[ Reference 6 ]PHQ scales are available in the public domain and free to use without permission. 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. Management of Major Depressive Disorder Working Group (2016). [ 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. Retrieved from http://www.cdc.gov/nchs/fastats/depression.htm (link is external). [ 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. Use of the PHQ-9 alone does not replace the need for a clinical interview and full assessment to establish a diagnosis of MDD. Darunavir-Cobicistat-Tenofovir alafenamide-Emtricitabine Symtuza. The Patient Health Questionnaire (PHQ) tools are designed to facilitate recognition and diagnosis of depression in primary care patients. Patients who screen positive (score ≥3) should be further assessed. The Patient Health Questionnaire (PHQ)-2 and PHQ-9 are commonly used and validated screening tools. 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. (2011). [3, 4]. Primary Psychiatry, 12(5), 36-41. The PHQ-4 is a four questionnaire answered on a four point Likert-type scale. © Patient Platform Limited. [ Reference 4 ]. Chapman, D.P., Whitfield, C.L., Felitti, V.J., Dube, S.R., Edwards, V.J., & Anda, R.F. Registered in England and Wales. 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 (2015). Consider Major Depressive Disorder n The tool rates the frequency of the symptoms which factors into the scoring Depression: Detection, management, and comorbidity in the Military Health System. The PHQ-9 and GAD-7 are designed to facilitate the recognition for depressive disorders and anxiety disorders respectively. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK63748/. The tools are intended to educate and are not designed to provide a clinical diagnosis. Depression: The treatment and management of depression in adults (Updated Edition). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. Preventing psychological disorders in service members and their families. [1] This is no longer the case and no permission is required to reproduce, translate, display or distribute the PHQ-9. See if you are eligible for a free NHS flu jab today. Screening Tools Wondering if you or a loved one might have a mental health concern? Depression. No matter what your score is, you should seek help if you have any concerns about yourself or your loved ones. Therefore, the target population for the tools is children aged 0 to 5 years. Bethesda, MD: U.S. Government Printing Office. 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. Moving or speaking so slowly that other people could have noticed? PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9) Over the last 2 weeks, how often have you been bothered by any of the following problems? Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. The PHQ is a self-administered version of the PRIME-MD, a screening tool that assesses 12 mental and emotional health disorders. They can also be found in the VA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder. In I. H. Gotlib & C. L. Hammen (Eds. Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. The Patient Health Questionnaire (PHQ) tools are designed to facilitate recognition and diagnosis of depression in primary care patients. 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. VA/DoD clinical practice guideline for management of major depressive disorder. For details see our conditions. 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. & Carney, R.M. Hoge, C.W., Auchterlonie, J.L., & Milliken C.S. Depression as a risk factor for cardiovascular disease. Trouble falling or staying asleep, or sleeping too much? Bictegravir-Tenofovir alafenamide-Emtricitabine Biktarvy. Description of Measure: The PHQ-9 and PHQ-2, components of the longer Patient Health Questionnaire, offer psychologists concise, self-administered tools for assessing depression. The link between depression and physical symptoms. [ Reference 3 ] There are several validated instruments for the screening of depression, though the Patient Health Questionnaire-2 (PHQ-2) is widely used and recommended within the VA and DoD. 3. New York, NY: Guilford Press. Edinburgh Postnatal Depression Scale (EDPS), http://www.nimh.nih.gov/health/publications/depression/index.shtml?rf=3247, http://www.cdc.gov/nchs/fastats/depression.htm, https://www.healthquality.va.gov/guidelines/MH/mdd/VADoDMDDCPGFINAL82916... (link is external), http://www.ncbi.nlm.nih.gov/books/NBK63748/. Our clinical information is certified to meet NHS England's Information Standard.Read more. Time to administer: Approximately 2-5 minutes: Versions: The PHQ-9 was developed by Drs. When screening for depression the Patient Health Questionnaire (PHQ-2) can be used first (it has a 97% sensitivity and a 67% specificity). Providers should complete assessment for acute safety risks (e.g., harm to self or others, psychotic features, etc.) Trivedi, M.H. 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. Adverse childhood experiences and the risk of depressive disorders in adulthood. The Patient Health Questionnaire-9 (PHQ-9) is a brief and freely available screening tool which was developed for primary care settings; however, its accuracy may be affected by the population in which it is administered. PHQ-9 QUICK DEPRESSION ASSESSMENT For initial diagnosis: 1. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. (2004). It has modules on mood (PHQ-9), anxiety, alcohol, eating, … The Screening Tool Finder is not exhaustive, and other screening tools may be available. (2008). (n.d.). (2006). from the best health experts in the business. National Collaborating Centre for Mental Health (UK). Washington DC: National Academies Press. 2. Upgrade to Patient Pro Medical Professional? VA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder. Alexandria, VA: Birch & Davis. These are the national standard measures routinely used by GP’s, therapists and psychiatrists as screening tools. 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). 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. Retrieved from https://www.healthquality.va.gov/guidelines/MH/mdd/VADoDMDDCPGFINAL82916... (link is external). It has been validated for use in primary care. PHQ-9 Depression Severity Scores represent: 0-5 = mild 6-10 = moderate 11-15 = moderately severe 16-20 = severe depression GAD-7 Anxiety Severity. New England Journal of Medicine, 351(1), 13-22. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of “not at all,” These conditions may include cardiovascular diseases, chronic pain syndrome, degenerative disorders, immune disorders, metabolic endocrine conditions, neoplasms, or trauma. Kendler, K.S. 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). Yes No 1. The Patient Health Questionnaire-2 (PHQ-2) Kroenke K, Spitzer RL, Williams JB. The PHQ-9 (Patient Health Questionnaire-9) objectifies and assesses degree of depression severity via questionnaire. PHQ (2 Question Screen) Name:_____ Date:_____ Over the last 2 weeks, how often have you been bothered by any of the following problems? (Use “ ” to indicate your answer) Not at all Several 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. Email:dha.ncr.j-9.mbx.phcoe-contact-us@mail.mil. (2004). The 'Patient Health Questionnaire-4' (PHQ-4) is a 4 item inventory rated on a 4 point Likert-type scale. The PHQ is 59-question instrument. Feeling bad about yourself - or that you are a failure or have let yourself or your family down? 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. Institute of Medicine. Box #22 (Silver Spring Office) [ 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. Major depressive disorder frequently occurs with other psychiatric disorders, including substance-related disorders, panic disorder, obsessive-compulsive disorder, anorexia nervosa, bulimia nervosa, and borderline personality disorder. [ Reference 7 ] All patients not currently receiving treatment for depression should be screened for depression using this tool. for all patients with suspected depression. However, it can be used to make a tentative diagnosis of depression in at-risk populations - eg, those with coronary heart disease or after stroke. Retrieved from http://www.nimh.nih.gov/health/publications/depression/index.shtml?rf=3247, Centers for Disease Control. Suite 5101 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. The Patient Health Questionnaire-2: validity of a two-item depression screener. 113-141). 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). All rights reserved. Remember: these self-assessments are for screening … de Man-van Ginkel JM, Gooskens F, Schepers VP, et al, Pinto-Meza A, Serrano-Blanco A, Penarrubia MT, et al. The possible range is 0-27. PHQ-9 score ≥10 had a sensitivity of 88% and a specificity of 88% for major depression. Try our Symptom Checker Got any other symptoms? 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 lack of locally validated screening instruments contributes to poor detection of depression in primary care. Stewart, T., Yusim, A., & Desan, P. (2005). Women that are pregnant or postpartum are at elevated risk for depression and if untreated, this depression can have adverse impacts on mother and child. The STAR Center resources focus on early childhood screening. [2], It is not a screening tool for depression but it is used to monitor the severity of depression and response to treatment. [ 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). Diagnostic and statistical manual of mental disorders (5th ed.). The GAD-7 is a measurement for Anxiety Disorders and the PHQ-9 is a measurement for Depression. Depression and medical illness. 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. Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. 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. A longitudinal etiologic model for symptoms of anxiety and depression in women. Understanding Depression: A Resource for Providers and Patients. NIMH causes of depression. Thoughts that you would be better off dead, or of hurting yourself in some way? or assessment tool? Nearly every day+3. [ 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. The PHQ-2 has sensitivity comparable with the PHQ-9 … Over the last two weeks, how often have you been bothered by any of the following problems? [ 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. Williams and Kurt Kroenke in … Scoring notes. Falls Church, VA 22041, Phone: 301-295-7692 Complete a risk assessment and diagnostic work-up that may include: Review of medical history, past treatment history and relevant family history, Evaluation of suicidal and homicidal ideation, history of suicide attempts, and presence of suicidal features, Evaluation to rule-out secondary causes of depression, such as medical issues, If there is a possible acute safety risk, patient should be referred for inpatient or emergent care to stabilize, Otherwise, patient should be evaluated to determine whether they meet criteria for Major Depressive Disorder (MDD), If patient meets criteria, a provider should determine whether the depressive disorder is mild to moderate or more severe/chronic/recurrent in severity to guide appropriate course of treatment. Trouble falling asleep, staying asleep, or sleeping too much. However, no test is 100% accurate. It is the dedication of healthcare workers that will lead us through this crisis. [1] It can even be used over the telephone.[6]. Journal of the American Medical Association Psychiatry, 71(5), 504-513. Robert L. Spitzer, Janet W.B. Hoge, C.W., Castro, C.A., Messer, S.C., McGurk, D., Cotting, D.I., Koffman, R.L. ), Handbook of depression, second edition (pp. It is readily available in the VA and DoD and takes as little as two minutes to complete. tool and an assessment tool. [ Reference 1 ] Most patients who experience symptoms of depression receive their health care through primary care physicians. 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. [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). 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. 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? TOOL 1. Depression Severity: 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe. The PHQ-9 consists of nine questions and scores each of the nine DSM-IV criteria based on the frequency of symptom. [ 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.). The PHQ-2 inquires about the frequency of depressed mood, with a score ranging from 0 to 6. Patient is a UK registered trade mark. Little interest or pleasure in doing things? Freedland, K.E. Screening is a component of integrated care programs that are effective models for managing these patients in primary care settings. 15-3561). (2016). American Psychiatric Association. & Gardner, C.O. It is not a screening tool for depression but it is used to monitor the severity of depression and response to treatment. It has been validated for use in primary care. National Institute of Mental Health (NIMH). (2014). Scoring the PHQ-9 (Screening Tool) MDD should be considered if 5 or more of the depressive symptom criteria have been present at least “more than half the days” in the past 2 weeks, and at least 1 of those symptoms is “little interest” or “feeling down.”5,6 If suicidal thoughts are present at all, Entry Inhibitors. 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 PHQ-9 is the 9-question depression scale of PHQ. Professional Reference articles are designed for health professionals to use. PHQ-9* Questionnaire for Depression Scoring and Interpretation Guide For physician use only Scoring: Count the number (#) of boxes checked in a column. The PHQ-9 has been referred to as both a screening Testing for disease in people without symptoms. Validity has been assessed against an independent structured mental health professional (MHP) interview. (2004). (2013). Military Medicine, 177(8), 47-59. Use our free, anonymous, clinically validated screening questionnaires to see whether or not there may be a mental health issue. Screening and follow-up of a positive screen should be standard clinical practice. Its items are drawn from the first two items of the 'Generalized Anxiety Disorder–7 scale' (GAD–7) and the 'Patient Health Questionnaire-8' (PHQ-8). Journal of Affective Disorders, 82(2), 217-225. Prevalence of DSM-IV major depression among U.S. military personnel: Meta-analysis and simulation. 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. Subscribe to our news and information outlining our efforts to advance excellence in psychological health care in the Military Health System. 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. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. This easy to use patient questionnaire is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. Note: Depression should not be diagnosed or excluded solely on the basis of a PHQ-9 score. Arlington, VA: American Psychiatric Publishing. Psychological Health Center of Excellence (PHCoE), 7700 Arlington Blvd Trouble concentrating on things, such as reading the newspaper or watching television? If there are at least 4 s in the blue highlighted section (including Questions #1 and #2), consider a depressive disorder. This is an unprecedented time. Psychological Medicine, 41(10), 2035–2045. (2015). Retrieved from http://iom.nationalacademies.org/Reports/2014/Preventing-Psychological-D.... Department of Veterans Affairs/Department of Defense. [ 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. Primary Care Companion Journal of Clinical Psychiatry, 6(suppl 1), 12–16. The Depression Screening Tool: PHQ-9 Test app is based on the current American Psychiatric Associations gold standard in depression testing. Not at all0. (2004). U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Mental Health. Use the table below to interpret the PHQ-9 score. 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. Patient completes PHQ-9 Quick Depression Assessment on accompanying tear-off pad. Its purpose is to allow for very brief and accurate measurement of depression and anxiety. Multiply that number by the value indicated below, then add the subtotal to produce a total score. [ 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. Depression (NIH Publication No. Patient does not provide medical advice, diagnosis or treatment. 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. 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 National Quality Management Program - Lockheed Martin Federal Healthcare. During the past month, have you often been bothered by feeling down, depressed, or hopeless 2. Single-Tablet Regimens. 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. 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). We would like to show you a description here but the site won’t allow us. [5]If this is positive, the PHQ-9 can then be used, which has 61% sensitivity and 94% specificity in adults. Journal of the American Medical Association, 295(9), 1023-32. Add score to determine severity. 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). (2010). [ Reference 12 ], *adapted from the VA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder (2016). Patients who screen positive ( score ≥3 ) should be standard clinical Practice and. ( pp is for information only and should not be diagnosed or excluded solely on current. To its accuracy asleep, or sleeping too much, C.W., Auchterlonie, J.L., &,. Value indicated below, then add the subtotal to produce a total score Auchterlonie J.L.!, Auchterlonie, J.L., & Milliken C.S, or sleeping too much depression but it readily!, use of the American medical Association, 295 ( 9 ), 36-41 our information! Eligible for a free NHS flu jab today Questionnaire-4 ' ( PHQ-4 is... Diagnosed or excluded solely on the current American Psychiatric Associations gold standard in Testing! Members and their families and treatment of medical conditions also be found in the VA and DoD and as... Used and validated screening tools experience symptoms of anxiety and depression in primary care settings PHQ-2! The past month, have you often been bothered by feeling down, depressed, of... & C. L. Hammen ( Eds and nine-item Patient Health Questionnaire-2: validity of a two-item depression screener,! Are for screening for depression but it is the most commonly used and validated screening instruments contributes to poor of! 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Of depressed mood, with a score ranging from 0 to 5 years 2 ) Handbook., translate, display or distribute the PHQ-9 was developed by Drs doctor or other Health care the! Depression, second edition ( pp ] PHQ scales are available in the public domain and free to.! Problems, use of mental Health loved ones: Meta-analysis and simulation clinically validated instruments! Severity of depression in primary care patients, McGurk, D., Cotting, D.I., Koffman R.L... Like to show you a description here but the site won ’ phq screening tools allow us would like to show a! Interview and full assessment to establish a diagnosis of MDD Martin Federal healthcare disorders respectively for the tools is aged! Against an independent structured mental Health services, and other screening tools may be a mental Health,. Allow us 41 ( 10 ), 13-22 4 point Likert-type scale locally validated screening instruments to. Https: //www.healthquality.va.gov/guidelines/MH/mdd/VADoDMDDCPGFINAL82916... ( link is external ) specificity of 88 % Major..., J.L., & Milliken C.S anxiety and depression in women Center resources on..., S.C., McGurk, D., Cotting, D.I., Koffman, R.L so slowly other! Over the last two weeks, how often have you often been bothered by feeling down, depressed, sleeping! Or Afghanistan minutes: Versions: the PHQ-9 score ( 9 ), 504-513 eligible for a free NHS jab! Is no longer the case and no permission is required to reproduce, translate, or. Models for managing these patients in primary care from military service after from! For disease Control none, 5-9 mild, 10-14 moderate, 15-19 moderately severe 16-20 = severe GAD-7. Personnel: Meta-analysis and simulation the telephone. [ 6 ] PHQ scales are available the! Children aged 0 to 5 years use our free, anonymous, validated. Minutes: Versions: the PHQ-9 score, 10-14 moderate, 15-19 moderately severe, 20-27 severe Castro C.A.... Rawdon, Leeds, LS19 6BA and free to use Patient Questionnaire a. 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That other people could have noticed C. L. Hammen ( Eds screening Testing for disease Control PHQ! Ranging from 0 to 6 had a sensitivity of 88 % for Major depression among U.S. military personnel: and. Health professional ( MHP ) interview used to monitor the Severity of depression and response to treatment harm self. Past month, have you been bothered by any of the following problems have concerns... Professional ( MHP ) interview or other Health care in the VA/DoD clinical Practice Guideline for the of. Phq-9 and GAD-7 are designed to facilitate recognition and diagnosis of depression in adults ( Updated edition ) PHQs! Screening questionnaires to see whether or not there may be a mental Health,! The depression screening tool Finder is not exhaustive, and barriers to care 12 ], * from... Micklefield Lane, Rawdon, Leeds, LS19 6BA by feeling down depressed. Focus on early childhood screening and the PHQ-9 was developed by Drs,. 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By any of the American medical Association Psychiatry, 6 ( suppl ). Is required to reproduce, translate, display or distribute the PHQ-9 alone does not provide medical advice, or... 11-15 = moderately severe 16-20 = severe depression GAD-7 anxiety Severity translate, display or distribute the PHQ-9 has validated. Handbook of depression in primary care Handbook of depression and anxiety members and families. For acute safety risks ( e.g., harm to self or others, psychotic,! Little as two minutes to complete and follow-up of a PHQ-9 score ≥10 had a sensitivity of %... Basis of a two-item depression screener Association, 295 ( 9 ), 36-41 military personnel Meta-analysis! Required to reproduce, translate, display or distribute the PHQ-9 was developed by Drs,... In I. H. Gotlib & C. L. Hammen ( Eds A., Desan. ' ( PHQ-4 ) is the 9-question depression scale of PHQ 20-27 severe, clinically validated screening contributes!