If you suspect a patient may have gad, the 7item generalised anxiety disorder scale gad7 is a validated questionnaire available to screen for and assess the severity of anxiety symptoms 2. The tools listed on this website can be done alone, or someone can ask the person the. Concordance of edinburgh postnatal depression scale epds and patient health questionnaire. This symptom assessment tool measures seven anxiety symptoms on 4point scales. Total scores of 5, 10, and 15 represent cutpoints for mild, moderate, and severe anxiety. Instructions for patient health questionnaire phq and gad7 measures. It contains the mood phq9, anxiety, alcohol, eating, and somatoform modules. Gad7 total score for the seven items ranges from 0 to 21. Phq 9 and gad 7 fillable forms fill online, printable. Screening for generalized anxiety disorder in spanish primary care centers with the gad7 article pdf available in psychiatry research 256 june 2017 with 2,643 reads how we measure reads. It was adapted from the phq9, gad7, pcptsd, and audit, and is available in spanish. Not at all several days more than half the days nearly every day 1 little interest or pleasure in doing things 0 1 2 3. Phq9 total score over the last 2 weeks, on how many days have you been bothered by any of the following problems. Each tool has scoring instructions which indicate when the overall score shows that.
The phq9 is approved for use and billing of maternal depression in infant. Not at all 0 several days 1 more than half the days 2 nearly every day 3 q1. Refer to the accompanying phq9 scoring box to interpret the total score. The users moods were evaluated weekly for consistency between the clinical tools and. 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 scoring method for diagnosis minor depressive syndrome is suggested if.
It is not specific to pregnancy or postpartum, but it is very often used for postpartum depression screening. Phq9 scoring instructions and interpretation scoring. Patient completes phq9 quick depression assessment on accompanying tearoff pad. Unlike the phq9, clinicians use the gad7 to assess the severity of anxiety only. Consider scheduling a followup visit in a few weeks, patient. The gad7 is a seven question selfrating scale that is commonly used for. The general rule is that the higher the number, the more severe the case is. See website for additional information and translations. Like the phq9, scores range from 0 to 27 with scores of 5, 10, and 15 indicating mild, moderate, and severe anxiety. Over the last 2 weeks, how often have you been bothered by any of the following problems. There are numerous translations of the phq as well as the phq 9 and gad7 available in many languages, which are freely downloadable on the phq website. To use the phq9 as a diagnostic aid for major depressive disorder.
For each symptom put an x in the box beneath the answer that best describes how you have been feeling. 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. Personal health questionnaire phq9 score interpretation. Generalized anxiety disorder screener gad7 over the. Personal health questionnaire phq9 score interpretation and possible actions total score depression severity actions needed 14 minimal depression initial assessment this score suggests the patient, at this time, may not need depression treatment. How to score the patient health questionnaire phq9. Using the threshold score of 10, the gad7 has a sensitivity of.
The phq9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetricsgynecology clinics. Generalized anxiety disorder screener gad7 scoring and interpretation. For patients with a depressive disorder, a phq depression severity index score can be calculated and repeated over time to monitor change. From the primary care evaluation of mental disorders patient health questionnaire primemd phq.
The phq9 is the depression module, which scores each of the 9 dsmiv criteria as 0 not at all to 3 nearly every day. Scoring the phq9 modified for teens scoring the phq9 modified for teens is easy but involves thinking about several different aspects of depression. Gad7 the gad7 generalized anxiety disorder is a sevenquestion screening tool that identifies whether a complete assessment. The scoring for both measures helps people to ascertain how severe the issue is. A recommended cut point for further evaluation is a score of 10 or greater. 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. Gad7 anxiety severity this is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of not at all. Phq9 questionnaire for depression scoring and interpretation guide for physician use only scoring. How often have you been bothered by each of the following symptoms during the past two weeks. Please complete the phq 9 and gad7 phq9 0 1 2 3 over the last two weeks how often have you been bothered by the following problems. All phq, gad7 screeners and translations in a multitude of languages are. Screening for generalized anxiety disorder in spanish.
Interpretation of total score and treatment suggestions score range treatment 04 normal no action 59 mild watchful waiting. Of the 9 items, b, c, or d are circled as at least more than half the days. The patient health questionnaire phq 9 overview the phq9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. 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. Phq 9t and gad7 with scoring guidelines last edited.
Adapted from the patient health questionnaire phq screeners. Quick guide to primemd patient health questionnaire phq. Phq9t and gad7 with scoring guidelines assessment measures. Scoring scores of 5, 10, and 15 are taken as the cutoff points for mild, moderate and severe anxiety, respectively. Elevated scores on two or more scales suggest comorbidity. The gad7 is a 7question anxiety screening instrument developed in 2006. Initial assessment and monitoring for healthcare professional use only phq9 quick depression assessment tool. The manual alcohol screening and brief intervention. If being administered at the hospital visit, the hospital liaison should include the results of the gad7 in the bridges score. Scores of 5, 10, and 15 represent cut points for mild, moderate, severe respectively on all three scales somatic symptoms, generalized anxiety, depression. Not at all several days more than half the days nearly. Patient health questionnaire phq 9 the phq 9 is a nine question selfrating scale that is very commonly used for screening for adult depression. Screening tools are not meant to be diagnostic give a clear diagnosis but to let a person know that they need to follow up on the concern with a mental health professional. Phq9 scoring card for severity determination instructions for use for doctor or healthcare professional use only phq9 quick depression assessment for initial diagnosis.
Mental health screening tools in different languages. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Questions 1 andor 2 need to be endorsed as a 2 or 3. Generalised anxiety disorder gad can be difficult to recognise as patients present with a wide range of symptoms 1. Patient completes phq9 quick depression assessment. 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.
Depression should not be diagnosed or excluded solely on the basis of a phq9 score. Pdf establishing a common metric for depressive symptoms. Download a pdf form here you can fill out easily and then check below the action you need to take. This document has been developed to help clarify and address common questions on the use and administration of the patient health questionnaires 2 and 9 phq 2 and 9 as preventive depression screening tools in the integrated care setting. Pdf screening for generalized anxiety disorder in spanish. Patient health questionnaire phq9 british columbia.
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