Scoring Method. Scores range from 0 to 27. In general, a total of 10 or above is suggestive of the presence of depression. Listed below are PHQ-9 totals, the levels of depression that they relate to, and suggested treatment for each level of depression.
The PHQ-9 is the nine item depression scale of the patient health questionnaire.* It is one of the most validated tools in mental health and can be a powerful tool to assist clinicians with diagnosing depression and monitoring treatment response. 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. Interpretation of Total Score and Treatment Suggestions. Score Range Treatment. 0-4 Normal No action 5-9* Mild Watchful Waiting; Consider scheduling a follow-up visit in a few weeks, patient education, or discuss counseling as an option 10-14 Mild-Moderate Patient education, counseling or active treatment 15-19 Moderate Active greater than or equal to 10) pre-treatment to a non-depressed range (defined as scores less than or equal to 9) post-treatment. Improvement in scores should be 50% or greater of the patients’ pre- Count the number (#) of boxes checked in a column. Multiply that number by the value indicated below, then add the subtotal to produce a total score. The possible range is 0-27. Use the table below to interpret the PHQ-9 score. • A total PHQ-9 score > 10 (see below for instructions on how to obtain a total score) has a good sensitivity and specificity for MDD. To use the PHQ-9 to aid in the diagnosis of dysthymia: • The dysthymia question (In the past year…) should be endorsed as “yes.” How to Score the PHQ-9, Planning And Monitoring Treatment. Question One • To score the first question, tally each response by the number value of each response: Not at all = 0 Several days = 1 More than half the days = 2 Nearly every day = 3 • Add the numbers together to total the score. • Interpret the score by using the guide listed below:
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. (0) Not at all (1) Several days (2) More than
Scoring Method. Designed for use in primary care settings, the PHQ-4 consists of the first two items of the PHQ-9 and GAD-7 respectively, and constitute the two core DSM-IV items for major depressive disorder and generalized anxiety disorder, respectively. The PHQ-2 and GAD-2 each ranges from a score of 0 to 6 (with 2 items in each scale scored 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. (0) Not at all (1) Several days (2) More than Scoring and Interpretation: GAD-2 Score* Provisional Diagnosis 0-2 None 3-6 Probable anxiety disorder GAD-7 Score Provisional Diagnosis 0-7 None 8+ Probable anxiety disorder *GAD-2 is the first 2 questions of the GAD -7 . References: • Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the The PHQ-2 is not designed to establish a diagnosis of depression, but is used to determine whether the rest of the questions in the PHQ-9 are to be asked. PHQ-2 scores range from 0 to 6, with 3 as the typical score to trigger asking the remaining questions of the PHQ-9.
Jul 01, 2016 · This is generally a score of 10 or above and/or a positive answer on question 9 of the PHQ 9, which is a screening for suicidal symptoms. 3 4 A workflow will need to be developed to identify appropriate staff responsibilities and procedures for responding to these scores.
As a severity measure, the PHQ-9 score can range from 0 to 27, since each of the 9 items can be scored from 0 (not at all) to 3 (nearly every day). A PHQ-9 score ≥ 10 has a sensitivity of 88% and a specificity of 88% for major depression.1Since the questionnaire relies on patient self-report, the practitioner should verify all responses. Psychometric Properties n The diagnostic validity of the PHQ-9 was established in studies involving 8 primary care and 7 obstetrical clinics. n PHQ scores ≥ 10 had a sensitivity of 88% and a specificity of 88% for major depression. n PHQ-9 scores of 5, 10, 15, and 20 represents mild, moderate, moderately severe and severe depression.1 1. Add together column scores to get a TOTAL score. 4. Refer to the accompanying PHQ-9 Scoring Card to interpret the TOTAL score. 5. 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. PHQ-9 SCORING CARD FOR SEVERITY DETERMINATION The overall scores obtainable in PHQ-9 range between 0 (no depression symptoms present) to 27 (severe depression symptoms). The cut off points are at 5, 10 and 20, with scores above 10 with a sensitivity of 88% and 88% specificity. The following table explains the first hand indications in every score category.