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Depression Screening – Patient Health Questionnaire (PHQ-9)

September 18, 2022


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PHQ-9

 

 

Instructions – How to Score the PHQ-9

Major depressive disorder is suggested if:

  • of the 9 items, 5 or more are checked as at least ‘more than half the days’
  • either Q1 or Q2 is positive, that is at least ‘more than half the days’

Other depressive syndrome is suggested if:

  • of the 9 items, Q1, Q2, or Q3 is checked as at least ‘more than half the days’
  • either item Q1 or Q2 is positive, that is, at least ‘more than half the days’

Also, PHQ-9 scores can be used to plan and monitor treatment. To score the instrument, tally each response by the number value under the answer headings, (not at all=0, several days=1, more than half the days=2, and nearly everyday=3). Add the numbers together to total the score on the bottom of the questionnaire. Interpret the score by using the guide listed below.

Score Action
0-4 The score suggests the patient may not need depression treatment
5-14 Mild major depressive disorder. Physician uses clinical judgement about treatment, based on patient’s duration of symptoms and functional impairement
15-19 Moderate major depressive disorder. Warrants treatment for depression, using antidepressant, psychotherapy or a combination of treatment
20 or higher Severe major depressive disorder. Warrants treatment with antidepressant, with or without psychotherapy; follow frequently

   

 





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