Scores each of the 9 dsm criteria of mdd as 0 not at all to 3 nearly every day, providing a 027 severity. To use the phq9 as a diagnostic aid for major depressive disorder. Refer to accompanying phq9 scoring card to interpret the total score. Scoring and interpretation responders are asked to rate the frequency of anxiety symptoms in the last 2 weeks on a likert scale ranging from 03. Phq9t and gad7 with scoring guidelines assessment measures. Patient completes phq9 quick depression assessment. Iapt questionnaire 1 phq9 over the last 2 weeks, on how many days have you. It is not specific to pregnancy or postpartum, but it is very often used for postpartum depression screening. Quick guide to primemd patient health questionnaire phq phq9 and gad7 purpose the patient health questionnaire phq is designed to facilitate the recognition and diagnosis.
The phq 9 is approved for use and billing of maternal depression in infant child and teen checkups well visits in minnesota the phq 2 is validated as a firststep screener for depression in adolescents and adults to be followed by full phq 9 if the phq 2 is positive, but not for postpartum depression screening. Consider scheduling a followup visit in a few weeks, patient. Each item within the core10 is scored on a 5point scale ranging from 0 not at all to 4 most or all the time. The phq 2 is a tool used to screen for depression, while the phq 9 tool is used to detect screen or diagnose depression, measure the severity of symptoms, and. Little interest or pleasure in doing things not at all several days more than half the days nearly every day b. The phq 9 is completed by the patient in minutes and is rapidly scored by the clinician. Gad7 anxiety and phq9 depression score sheet slidelegend. Over the last 2 weeks, how often have you been bothered by any of the following problems. Phq 9t and gad7 scoring guidelines when administering the phq 9tgad7, please let students know that someone may follow up with them if there is a concern of safety. Psychometric properties n the diagnostic validity of the phq9 was established in. Also, alternative or abbreviated versions of the phq9 and gad7 are sometimes used in certain screening or research settings 1014. Multiply that number by the value indicated below, then add the subtotal to produce a total score. The patient health questionnaire phq is a 3page questionnaire that can be entirely selfadministered by the patient. The phq 9 dep 9 in some sources5 is a 9 question instrument given to patients in a primary care setting to screen for the presence and severity of depression.
Refer to the accompanying phq9 scoring box to interpret the total score. Generalized anxiety disorder screener gad 7 scoring and interpretation. Used to provisionally diagnose depression and grade severity of symptoms in general medical and mental health settings. The patient health questionnaire phq 9 is a simpletoadminister, effective screening tool specifically designed to assess symptoms of major depressive disorder, but commonly used to assess symptoms of ppd. The phq9 and gad7 are designed to facilitate the recognition for depressive disorders and anxiety disorders respectively.
The phq9 can also be administered repeatedly, which can reflect improvement or worsening of depression in response to treatment. Administering patient checks in at the reception desk. Phq9t and gad7 scoring guidelines when administering the phq9tgad7, please let students know that someone may follow up with them if there is a concern of safety. 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 04 normal no action 5 9 mild watchful waiting. Phq9 and gad7 hello, 96127 is a timebased code which require documentation of start and stop time. Mental health screening tools in different languages. Using the threshold score of 10, the gad7 has a sensitivity of 89% and a specificity of 82% for gad. Variations, taking into account individual circumstances, may. The phq9 is the depression module, which scores each of the 9 dsmiv criteria as 0 not at all to 3 nearly every day. This is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of not at all. Quick guide to primemd patient health questionnaire phq.
Phq9 questionnaire for depression scoring and interpretation guide for physician use only scoring. We are screening for symptoms of depressed mood at all 12yearold physical exams. The phq9 is a nine question selfrating scale that is very commonly used for screening for adult depression. Phq 9 and gad 7 hello, 96127 is a timebased code which require documentation of start and stop time. Clinicians can quickly score the phq9 once the patient has completed its 9 questions. Patient health questionnaire phq9 british columbia.
The phq9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetricsgynecology clinics. How to score the patient health questionnaire phq9 guide. Reception will present the phqa phq9 modified for adolescents questionnaire using the script below. Scoring the phq9 modified for teens scoring the phq9 modified for teens is easy but involves thinking about several different aspects of depression. The phq 9 can also be administered repeatedly, which can reflect improvement or worsening of depression in response to treatment.
Read each item carefully, and circle your response. Iapt questionnaire 1 phq9 over the last 2 weeks, on how many days have you been bothered by any of the following problems. 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. This symptom assessment tool measures seven anxiety symptoms on 4point scales. Phq9 scoring card for severity determination instructions for use for doctor or healthcare professional use only phq9 quick depression assessment for initial diagnosis. Phq9 depression 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 every day, respectively. Also, alternative or abbreviated versions of the phq 9 and gad 7 are sometimes used in certain screening or research settings 1014. Generalized anxiety disorder screener gad7 over the. Phq 9 questionnaire for depression scoring and interpretation guide for physician use only scoring. Interpretation of total score and treatment suggestions score range treatment 04 normal no action 59 mild watchful waiting. The original scoring algorithms and instruction manual for each of these scales is available under the download tab on this page. Phq9 scoring instructions and interpretation scoring add the scores indicated for each item in each column and add the columns together for the total score. Generalized anxiety disorder screener gad7 over the last 2.
Gad 7 gad 7 assessment resources developed by the visn 4 mirecc. Phq9 scoring instructions and interpretation scoring. When used as a screening tool, further evaluation is recommended when the score is 10 or greater. This easy to use patient questionnaire is a selfadministered version of the primemd diagnostic instrument for common mental disorders. The phq 9 is the depression module, which scores each of the nine dsmiv criteria as 0 not at all to 3 nearly every day.
The phq9 is completed by the patient in minutes and is rapidly scored by the clinician. Patient health questionnaire phq9 michigan medicine. Phq 9t and gad 7 scoring guidelines when administering the phq 9t gad 7, please let students know that someone may follow up with them if there is a concern of safety. The scoring for both measures helps people to ascertain how severe the issue is.
The patient health questionnaire somatic, anxiety and depressive symptoms phqsads is an 32item selfadministered scale that consists of the phq9, gad7, phq15 and the panic items from the original phq a diagnostic screener, designed for use in the primary care setting, that addresses the most commonly evaluated symptoms in the general population. How to score the phq9 for healthcare providers preventive. Psychometric properties n the diagnostic validity of the phq 9 was established in. How to score the patient health questionnaire phq 9of the first nine items, five or more are checked as at least more than half the dayseither item 1.
Variations, taking into account individual circumstances, may be appropriate. Administering the patient health questionnaires 2 and 9. For each symptom put an x in the box beneath the answer that best describes how you have been feeling. These are the national standard measures routinely used by gps, therapists and psychiatrists as screening tools. Not at all several days more than half the days nearly. 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. Scoring gad7 anxiety severity this is calculated by assigning scores of 0, 1, 2, and 3 to the response categories, respectively, of not at all, several days, more than half the days, and nearly every day. The phq9 dep9 in some sources5 is a 9question instrument given to patients in a primary care setting to screen for the presence and severity of depression. Also, phq9 scores can be used to plan and monitor treatment. Emotionalbehavioral assessments may be performed by medical and mental health professionals in the clinical setting and also by trained professionals in the educational setting. Refer to the accompanying phq 9 scoring box to interpret the total score.
The phq assesses 8 diagnoses, divided into threshold. Phq9 total score for the nine items ranges from 0 to 27. Phq 9 total score for the nine items ranges from 0 to 27. Patient health questionnaire9 phq9 mental disorders. 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 every day, respectively. The patient health questionnaire phq9 is the major depressive disorder mdd module of the full phq. Gad7 gad7 assessment resources developed by the visn 4 mirecc. The phq9 is the depression module, which scores each of the nine dsmiv criteria as 0 not at all to 3 nearly every day. Administering and scoring the phqa screening questionnaire.
Phq9 total score over the last 2 weeks, on how many days have you been bothered by any of the following problems. The clinical score is calculated by adding the response. Depression should not be diagnosed or excluded solely on the basis of a phq9 score. Also, alternative or abbreviated versions of the phq 9 and gad7 are sometimes used in certain screening or research settings 1014. How often have you been bothered by each of the following symptoms during the past two weeks. Scoring scores of 5, 10, and 15 are taken as the cutoff points for mild, moderate and severe anxiety, respectively. Phq9 and gad7 medical billing and coding forum aapc. Using the threshold score of 10, the gad 7 has a sensitivity of 89% and a specificity of 82% for gad. Instruction manual instructions for patient health. Questions 1 andor 2 need to be endorsed as a 2 or 3.
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