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PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9)

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Key:

  • 0 = Not at all
  • 1 = Several days
  • 2 = More than half the days
  • 3 = Nearly every day.



Situation   0    1    2    3
Little interest or pleasure in doing things
Feeling down, depressed, or hopeless
Trouble falling or staying asleep, or sleeping too much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself — or that you are a failure or have let yourself or your family down
Trouble concentrating on things, such as reading the newspaper or watching television
Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual
Thoughts that you would be better off dead or of hurting yourself in some way

    Your Score  




PHQ-9 Scores and Proposed Treatment Actions *

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

Moderate

Treatment plan, considering counseling, follow-up and/or pharmacotherapy

15–19

Moderately Severe

Active treatment with pharmacotherapy and/or psychotherapy

20–27

Severe

Immediate initiation of pharmacotherapy and, if severe impairment or poor response to therapy, expedited referral to a mental health specialist for psychotherapy and/or collaborative management

* From Kroenke K, Spitzer RL, Psychiatric Annals 2002;32:509-521




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