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One way it shows leadership is through the production of evidence-based guidelines. Thank you for everything you do. Use of this site is subject to our terms of use and privacy policy. PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9) Over the last 2 weeks, how often have you been bothered by any of the following problems? This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of “not at all,” Add score to determine severity. endstream endobj startxref Scoring: add up all checked boxes on PHQ-9 . Source: PHQ-9(Author Drs Robert L. Spitzer, Janet B.W. The material on this website is provided for educational purposes only, and is not to be used for medical advice, diagnosis or treatment. Scoring: add up all checked boxes on PHQ-9 For every 3 Not at all = 0; Several days = 1; (0) Not at Date: Click here to enter text. PLEASE ENABLE JAVASCRIPT IN YOUR INTERNET OPTIONS. It is not a screening tool for depression but it is used to monitor the severity of depression and response to treatment. Diagnostic Algorithms for the PHQ Page 1 Somatoform Disorder if at least 3 of #1a-m bother the patient ―a lot‖ and lack an adequate biological explanation. 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. Annual Update of Key Results 2018/19: New Zealand Health Survey. ... condition in the past 12 months” is estimated at 18.1% in a New Zealand family practice study.2 Given that 80% of the population visits 4. PHQ and GAD-7 Instructions P. 4/9 Table 2. Williams, Kurt Kroenke, and colleagues, with an educational grant from Pfizer Inc. For research information, contact Dr Spitzer at [email protected] It has been validated for use in primary care. Kvalsvig, A. PHQ-9 What is it? PHQ-9 is adapted from PRIME MD TODAY, developed by Drs Robert L. Spitzer, Janet B.W. Every consultation in primary care provides the opportunity for screening for mental health problems. Williams, Kurt Kroenke, and colleagues) Patient Health Questionnaire - PHQ 9 Instructions: How often have you been bothered by each of the following symptoms during the last two weeks? PO Box 108-244, Symonds Street, Auckland, New Zealand. Use of the PHQ-9 may only be made in Please note that while great care has been taken with the development of this self-test, it is not intended to be a substitute for professional clinical advice. Over the last 2 weeks, how often have you been bothered by the following problems? For depression, the PHQ-9 has been widely used in New Zealand and the scores obtained are applied in the algorithms for the treatment of depression published in the New Zealand Guidelines (also available in the Appendices 1–4 of this publication). This is an unprecedented time. PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively1. It is based directly on the It is based directly on the diagnostic criteria for major depressive disorders in Diagnostic and Statistical Manual Fourth Edition (DSM-IV) 2 . Published in October 2016 by Te Pou o te Whakaaro Nui. This is no longer the case and no permission is required to reproduce, translate, display or distribute the PHQ-9. PHQ-9 Depression Over the last 2 weeks, how often have you been bothered by any of the following problems? 2. Auckland New Zealand: Te Pou o te Whakaaro Nui. 5. For other languages, visit Patient Health Questionnaire (PHQ) Screeners. COVID-19 Resource Center. Note: Depression should not be diagnosed or excluded solely on the basis of a PHQ-9 score. (2019). The PHQ-9 (DEP-9 in some sources)is a 9-question instrument given to patients in a primary care setting to screen for the presence and severity of depression. 542 0 obj <>stream Clinicians can quickly score the PHQ-9 once the patient has completed its 9 questions. If there are at least 4 s in the blue highlighted section (including Questions #1 and #2), consider a depressive disorder. The PHQ-9: validity of a brief depression severity measure. The PHQ-9 (Patient Health Questionnaire-9) objectifies and assesses degree of depression severity via questionnaire. The New Zealand Guidelines Group Incorporated (NZGG) is a not-for-profit non-governmental organisation committed to leading the effective use of reliable evidence in the New Zealand health and disability sector. Overall, anxiety disorders were the most frequently reported If you have scored above the threshold on this scale, see your doctor or a. The possible range is 0-27. (Use “ ” to indicate your answer) Not at all Several 503 0 obj <>/Filter/FlateDecode/ID[<91800488DDC7964B4EEBA6EC03CF758E><60A7D3F533775E47A5AFA66566751282>]/Index[309 234]/Info 308 0 R/Length 416/Prev 168403/Root 310 0 R/Size 543/Type/XRef/W[1 3 1]>>stream A PHQ-9 score of 10 or higher appears to detect more depressed patients than the originally described PHQ-9 scoring for major depression. The Patient Health Questionnaire 9 (PHQ-9) is one of the tools used to screen for the presence and severity of depression and to monitor response to treatment. Psychometric Properties n The diagnostic validity of the PHQ-9 was established in studies involving 8 primary care and 7 obstetrical clinics. Background: Screening for major depression with the Patient Health Questionnaire-9 (PHQ-9) can be done using a cutoff or the PHQ-9 diagnostic algorithm. For each symptom put an “X” in the box beneath the answer that best describes how you have been feeling. n PHQ scores ≥ 10 had a sensitivity of 88% and a specificity of 88% for major depression. New Zealand research has shown that up to a third of people who attend a GP consultation are likely to have mental health issues. Content Guide 2016/17: New Zealand Health Survey 1 Introduction This guide describes the content of the New Zealand Health Survey (NZHS) for the period 1 July 2016 to 30 June 2017. 5. The National Centre of Mental Health Research, Information and Workforce Development. and treatable mental disorders presenting in general medical as well as specialty settings. A survey conducted between 2003 and 2004, in 13,000 people aged 16 years and over, identified a 40% self-reported lifetime prevalence of a mental disorder. See PHQ-9 Scoring on next page. Use the table below to interpret the PHQ-9 score. The PHQ-9 should not be used to make a definitive diagnosis of depression. The final scores of 0–4, 5–9, 10–14, 15–19, 20–27 are the ranges for none, mild, moderate, moderately severe and severe, respectively. Wellbeing and mental distress in Aotearoa New Zealand: Snapshot 2016. n PHQ-9 scores of 5, 10, 15, and 20 represents mild, moderate, moderately severe and Generalized Anxiety Disorder Screener (GAD-7) Scoring and Interpretation: GAD-2 Score* Provisional Diagnosis 0-2 None 3-6 Probable anxiety disorder Ministry of Health. Any positive response to question 9 should be followed up with questions about the Note: your responses to this questionnaire are anonymous. web design and development by bka interactive. Results may be included in patient files to assist you in setting up a treatment goal, determining degree of response, as well as guiding treatment intervention. self-test PHQ-9 from depression.org.nz; self-test Kessler-10 depression scale; If you have some, but not necessarily all, the symptoms mentioned above, it’s a good idea to see your doctor. The results of the PHQ-9 may be used to make a depression diagnosis according to DSM-IV criteria and takes less than 3 minutes to complete. The PHQ-9 is the nine item depression scale of the Patient Health Questionnaire1. As a severity measure, the PHQ-9 scores range from 0 to 27, as each of the nine items was scored from 0 (not at all) to 3 (nearly every day). Brief Description Self-administered 9-item instrument based on the nine DSM-V criteria listed under criterion A for Major Depressive Disorder. The PHQ-9 has been translated into the following languages and is available on the Pfizer website. Credits: Health Navigator Editorial Team . YOU NEED JAVASCRIPT TO RUN THIS SITE. It is strongly recommended that these questions are completed with a health professional. There are a number of case-finding instruments for detecting depression in primary care, ranging from 2 to 28 items.1,2 Typically these can be scored as continuous measures of depression severity and also have established cutpoints above which the probability of major depression is substantially increased. 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). 3. The PHQ-9 (Appendix 6) quantifies the severity of depression. This is not intended to provide a diagnosis – only trained health professionals should do this. Major Depressive Syndrome if #2a or b and five or more of #2a-i are at least ―More than half the days‖ (count #2i if present at all) . Generalized Anxiety Disorder 7-Item (GAD-7) Scale Name: Click here to enter text. %PDF-1.6 %���� 14: Treatment Response and Plan by Change in PHQ-9 Score . PHQ-9 modified for Adolescents (PHQ-A) Name: Clinician: Date: Instructions: How often have you been bothered by each of the following symptoms during the past two weeks?For each symptom put an “X” in the box beneath the answer that best describes how you have been feeling. �h����ޒ���1���58ܶ���׽�d�gΰ�=�1nw��1�����ܲ?Lyf�� �J���r��. Patient completes PHQ-9 Quick Depression Assessment on accompanying tear-off pad. Wellington: Health Promotion Agency. Practice Support Program Generalized Anxiety Disorder GAD-7 Mar 23, 2009 2 of 2 Mental Health Module Scoring and Interpretation of Scores: GAD-7 Anxiety Severity: This 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 Scoring notes. Refer to the accompanying PHQ-9 Scoring Box to interpret the TOTAL score. It is the dedication of healthcare workers that will lead us through this crisis. Results may be included in patient files to assist you in setting up a treatment goal, determining degree of response, as well as guiding treatment intervention. PHQ-9 QUICK DEPRESSION ASSESSMENT For initial diagnosis: 1. Edinburgh Postnatal Depression Scale 1 (EPDS) Postpartum depression is the most common complication of childbearing. PHQ-9* Questionnaire for Depression Scoring and Interpretation Guide For physician use only Scoring: Count the number (#) of boxes checked in a column. Test, treatment or procedure – do I really need it? There are several groups that are at high risk of depression and related disorders that can be targeted for simple screening: 1. ISBN: 978-0-908322-57-2 Web www.tepou.co.nz Email [email protected] PHQ-9 Score at 4-6 weeks Treatment Refer to the accompanying PHQ-9 Scoring Box to interpret the TOTAL score. Mental health and wellbeing apps (for teenagers and young people), mental health practitioner, such as a counsellor, psychotherapist or psychologist, Patient Health Questionnaire (PHQ) Screeners, Healthy Tips and Long Term Conditions Bulletin. Epidemiology of Mental Disorders in New Zealand.1 Mental disorders are very common in the New Zealand population. The result is indicative only. - There are no strict guidelines on how often to re-administer the tool; however, a common recommendation for monitoring and adjusting treatment at 4-6 weeks includes. The Patient Health Questionnaire (PHQ-9) is a simple-to-administer, effective screening tool specifically designed to assess symptoms of major depressive disorder, but commonly used to assess symptoms of PPD. h�ܓ�.�A���+� ����={/`�Dҍ�{��G����Z"EJ�[����RzE��`��6���93��w�xF�Y��XzÖ-�@72��~��Y�Z��[�*�g�_�0N�M��܃Y��E��v��C0A��#��Gp�fq̃���#c��$��|�)/��%jr�s.����� B�L"^"g�k��n��&B�F?iL q��*���1��:M ��R��#a��n�E��S^kn�;�0Gweȥ(�S��NQ�w�z�x�ǩ����o!�x��G/*��")�u��vՓ�2U橿:��T'%�Y'Tg���/��QfhrR����pKoTм�Q��e�Y�s4y7�rD�x��(�:%�+�4�U�#U%��?� v�g���.�S��WI~0 r� The PHQ 9 is a useful tool because, as noted above, it can be readministered as needed. Quality Improvement Manager, Marlborough PHO, Quality and Performance Manager, Hastings Health Centre, Rheumatologist & researcher, University of Otago, Wellington, We have two newsletters: Healthy Tips and Long Term Conditions Bulletin. The total score is calculated by adding together the scores for the 9 questions. 0 Administering the PHQ-9 repeatedly allows for The instrument aids in guiding criteria based diagnosis of depressive symptoms, can assist in identifying treatment goals, determining severity of symptoms, as well as The Patient Health Questionnaire 9 (PHQ-9) is one of the tools used to screen for the presence and severity of depression and to monitor response to 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. For example, a Canadian study of over 3000 individuals recruited through random digit dialing reported a depression prevalence of 8.4% for PHQ-9 scores≥10; in this study, the weighted prevalence of PHQ-9 scores≥10 (i.e., moderate depression or greater) was 35.4%. It is the 9-question depression scale from the Patient Health Questionnaire (PHQ). PHQ-9 Depression Severity Scores represent: 0-5 = mild 6-10 = moderate 11-15 = moderately severe 16-20 = severe depression GAD-7 Anxiety Severity. This is not intended to provide a diagnosis – only trained health professionals should do this. (2018). 309 0 obj <> endobj Consider Major Depressive Disorder Your scores are not recorded by Health Navigator and we do not capture any information that can identify you. Each response category of 'not at all', 'several days', 'more than half the days' and 'nearly every day' is assigned a score of 0, 1, 2 and 3 respectively. 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