeks. However, mdd is frequently underdiagnosed and consequently only some patients receive the appropriate treatment. Results may be included in patients files to assist you in setting up a treatment goal, determining degree of response, as well as guiding treatment intervention. The nine items of the phq 9 are based directly on the nine diagnostic criteria for major depressive disorder in the dsmiv. It is easy to score with items and scores linked to dsm depression criteria, can be used to assess and track treatment response, and can be used not just for peripartum populations, but also for non. However, we detected disordered response categories for the original four response categories not at all, several days, more than half the days, and nearly every day. For each symptom put an x in the box beneath the answer that best describes how you have been feeling.
Consider scheduling a followup visit in a few weeks, patient. Refer to accompanying phq9 scoring card to interpret the total score. A mother is most likely depressed if she has been feeling at least. Both the epds and the phq9 are validated for use in the perinatal population. Guidelines for adolescent depression in primary care. Probability of major probability of any phq 2 score depressive disorder % depressive disorder % 1 15. In a crosssectional study, the reliability and factor structure were examined. Patient health questionnaire phq9 nine symptom checklist. Patient completes phq 9 quick depression assessment. Sius mother to bring in a report card and to complete the psc17, a shortened version of the psc35 with subscales for internalizing, attention, and. The spanish language version of phq9 demonstrated unidimensionality, local independence, adequate fit for the rasch irt model and moderate reliability. The recommended cut point is a score of 3 or greater. The phq9 can be used as a tool for diagnosing depression as well as for monitoring the patients treatment. Patient health questionnaire phq9 spanish niwap library.
Phq9 patient depression questionnaire for initial diagnosis. The prevalence of major depressive disorder mdd in spanish primary care pc centres is high. This page provides links to the phq9 in multiple languages. The nine items of the phq9 are based directly on the nine diagnostic criteria for major depressive disorder in the dsmiv. Patient health questionnaire phq 9 n o t a t a a l l s e v e r l d a y s m o r t h n h a l f a t h e d n e r l y e v e r y d y 1 little interest or pleasure in doing. The phq 9 depression screener is available here in english, and a version with instructions for healthcare. Patient health questionnaire phq 9 this 9 item selfreport questionnaire can also be readily found online for free with scoring instructions.
Pdf utility of the phq9 to identify major depressive disorder in. Recommended actions for persons scoring 3 or higher are one of the following. Adaptation and initial validation of the patient health. Patient health questionnaire phq9 spanish orange county.
Patient health questionnaire 9 phq9 aims care partners. Tries to prevent return of symptoms within 2 years 1224 months medication therapy is recommended for at least 9 months after return to well state. Because of its brevity and demonstrated good reliability and validity kroenke et al. The patient health questionnaire phq 9 overview the phq 9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. This form is used as both a screening tool and a diagnostic tool for depression. Patient health questionnaire phq9 n o t a t a a l l s e v e r l d a y s m o r t h n h a l f a t h e d n e r l y e v e r y d y 1 little interest or pleasure in doing. This page provides links to the phq 9 in multiple languages. Phq 9 scoring instructions and interpretation scoring add the scores indicated for each item in each column and add the columns together for the total score. Crosscultural validity of the spanish version of phq9 among. The scale can be used at six to eight weeks after birth or during pregnancy. Standardization of the colombian version of the phq4 in. The present study aims to determine the utility of the patient health questionnaire9 phq9 to identify mdd in a subset of pc patients participating in the large psicap.
There are various screening tools that may be appropriate for screening adult depression, including the widely used patient health questionnaire 9 phq9 or beck depression inventory bdi. Patient completes phq9 quick depression assessment on accompanying tearoff pad. The objectives of the current study were to generate normative data and to further investigate the construct validity and factorial structure of the phq4 in the general population. The phq9 modified can be administered and scored by a nurse, medical technician, physician assistant, physician or other. Crosscultural validity of the spanish version of phq9. It includes the questionnaire translated into spanish. Request pdf on mar 1, 2016, helen sawaya and others published adaptation and initial validation of the patient health questionnaire 9 phq9 and the generalized anxiety disorder 7. The video demonstrations show a care manager administering the phq 9 to a primary care patient in the initial visit and in the followup visit. The patient health questionnaire phq9 adolescent toolkit. The uspstf and acog have endorsed the use of a twoquestion screen, such as those included in the patient health questionnaire2 phq 2, and a 2007 study by gjerdingen et al suggested using the phq 2 as an initial screening test, followed by the phq 9 to confirm a diagnosis for women who screen positive on the phq 2. Phq 9 parent report how often has your child been bothered by each of the following symptoms during the past 2 weeks. Patient health questionnaire phq9 this 9 item selfreport questionnaire can also be readily found online for free with scoring instructions.
The patient health questionnaire 9 phq 9 is a very brief, easy to administer and interpret depression screening instrument kroenke et al. Pdf postpartum depression screening at wellchild visits. Patient health questionnaire phq9 spanish pdf this is the spanish version of the tool designed for use by health care professionals who wish to screen patients for depression. Initial assessment and monitoring for healthcare professional use only phq9 quick depression assessment tool. The phq 9 can be selfadministered or clinician administered. Perinatal mental health information for health professionals. Pdf postpartum depression affects up to 22% of women who have recently.
Patient completes phq 9 quick depression assessment on accompanying tearoff pad. Referral or comanagement with mental health specialty clinician if. Phq9 scoring card for severity determination instructions for use for doctor or healthcare professional use only phq9 quick depression assessment for initial diagnosis. Trouble falling asleep, staying asleep, or sleeping too much. Since these versions of the phq9 are in the public domain, many of their authorstranslators could not be identified and the cultural validity of most of them is unknown.
866 922 1004 305 662 974 1181 1124 1182 1115 1056 843 756 773 1202 359 508 714 1511 79 953 218 1088 425 536 431 1190 714