DEPRESSION?
PHQ-9 — Nine Symptom Checklist
PHQ-9 — Nine Symptom Checklist
Patient Name Date
1.
Over the last 2 weeks, how often have you been bothered by any of the following
problems? Read each item carefully, and circle your response.
2.
f. Feeling bad about yourself, feeling that you are a failure, or feeling that you have
let yourself or your family down
Not at all Several days More than half the days Nearly every day
g. Trouble concentrating on things such as reading the newspaper or watching television
Not at all Several days More than half the days Nearly every day
h. Moving or speaking so slowly that other people could have noticed. Or being so fidgety or restless that you have been moving around a lot more than usual
Not at all Several days More than half the days Nearly every day
i. Thinking that you would be better off dead or that you want to hurt yourself in some way
Not at all Several days More than half the days Nearly every day
If you checked off any problem on this questionnaire so far, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
Not Difficult at All Somewhat Difficult Very Difficult Extremely Difficult
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Not at all Several days More than half the days Nearly every day
g. Trouble concentrating on things such as reading the newspaper or watching television
Not at all Several days More than half the days Nearly every day
h. Moving or speaking so slowly that other people could have noticed. Or being so fidgety or restless that you have been moving around a lot more than usual
Not at all Several days More than half the days Nearly every day
i. Thinking that you would be better off dead or that you want to hurt yourself in some way
Not at all Several days More than half the days Nearly every day
If you checked off any problem on this questionnaire so far, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
Not Difficult at All Somewhat Difficult Very Difficult Extremely Difficult
Copyright held by Pfizer Inc, but may be photocopied ad libitum
1
Tools May be printed without permission
a. Little interest or pleasure in doing things
Not at all Several days More than half the days
b. Feeling down, depressed, or hopeless
Not at all Several days More than half the days
c. Trouble falling asleep, staying asleep, or sleeping too much
Not at all Several days More than half the days
d. Feeling tired or having little energy
Not at all Several days More than half the days
e. Poor appetite or overeating
Not at all Several days More than half the days
Not at all Several days More than half the days
b. Feeling down, depressed, or hopeless
Not at all Several days More than half the days
c. Trouble falling asleep, staying asleep, or sleeping too much
Not at all Several days More than half the days
d. Feeling tired or having little energy
Not at all Several days More than half the days
e. Poor appetite or overeating
Not at all Several days More than half the days
Nearly every day
Nearly every day
Nearly every day
Nearly every day
Nearly every day
Nearly every day
Nearly every day
Nearly every day
Nearly every day
PHQ-9 — Scoring Tally Sheet
Patient Name Date
1. Over the last 2 weeks, how often have you been bothered by any of the following problems? Read each item carefully, and circle your response.
1. Over the last 2 weeks, how often have you been bothered by any of the following problems? Read each item carefully, and circle your response.
a. Littleinterestorpleasureindoingthings
Not
at all
Several
days
More than
half the days
Nearly
every day
0
1
2
3
b. Feelingdown,depressed,orhopeless
c. Troublefallingasleep,stayingasleep,or
sleeping too much
d. Feelingtiredorhavinglittleenergy
e. Poorappetiteorovereating
f. Feeling bad about yourself, feeling that you are
a failure, or feeling that you have let yourself
or your family down
g. Troubleconcentratingonthingssuchas
reading the newspaper or watching television
h. Movingorspeakingsoslowlythatother
people could have noticed. Or being so fidgety
or restless that you have been moving around a
lot more than usual
i. Thinking that you would be better off dead or
that you want to hurt yourself in some way
Totals
2. If you checked off any problem on this questionnaire so far, how difficult
have these problems made it for you to do your work, take care of things at
home, or get along with other people?
Copyright held by Pfizer Inc, but may be photocopied ad libitum
Copyright held by Pfizer Inc, but may be photocopied ad libitum
Not Difficult At All
|
Somewhat Difficult
|
Very Difficult
|
Extremely Difficult
|
0
|
1
|
2
|
3
|
2
Tools May be printed without permission
How to Score PHQ-9
Scoring Method
For Diagnosis
Major Depressive Syndrome is suggested if:
-
Of the 9 items, 5 or more are circled as at least "More than half the days"
-
Either item 1a or 1b is positive, that is, at least "More than half
the days"
Minor Depressive Syndrome is suggested if:
-
Of the 9 items, b, c, or d are circled as at least "More than half the
days"
-
Either item 1a or 1b is positive, that is, at least "More than half
the days"
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:
-
To score the first question, tally each response by the number
value of each response:
Scoring Method
For Planning
And Monitoring
Treatment
Score
|
Action
|
<4
|
The score suggests the patient may not need depression
treatment.
|
> 5-14
|
Physician uses clinical judgment about treatment, based on
patient’s duration of symptoms and functional impairment.
|
>15
|
Warrants treatment for depression, using antidepressant,
psychotherapy and/or a combination of treatment
|
3 Tools
How to Score PHQ-9
Question Two
In question two the patient responses can be one of four: not difficult at all, somewhat difficult, very difficult, extremely difficult. The last two responses suggest that the patient's functionality is impaired. After treatment begins, the functional status is again measured to see if the patient is improving.
In question two the patient responses can be one of four: not difficult at all, somewhat difficult, very difficult, extremely difficult. The last two responses suggest that the patient's functionality is impaired. After treatment begins, the functional status is again measured to see if the patient is improving.
