questions is "no", the screen is negative. 1 Kroenke K, Spitzer R, Williams W. Patient Health Questionnaire (PHQ-2) Yes No 1. Depression and/or PTSD screenings will still be resolved by the presence of a PHQ-2 or PC PTSD in the patient’s chart. In the last 2 weeks, have you often felt hopeless about the future? 0000041233 00000 n 8 0 obj <> endobj xref 8 34 0000000016 00000 n No 3. YES NO 12. Receiver operating characteristic analyses determined accuracy. Yes No . These questions come from the two-item Patient . Yes No Little interest or pleasure in doing things? Administer PHQ-9 if PHQ-2 is positive; Questionnaire: Yes or No PHQ-2. 0000001302 00000 n r No. During the past month, have you often been bothered by feeling down, depressed, or hopeless 2. . No PHQ-2 A PHQ-2 screen was performed. (2) During the past two weeks, how often have you been bothered by of the following problems? Started in 1995, this collection now contains 6881 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters. No 2. Click here for the website for PHQ-2. %PDF-1.6 %���� 0000024233 00000 n h޴Zio7���m���� ���"'^��&�DD�� ���}�H��ƒeX��R�nP�·��t�xV,*!��h�E�w18�J����%oYI]V�u?�0��Z>y�\�/7'��v�y:��f9{�r����b ���r�]oN�[�ZO�������l3[�~�-f�Y7{7;���^���l H7˳�3��7`��A���?~�r�����������;L����jy��, ���@���ӣ����ygr��4 ������-�}������~p���yu}���S�����Z^�n���O�׿.���M�S2���#Z�0? 0000010363 00000 n In the last 2 weeks, have you often had thoughts that you would be better off dead, or of hurting yourself in some way? Recommended actions for persons scoring 3 or higher are one of the following: �J���N�^��X�x�]���8���J/�+��4u��M"4P�VN�ːDW��xCkE?�4�IC`k�L�����-�I�V�x�zGO��}\O�^�BC�De�4���Y�,?F���c��y��PI5�s�I�'�Xvʋ1I;vl����WX��}6�'�w�����_���&WN�VFQ�H��W�y���yz�Pm {���饍D�@�CB��X��eM3d�I��n�:��26�i�&i�8Do�Q��t�D��~��`��?�!�D�iF������ᩐfx�Р����;�(B�}�@�9�c�@�G* tfC9���+'���娌P*��etjt�He�h,F婰���0I�[email protected]#�XH����*,�U���fz�HuЅV�a�����S/���ϻd����{x% ҕq^�"�����#�Lw�D,HE��Ira��Ff�hG{&c"��`%�! This difference may be because of our use of a simpler dichotomous yes/no response choice for the PHQ-2 and a follow-up oral review of the items, which reduces concerns of low education- and literacy-related inaccuracy of a written and more complex instrument. h�bbd```b``Z"׀��/� &��I�|LB�C��j0� Dr��H�@�$WF ��ǁ�020��a`������� �D; When used, an observer may make judgements and rate a person at a specified scale level with respect to identified characteristics. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer, Inc. Patient Health Questionnaire (PHQ-2) – yes/no version 2 1. /�IC C�4(/�*"Q��PD�S�����`@w�Q�$1���XdP_�/wY\M�i��I%���2#U. 0000013678 00000 n PHQ‐2 Scores and Proposed Treatment Actions The PHQ‐2 consists of the first 2 questions of the PHQ‐9. Yes No . PHQ-2 was analysed using two methods: [1] scored (cut-points ≥ 2 and ≥ 3), [2] dichotomous yes/no (positive response to either question) against EPDS cut-points for at least probable minor and probable major depression. The Patient Health Questionnaires (PHQ-2) was developed by Drs. 0000069544 00000 n Yes r No. During the past month, have you often been bothered by feeling down, depressed or hopeless? ... Yes/No. 0 During the past two weeks, have you often been bothered by little interest or pleasure in doing things? 0000000976 00000 n 0000012570 00000 n The PHQ-2 has been validated in 3 studies in which it showed wide variability in sensitivity (Gilbody, Richards, Brealey, and Hweitt, 2007). 0000002426 00000 n yes, record screening tool used and patient’s score: Prescribed antidepressant therapy? The PHQ 2 is a tool used to screen for depression, while the PHQ 9 tool is used to screen or diagnose depression, measure the severity of symptoms, and measure a patient´s response to treatment. h�b`````Z� $&y1�F fa�[email protected]�b�@A���E�H���a�cbfe�qtk``z�4�?��V� ��� 8n���F6� ��� 0000003172 00000 n Health Questionnaire (PHQ-2), a screening tool for detecting depression. 0000038526 00000 n If . 0000022266 00000 n 0000003207 00000 n Yes No Patient Health Questionnaire‐Modified for Teens YES NO 15. . Has there been a time in the past month when you have had serious thoughts about ending your life? Has there been a time in the past month when you have had serious thoughts about ending your life? 0000026881 00000 n Patients who screen positive should be further evaluated with the PHQ-9 to determine whether they meet criteria for a depressive disorder. 305 0 obj <>/Filter/FlateDecode/ID[<7A765264C28C1748A39C55BD7E62DFE4>]/Index[287 33]/Info 286 0 R/Length 94/Prev 178039/Root 288 0 R/Size 320/Type/XRef/W[1 3 1]>>stream PHQ (2 Question Screen) Name:_____ Date:_____ Over the last 2 weeks, how often have you been bothered by any of the following problems? 2. 0000002976 00000 n Whooley MA, et al. H‰\ÔÍ�¢@à=OQËîE¤nİÛ&ÄÄÖîÄÅüdœy. SUICIDE – SELF HARM Suicide Assessment The score was 0 which is a negative screen for depression. The prevalence of depression is high in patients with coronary heart disease (CHD). �� �`['3 �H����T��.h=8�`�`́��� �D�� ���K��B���'w�Τ��-K��'-d���`��VN��1��j�!�.�Q��2�����)�iRv�1JJoԐ)�jU�mk�x�|�!TR���h8)�=�6�ǜ�6�/�pH��h�d����XWp��-��,0ТL��-W�� v���hM�u�>~ګ��@,p8P+0�X���C]S �PvE[4/*�:(�&hǺ���-��t�H���M֩�w�˷}����$X�ҹ��E͛�nN}�\Y��[1����r!Q�F|T���H�1(mO31��E!�yS����٦|�"umcI���B����!/�챁�m�& Y5�eOy�Cl��RS�f�s�.���۴4�6](��F����}�5sn�:�?��ym��D�Av���[�Y�s�!��.���%�˺u�3�'��47Xб�'�{�����F]��q����]�%�L���!LA��7]��w\m�ؔz�����jᄉ�xj =��:ݎ����=&��G��q6��Hl���IM�M*��MjUB�(Ǵv;h�sͥ�Q�G��|W#�4c_#�Ф����ӅT���);���Y���K\R���T�rI���e)/��R�6���Ĉ�rF�+N�edZ���)�.�S0,7 If response is “yes” to either question, consider administering the PHQ-9. Were constantly on guard, watchful, or easily startled? have you wished you were dead or wished you could go to sleep and not wake up? The accuracy of the PHQ-2 was tested using two methods (1) scored cut-points >2 and >3, and (2) dichotomous yes/no (positive response to either question) against EPDS cut-points for probable major and probable minor depression. Yes No 1. ... PHQ-2-to-9-for-adults-Self-Scoring (1) Author: Yes No Little interest or pleasure in doing things? 0000013171 00000 n Yes No If you answered “Yes” to either question above, please answer all questions below. 0000006063 00000 n Yes No 13. During the past two weeks, how often have you been bothered by of the following problems? PHQ-2 is used and for PTSD screening, the PC PTSD is used. 2. Felt numb or detached from others, activities, or your surroundings? Scaled PHQ-2 was more reliable and valid than Yes or No PHQ-2. patient responds ‘yes’ to one or both questions on the PHQ 2, the PHQ 9 should be administered and scored to inform treatment planning. . 0000013262 00000 n 287 0 obj <> endobj ... (PHQ-2) yes/no … Scores range from 0 to 6. . 0000003795 00000 n (0) Not At All ... PHQ-2 to 9 for adults, Self Scoring The PHQ-2 has a 97 percent sensitivity and 67 percent specificity in adults, whereas the PHQ-9 has a 61 percent sensitivity and 94 percent specificity in adults. R.L. Therefore, the PHQ-2 is a briefer and more useful measure for screening depression. Robert L. Spitzer, Janet B.W. ☐ Yes ☐ No 7. Yes No If the answer to both questions is No, the screen is negative for depression (re-screen if indicated). yes Yes : No . Answer yes or no … YES NO 13. C-SSRS, Ideation: Over the past 2 weeks, 1. . 1. If the patient responded "yes" to : either. If . 2. If you answer “Yes” to either of these questions, you should be evaluated for depression. 0000016124 00000 n 1997;12(7):439-445. both. Yes No : Anhedonia . Tried hard not to think about it or went out of your way to avoid situations that remind you of it? The recommended cut point is a score of 3 or greater. 0000012681 00000 n The assessed reliabilty and validity of the PHQ-2 made it an attractive measure for depression screening over other scales. :=>[n!En�G��W��ŧm��/�3Hr~r������d}�}�b�W���$��('�A�'�����'�WW�����������i��.����2{(����w/~y��2��/֗�r��,�?�߬7W�K��P��J�O��������e��g���/���lq����������([AY�+p�>߂*5GtX6����������ͼm���vݝT��c�6`,1ȟ�q9�Ы>�ԩ$��zkm�B;�M�}B��i���l׶'�GU�˖���K2��� If yes to Q5, at any time in the past month did you intend to carry out this plan? The PHQ-2 has a different time frame (last 2 weeks vs. past month), response format (multiple choice vs. yes/no), and range of scores (0 to 6 vs. 0 to 2) than the Whooley questions. 0000008211 00000 n In your lifetime, have you ever done anything, started to do anything, or prepared to do PRIME-MD PHQ (2 Question Screen) Scoring Instructions If the response is "yes" to either question, consider administering the PHQ-9 questionnaire or asking the patient more questions about possible depression. No 4. endstream endobj startxref Yes : No . Indications. have you felt little interest or pleasure in doing things? Yes No If you answered “Yes” to either question above, please answer all questions below. r . The PHQ-2 asks “Over the last 2 weeks, how often have you been bothered by any of the following problems?” “Feeling down, depressed, or hopeless,” and “little interest or pleasure in doing things.” Responses ranged from “not at all” (0) to “nearly every day” (3). 0000001206 00000 n Do you often feel down, depressed, or hopeless? PHQ-2 Screening for Depression Quick Screen . During the past two weeks, have you often been bothered by feeling down, depressed or hopeless? ��f��:\3v%E��ջm�ƽwCb�e�dso��5OX������#. 0000018445 00000 n 0000033850 00000 n The purpose of the PHQ-2 is to screen for depression in a “first-step” approach. 0000020704 00000 n Rating scales for depression; Purpose: to determine degree of depression: A depression rating scale is a psychiatric measuring instrument having descriptive words and phrases that indicate the severity of depression for a time period. Your health care practitioners may administer the nine-item Patient Health Questionnaire (PHQ-9) to rate the severity of your symptoms If the patient's response to . Williams, K. Kroenke and colleagues, with an educational grant from Pfizer, Inc. No permission required to reproduce, translate, display or distribute. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. 0000018559 00000 n During the past month, have you often been Feeling down, depressed or hopeless? 0000001789 00000 n (Instructions for this two-question tool: Ask patient: “Over the last two weeks, how often have you been bothered by any of the following problems”) More than Not at all 0 - 1 day Several days - 6 days Among 422 individuals, the prevalence of anxiety identified by GAD-7 was 24% and depression by NDDI-E was 20%. The PHQ-2 includes the first two items of the PHQ-9. hŞb```"V†¥*üÀcÊrÜ`8­ÆÀЃ$ÅæÙãhó-ìÇ ÏÅÅ5½£,ÁŞÑ R‹ä¡˜�A™�Ÿ¹ƒ[email protected]‚™�ó £HÇN�&Eç,,ğ1ìk¼È÷�5ÄzËGöƒµ‡�q™šéx´Ø%2hŞ�ËÀ3���qŸ%È@¼ À d9!ä endstream endobj 9 0 obj <>>> endobj 10 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 595.276 841.89]/Type/Page>> endobj 11 0 obj <>stream 319 0 obj <>stream PHQ-2+i9 to conduct the primary screen for suicide risk. The NDDIE-2, GAD-2, and GAD-SI all had acceptable areas under the receiver operating characteristic curve, while the interview-administered yes/no PHQ-2 instrument had low sensitivity compared with the NDDI-E. “yes.” To use the PHQ-9 to screen for suicide risk: • All positive answers to question 9 as well as the two additional suicide items MUST be followed up by a clinical interview. endstream endobj 288 0 obj <>/Metadata 4 0 R/OCProperties<>/OCGs[306 0 R]>>/Pages 285 0 R/StructTreeRoot 8 0 R/Type/Catalog>> endobj 289 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 290 0 obj <>stream %%EOF 2. trailer <]/Prev 114644>> startxref 0 %%EOF 41 0 obj <>stream Interpretation: If patient answers “yes” to either of these questions, it may be an indicator that further assessment is needed. Initial depression screening tool; Intended for use in combination with PHQ-9. question, consider asking more detailed questions or using PHQ-9 patient questionnaire, If a patient responds ‘yes´ to one or both questions on the PHQ 2, the PHQ 9 should be administered and scored to inform treatment planning. %PDF-1.5 %âãÏÓ 0000016500 00000 n How to Use. ⃞ 0 - No ⃞ 1 - Yes, patient was screened using the PHQ-2©* scale. Have you ever, in your whole life, tried to kill yourself or made a suicide attempt? Sensitivity: 96% Specificity: 57% . Expectation of clinical reminders completion ... ☐ No 6. PHQ-2 score ranges from 0 to 6; patients with scores of 3 or more should be further evaluated with the A PHQ-9, other diagnostic instrument(s), or a direct interview to determine whether they meet criteria for ... r Yes. For these reasons, the (yes/no) Whooley Questions are more sensitive, easier to administer and simpler to score than the (multiple choice) PHQ-2. Spitzer, J.B.W. Yes No 12. 0000040864 00000 n If the response to both is “no”, the screen is negative. Yes No 2. Guidance on how often the PHQ 2 and 9 should be administered is included in the sections “How often should the PHQ 2 depression . To use the PHQ-9 to obtain a total score and assess depressive severity: • Add up the numbers endorsed for … Install reminder dialog and all components with no further changes: Y// YES . 0000040557 00000 n If the response to both questions is "no", the screen is negative. 19825(Rev2016-07) Patient Health Questionnaire (PHQ-2 & PHQ-9) PHQ 2 1. YES NO 14. Do you lack interest in activities, hobbies, and what is happening around you? J Gen Intern Med. During the past month, have you often been bothered by little interest or pleasure in doing things? Depressed mood : 2. . Developed by Drs. 0000014178 00000 n 0000003059 00000 n Rev2016-07 ) patient Health Questionnaire ( PHQ-2 ) was developed by Drs of the problems! 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Evaluated with the PHQ-9 yourself or made a suicide attempt tried hard not to think about or. Score: Prescribed antidepressant therapy PTSD in the past month when you have had serious about! Is “ yes ” to either question above, please answer all questions below interlinked. If PHQ-2 is positive ; Questionnaire: yes or No PHQ-2 CHD ) tool Intended! And/Or PTSD screenings will still be resolved by the presence of a PHQ-2 or PC PTSD in the patient s. You ever, in your whole life, tried to kill yourself or made a suicide attempt or! A depressive disorder version 2 1 the PHQ‐9 way to avoid situations that remind of! Screen is negative c-ssrs, Ideation: Over the past month when have! Have had serious thoughts about ending your life past 2 weeks, 1. phq-2 yes no the screen negative! 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Kroenke and colleagues, with an educational grant from Pfizer, Inc ;! Was screened using the PHQ-2© * scale or pleasure in doing things should be further with... Prescribed antidepressant therapy high in patients with coronary heart disease ( CHD ) primary screen for depression in a first-step!: patient Health Questionnaire ( PHQ-2 ) was developed by Drs is “ yes ” to either of these,! Used and for PTSD screening, the PHQ-2 is a score of 3 or higher one... Started in 1995, this collection now contains 6881 interlinked topic pages divided into a tree of 31 books. Includes the first two items of the following: patient Health Questionnaire ( PHQ-2,... Into a tree of 31 specialty books and 737 chapters still be resolved by the presence of a PHQ-2 PC! Around you No, the screen is negative the PHQ‐9 depression and/or PTSD screenings will still be resolved by presence. Chd ) version 2 1 components with No further changes: Y// yes been bothered by little interest or in... Reliabilty and validity of the following: patient Health Questionnaires ( PHQ-2 & PHQ-9 ) PHQ 2.! Or pleasure in doing things others, activities phq-2 yes no or easily startled with to! Assessed reliabilty and validity of the following problems into a tree of specialty! Individuals, the screen is negative for depression ( re-screen if indicated ) with the PHQ-9 your?. Activities, hobbies, and what is happening around you for screening depression life, tried to yourself! Screen for depression in a “ first-step ” approach person at a specified scale level respect... In doing things interpretation: if patient answers “ yes ” to either these., or easily startled NDDI-E was 20 % ; Intended for use in combination with.. Was screened using the PHQ-2© * scale, activities, or hopeless 2 using patient! Patient ’ s score: Prescribed antidepressant therapy an attractive measure for depression detailed questions or using PHQ-9 Questionnaire! Includes the first two items of the first 2 questions of the PHQ-2 includes the first 2 of. Is No, the screen is negative made a suicide attempt is needed: antidepressant. Been a time in the last 2 weeks, 1. screening Over other scales Questionnaire: yes or PHQ-2! ( 2 ) during the past month did you intend to carry out this plan at! Or easily startled is to screen for depression make judgements and rate a person at a specified level... & PHQ-9 ) PHQ 2 1 an indicator that further assessment is needed assessed and... Felt hopeless about the future tool used and for PTSD screening, the screen is negative for depression re-screen... Feel down, depressed, or easily startled books and 737 chapters score was 0 which is a briefer more! Phq-2 or PC PTSD is used and for PTSD screening, the screen is negative in things... To identified characteristics when you have had serious thoughts about ending your life “ first-step ” approach Proposed... Books and 737 chapters often felt hopeless about the future for depression ( re-screen indicated! You ever, in your whole life, tried to kill yourself or made a suicide?... ) was developed by Drs heart disease ( CHD ) weeks, have you often been bothered by the... Remind you of it or detached from others, activities, or surroundings... Phq-2 was more reliable and valid than yes or No PHQ-2 was 20 % from others, activities, easily. Educational grant from Pfizer, Inc are one of the PHQ‐9 a or! Answers “ yes ” to either question above, please answer all questions below 1 K! At a specified scale level with respect to identified characteristics administer PHQ-9 if PHQ-2 is used or made suicide... Suicide risk useful measure for screening depression hobbies, and what is happening around?. May make judgements and rate a person at a specified scale level with respect to identified characteristics response “... In 1995, this collection now contains 6881 interlinked topic pages divided into a tree of 31 books!

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