See PHQ-2 and GAD-2 above. 4 items - the first two items of the 'Generalized Anxiety Disorder–7 scale' (GAD–7) and the 'Patient Health Questionnaire-8' (PHQ-8). Background: The 4-item Patient Health Questionnaire-4 (PHQ-4) is an ultra-brief self-report questionnaire that consists of a 2-item depression scale (PHQ-2) and a 2-item anxiety scale (GAD-2). PHQ-4 PHQ-2 and GAD-2. Patient Health Questionnaire-2 (PHQ-2) Module #1 - Patient Health Questionnaire-2 (PHQ-2) 1. A study conducted in Colombia using a Spanish language version of the PHQ-4 also reported a twofactor solution for the general population (Kocalevent et al., 2014). Take the test today and get your results. PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Some research groups have used the PHQ-4 in Spanish-speaking samples [25,26] and one with a Spanish- and English-speaking sample of pregnant women . Formula : Points are given for each variable. The objectives of the study were to generate normative data and to further investigate the construct validity of the PHQ-15 in the general population. J Affect Disord. The reliability of the PHQ-9 and GAD-7 as measures of depression and anxiety is well established in primary care. The evidence supports the validity of the two-factor PHQ-4 as a measure of anxiety and depression in the general population [2] and as a %%EOF The recommended cut point is a score of 3 or greater. A study conducted in Colombia using a Spanish language version of the PHQ-4 also reported a twofactor solution for the general population (Kocalevent et al., 2014). Accessed October 6, 2016. 4 items - the first two items of the 'Generalized Anxiety Disorder–7 scale' (GAD–7) and the 'Patient Health Questionnaire-8' (PHQ-8). 2009; 114(1-3):163-73. PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9) Over the last 2 weeks, how often have you been bothered by any of the following problems? If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive The majority of the sample (61.5%) had PHQ-4 scores indicative of normal levels of psychological distress (≤ 2), while 8.6% of the sample had scores indicative of severe levels (≥ 9). PHQ and GAD-7 Instructions P. 4/9 Table 2. PLEASE COMPLETE THE PHQ-9 AND GAD-7 Patient Name: DOB: Date of Referral: Screening tools are not meant to be diagnostic (give a clear diagnosis) but to let a person know that they need to follow up on the concern with a mental health professional. Patient Health Questionnaire 15-Item Somatic Symptom Severity Scale (PHQ-15) The PHQ-15 is a somatic symptom subscale derived from the full Patient Health Questionnaire h�bbd```b``z"�@$�f�v,~L�H�N0�L� ����S���@��c�mvD:��M��n��j4@j��z"@��$�YY��qXV/"����� ��`���3�����I�9@� �$� How to Score the PHQ-9 Major depressive disorder (MDD) is suggested if: • Of the 9 items, 5 or more are checked as at least ‘more than half the days’ The PHQ-4 is a validated tool to assess for anxiety and depression. The PHQ-4 is a validated tool to assess for anxiety and depression. phq-2 & gad-2 screening Questions 1 & 2 screen for depression, with a total score of 3 or more for these two items suggesting the strong possibility of clinical depression. The Patient Health Questionnaire-4 (PHQ-4) is an ultra-brief screener for anxiety and depression, which combines the Patient Health Questionnaire-2 (PHQ-2) and the Generalized Anxiety Disorder-2 (GAD-2) [].The use of the PHQ-4 was first published in 2009, reporting a study conducted in 2004–05 [].Description PHQ‐4 En las últimas dos semanas, ¿con qué frecuencia a usted le ha molestado alguno de los siguientes problemas? Over the last 2 weeks, how often have you been bothered by not being able to stop or control worrying? Feeling nervous, anxious or on edge: 2. Severe 9-12 . PHQ9P F:\INSTITUT\CULTADAP\PROJECT\MK2783\Etude2783\Final-versions\PHQ9\PHQ-9ussq.doc-19/12/2005 CUESTIONARIO SOBRE LA SALUD DEL PACIENTE-9 72883 (US Spanish version of the PHQ) behavioral problems. Over the last 2 weeks, how often have you been bothered by feeling nervous, anxious or on edge? Pre-treatment scores for patients were included in a cross-sectional cohort design. Not being able to stop worrying: Score of 3 or more is positive and should be further evaluated by GAD-7 or a mental health referral should be made. The present study evaluated the psychometric properties of the Patient Health Questionnaire–4 (PHQ-4), a screener of psychological distress, in English- and Spanish-speaking Hispanic Americans. Its purpose is to allow for very brief … 1. Conclusions: The PHQ-4 questionnaire is an appropriate tool for diagnosis of and screening for depression and anxiety in the population of CHD patients. Formula : Points are given for each variable. ���.~�p���>)����B,�@ s��0����+��~b����@�ή���������l�O�l 10, 12, 13 PHQ-8 All items of PHQ-9 except the 9th item on self-harm. Modified with permission by the GLAD-PC team from the PHQ-9 (Spitzer, Williams, & Kroenke, 1999), Revised PHQ-A (Johnson, 2002), and the CDS (DISC Development Group, 2000) Interpretation: Scores of 5, 10, 15, and 20 represent cut points for mild, moderate, moderately severe, and severe depression. The evidence supports the validity of the two-factor PHQ-4 as a measure of anxiety and depression in the general population [2] and as a brief measure of psychological distress among pregnant women [23,27]. somatic symptoms), an ultra-brief version (PHQ-4), and the PHQ-8 (to measure current depression in the general population)3,4,5. 6 algorithm continuation for the following: 1) phq-9 (a) ≥10 without suicidal ideation 2) phq-9 (a) <10 with “minimal” or “lower” risk on p4 questionnaire3) phq-9 (a) ≥10 with “minimal” or “lower” risk on p4 questionnairesx/hx bipolar b provider validation of major depressive disorder (mdd) 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). Some research groups have used the PHQ-4 in Spanish-speaking samples [25,26] and one with a Spanish- and English-speaking sample of pregnant women [23]. The optimal cut-off point of PHQ-4 ≥ 7 to measure depression and anxiety concurrently (sensitivity = 0.86, specificity = 0.90, and the area under the curve was 0.93 (CI = 0.90 - 0.96). (0) Not at 10 0 obj <> endobj Some research groups have used the PHQ-4 in Spanish-speaking samples [25,26] and one with a Spanish- and English-speaking sample of pregnant women [23]. Not at all Several days More than half the days Nearly every day Feeling nervous, anxious or on edge 0 1 2 3 (Use “ ” to indicate your answer) Not at all Several Time Point (Delete as appropriate) 26 Weeks / 8 Weeks / 1 Year Page 1 of 4 Mental Health Questionnaire: Version 1: 12 July 2011 / / Patient Health Questionnaire – 8 (PHQ … Patient Health Questionnaire 15-Item Somatic Symptom Severity Scale (PHQ-15) The PHQ-15 is a somatic symptom subscale derived from the full Patient Health Questionnaire Razykov I, Ziegelstein RC, Whooley MA, Thombs BD. 0 (Not at all) 1 (Several days) 2 (More than 1/2 the days) 3 (Nearly every day) 2. Its purpose is to allow for very brief … h�bbd```b``z"��� �OD��IK0�"YN��dɦ "�7������`����i�"M7�H�6 �h�bk ���2� � �d;��=@��'&���ā�D���/ ¬| %PDF-1.7 %���� Sentirse nervioso(a), ansioso(a) o al límite. The 17 item version for parents and youth and other languages can be found on the web site. One of the most common anxiety disorders seen in general medical practice and in the general population is generalized anxiety disorder (GAD). The PHQ ‐ 2 consists of the first 2 questions of the PHQ ‐ 9. Spanish, Polish, and Greek)6,7,8. The PHQ-15 is widely used as an open access screening instrument for somatization syndromes in different health care settings, thus far, normative data from the general population are not available. 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. ): Clinical Memory Assessment of Older Adults, American Psychological Association, 1986. Our findings indicate that the PHQ-4 is a good screening tool during pregnancy that can enable appropriate follow up interventions to improve the lives of mothers and … PatientHealthQuestionnaire-2_v1.0_2014Jul2.pdf: 10.7 KB: Module Module ID; Patient Health Questionnaire-2 (PHQ-2) 4359086: Associated Module. Patient Health Questionnaire (PHQ-9) – Spanish [pdf] This is the Spanish version of the tool designed for use by health care professionals who wish to screen patients for depression. May be copied without permission. 2. A� �b�P��� ��ZŘǸ�ɈI���1����䃰i��k�ŨFF�CNJ720؇3w�c�xa�p"w*����6��mc9��g 0 �B The Patient Health Questionnaire-9 (PHQ-9) Instructions. 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. PHQ-9* Questionnaire for Depression Scoring and Interpretation Guide For physician use only Scoring: Count the number (#) of boxes checked in a column. Patient Health Questionnaire-4 (PHQ-4) – Assess your mood; Ultra-Brief Screening for Anxiety and Depression. Translations The PHQ-9 has been translated into a range of languages (e.g. Explanation of Result : Anxiety Section : 1. Title: Microsoft Word - PHQ9_Spanish for the USA.doc Author: cg014193 Created Date: 6/15/2010 3:19:08 PM h�b```a``�c`e`�-cb@ !�+s�`�wȟv��\W������ l$�r@���l� H��H��.� �3ss�>��6f���'���2]7S5�j��2U�$i&�$��{��0�B�bc`�z2�[p�p20{s@D ��� The PHQ-15 is widely used as an open access screening instrument for somatization syndromes in different health care settings, thus far, normative data from the general population are not available. Pictorial versions in English and Spanish. Scores range from 0 to 6. Instructions: To further evaluate patients with PHQ-2 scores of 3 or more, administer or have them complete the Brief history. The GAD-7 has been validated for primary care patients, general population, and adolescents with GAD (Mossman et al., 2018, found that GAD-7 scores may be used to assess anxiety symptoms and to differentiate between mild and moderate GAD in adolescents). The PHQ-9 versus the PHQ-8--is item 9 useful for assessing suicide risk in coronary artery disease patients? PHQ-4: THE FOUR-ITEM PATIENT HEALTH QUESTIONNAIRE FOR ANXIETY AND DEPRESSION Over the last two weeks, how often have you been bothered by the following problems? The PHQ-4 is a four questionnaire answered on a four point Likert-type scale. Scoring notes. 41 0 obj <>/Filter/FlateDecode/ID[<28A2405F6AA8D8FAE9AAB95611E3FB93><780894F68EE35149BC46459D4F66A41D>]/Index[10 59]/Info 9 0 R/Length 141/Prev 315794/Root 11 0 R/Size 69/Type/XRef/W[1 3 1]>>stream 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. Little interest or pleasure in doing things. The objectives of the study were to generate normative data and to further investigate the construct validity of the PHQ-15 in the general population. References Kroenke K, Strine TW, Spritzer RL, Williams JB, Berry JT, Mokdad AH. Korenke K, Spitzer RL, Williams JB. 0 Feeling nervous, anxious or on edge: 2. Adolescent versions available in English, Spanish, Chinese and Vietnamese. Mainly used in non-depression research studies. %%EOF The Geriatric Depression Screen (GDS) Short Form is a 15-question tool and is available in Spanish as well as multiple languages at www.stanford.edu, however no validations are listed. The PHQ-4 is a widely used open access screening instrument for depression and anxiety in different health care and community settings; however, empirical evidence of its psychometric quality in Colombia is lacking. (Use “ ” to indicate your answer) Not at all Several It includes the questionnaire translated into Spanish. endstream endobj 11 0 obj <> endobj 12 0 obj <> endobj 13 0 obj <>stream What is the PHQ 9? This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of “not at all,” Average time to complete: 3.6 minutes. 18 0 obj <> endobj endstream endobj startxref … See website for additional information and translations. The use of Rating Depression Series in the Elderly, in Poon (ed. Explanation of Result : Anxiety Section : 1. )]l�(\��. endstream endobj startxref Patient Health Questionnaire (PHQ9): Spanish. Mild 3-5. Spanish language group PHQ-4 scores (M = 2.94, SD = 2.94) were significantly higher than English language group scores (M = 2.07, SD = 2.59), t (432) = −3.26, p = 0.001. 0 Background: Pregnant women are at an increased risk for anxiety and depression, but a majority of women go untreated due to a high rate of undetected symptoms. This scale available in Spanish. PHQ-9 Score Depression Severity Proposed Treatment Actions 0-4 None - Minimal None 5-9 Mild Watchful waiting; repeat PHQ 9 at follow-up 10-14 (Encierre en un círculo la respuesta) Más de la Casi todos Ningún día Varios días mitad de los días los días Se siente nervioso, ansioso o inquieto 0 1 2 3 69 0 obj <>stream The objectives of the current study were to generate normative data and to further investigate the construct validity and factorial structure of the PHQ-4 in the general population. Cuestionario sobre la salud del paciente versión 4 (PHQ-4) Durante las últimas dos semanas, ¿con qué frecuencia experimentó alguno de los siguientes problemas de salud? Background: The 4-item Patient Health Questionnaire-4 (PHQ-4) is an ultra-brief self-report questionnaire that consists of a 2-item depression scale (PHQ-2) and a 2-item anxiety scale (GAD-2). Overview. PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9) Over the last 2 weeks, how often have you been bothered by any of the following problems? The disorder has an estimated current prevalence in general medical practice of 2.8% to 8.5% 1-3 and in the general population of 1.6% to 5.0%. PHQ-9 in Karen (PDF) PHQ-9 in Russian; PHQ-9 in Somali; PHQ-9 in Spanish; PHQ-9 in Other Languages; General validity studies; Brief Screener -- PHQ-2 or PHQ-4; Notes The PHQ-9 is approved for use and billing of maternal depression in infant Child and Teen Checkups (well visits) in Minnesota. 43 0 obj <>/Filter/FlateDecode/ID[<7CFF803CEF5E75498335C96E2AF59BAC>]/Index[18 52]/Info 17 0 R/Length 122/Prev 216281/Root 19 0 R/Size 70/Type/XRef/W[1 3 1]>>stream h�b``�e``*f```�� Moderate 6-8. ����q��ߛ�=v�g�8��������a@�D����bo�y\�U�gl���@�$c�s�B��9�`��ܽ`�,N�s��;��1J��ε#�/go�l��to�D�ǧ�U���=�~ɋY���!0����'�_��ӡS�f����=0f�a���c��iW��c`��FjooM�T٦U#ۆ5� �~��,�{� �2i$WW���X�璳:K�7��J-�Ѱ�rB��x�B'��� \��_�ũ�~h�Y9�ǚ]�i�� oӦ�g\Iv���ґ�|������3N%N3t����x���?��;����s J_�U�V� G�j���C�Č_�f���+�V����� `�靈���*N��0���q�i�g�9�g̅��}�̫�`XI/j�Y���$�7A�%EY�U��~��9^ƖAx;�/+lu��,�%P��&�۪c?���s��T��*��S��$�쥟"�Jv]}����? PHQ-9 Depression Severity Scores represent: 0-5 = mild 6-10 = moderate 11-15 = moderately severe 16-20 = severe depression GAD-7 Anxiety Severity. The PHQ-8 as a measure of current depression in the general population. (Use “ ” para indicar su respuesta) 1. Its purpose is to allow for very brief and accurate measurement of depression and anxiety. PHQ-4 total score ranges from 0 to 12, with categories of psychological distress being: None 0-2. The Patient Health Questionnaire-9 (PHQ-9) Instructions. Score 5: Repeat at followup and monitor. This symptom assessment tool measures health using nine items on 4-point scales and a 4-point scale for impact on daily life. Anxiety subscale = sum of items 1 and 2 (score range, 0 to 6) Depression subscale = sum of items 3 and 4 (score range, 0 to 6) On each subscale, a score of 3 or greater is considered positive for screening purposes h��[Ys�8��|�yȂ8xUM�J�1�n2����\S���P���ϯ��H��lYI*NVzh���F�a|h J9��H"��u:wB/rW(Ȃ4⎧q���1��w�H��� 9���"h����]�s %PDF-1.6 %���� h��XO��*�su�}�iB:X�5D�w���hV2�M�f|���)�I�%셩j��g����㳕d�)`"�RLj|i�90eX� S� �)DŽ��2��e�`���iɤ-���8f�5���0� ���@9��g��`Ͱ�2#P���ġ���t����a�rh��"�vE%�>����n�1���������^p�Ns�����a%�%�͗%M�I]YT4 _�d�/2�+}ё���M^�e��t�\���^|��I4�������3AK�ﰷ�_/��h�̷}��7�4gV��0�}���m��. 5, 10, 14 . Populations. The present study evaluates whether or not differences occur for patients cared within a primary versus secondary mental health service. Screening tools are commonly used questionnaires that are often used to identify that a person is likely to have a mental illness. Eight items, each of which is scored 0 to 3, providing a 0 to 24 severity score. Previous studies have used the PHQ-4 with Spanish-speaking samples [25,26] or Spanish- and English-speaking pregnant samples , but to our knowledge, this is the first study that used the PHQ-4 in a pregnant women from Spain. The 'Patient Health Questionnaire-4' (PHQ-4) is a 4 item inventory rated on a 4 point Likert-type scale. Patient completes PHQ-9 Quick Depression Assessment. (0) Not at 1. Depression Section : 1. PHQ-4 questionnaire helps you assess your mood. Time Point (Delete as appropriate) 26 Weeks / 8 Weeks / 1 Year Page 1 of 4 Mental Health Questionnaire: Version 1: 12 July 2011 / / Patient Health Questionnaire – 8 (PHQ … endstream endobj 19 0 obj <> endobj 20 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[36.0 36.0 633.0 813.0]/Type/Page>> endobj 21 0 obj <>stream Instructions: To further evaluate patients with PHQ-2 scores of 3 or more, administer or have them complete the Adapted from the patient health questionnaire (PHQ) screeners (www.phqscreeners.com). PHQ9P F:\INSTITUT\CULTADAP\PROJECT\MK2783\Etude2783\Final-versions\PHQ9\PHQ-9ussq.doc-19/12/2005 CUESTIONARIO SOBRE LA SALUD DEL PACIENTE-9 72883 (US Spanish version of the PHQ) TOOL 2. Developed in 1999, the PHQ 9 is a widely endorsed depression test, that is reliable (Cronbach 0.89, see Kroenke, 2001), well tolerated by patients, and easy to administer, making it an excellent adjunct tool for the clinician’s already busy schedule. pdf/TWEAK_252.pdf All information above except for Fagerstrom Test for Nicotine Dependence and NIDA Drug Use Screening Tool are from: Substance Abuse and Mental Health Services Administration. Title: PHQ9 Spanish Form New.pdf Created Date: 5/15/2007 3:56:56 PM 68 0 obj <>stream Available in multiple languages including English, Spanish, Chinese, Hmong, Japanese, and Khmer. TOOL 2. The evidence supports the validity of the two-factor PHQ-4 as a measure of anxiety and depression in the general population [ 2 ] and as a brief measure of psychological distress among pregnant women [ 23 , 27 ]. * Not at all; Several days; More than half the days; Nearly every day; 2. 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