Patient Health Questionnaire Phq 9
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Publicado: 9 de mayo de 2012
PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
DATE:
NAME:
Over the last 2 weeks, how often have you been
bothered by any of the following problems?
(use "ⁿ" to indicate your answer)
More than Nearlyhalf the every day
days
Not at all
Several
days
1. Little interest or pleasure in doing things
0
1
2
3
2. Feeling down, depressed, or hopeless
0
1
2
3
3.Trouble falling or staying asleep, or sleeping too much
0
1
2
3
4. Feeling tired or having little energy
0
1
2
3
5. Poor appetite or overeating
0
1
2
3
6.Feeling bad about yourself or that you are a failure or
have let yourself or your family down
0
1
2
3
7. Trouble concentrating on things, such as reading the
newspaper or watchingtelevision
0
1
2
3
8. Moving or speaking so slowly that other people could
have noticed. Or the opposite being so figety or
restless that you have been moving around a lot more
than usual0
1
2
3
9. Thoughts that you would be better off dead, or of
hurting yourself
0
1
2
3
add columns
+
+
(Healthcare professional: For interpretation of TOTAL,TOTAL:
please refer to accompanying scoring card).
10. If you checked off any problems, how difficult
have these problems made it for you to do
your work, take care of things at home, or get
alongwith other people?
Not difficult at all
Somewhat difficult
Very difficult
Extremely difficult
Copyright 1999 Pfizer Inc. All rights reserved. Reproduced with permission. PRIME-MD is atrademark of Pfizer Inc.
A2663B 10-04-2005
PHQ-9 Patient Depression Questionnaire
For initial diagnosis:
1.
Patient completes PHQ-9 Quick Depression Assessment.
2. If there are at least 4 s inthe shaded section (including Questions #1 and #2), consider a depressive
disorder. Add score to determine severity.
Consider Major Depressive Disorder
- if there are at least 5
s in the...
DATE:
NAME:
Over the last 2 weeks, how often have you been
bothered by any of the following problems?
(use "ⁿ" to indicate your answer)
More than Nearlyhalf the every day
days
Not at all
Several
days
1. Little interest or pleasure in doing things
0
1
2
3
2. Feeling down, depressed, or hopeless
0
1
2
3
3.Trouble falling or staying asleep, or sleeping too much
0
1
2
3
4. Feeling tired or having little energy
0
1
2
3
5. Poor appetite or overeating
0
1
2
3
6.Feeling bad about yourself or that you are a failure or
have let yourself or your family down
0
1
2
3
7. Trouble concentrating on things, such as reading the
newspaper or watchingtelevision
0
1
2
3
8. Moving or speaking so slowly that other people could
have noticed. Or the opposite being so figety or
restless that you have been moving around a lot more
than usual0
1
2
3
9. Thoughts that you would be better off dead, or of
hurting yourself
0
1
2
3
add columns
+
+
(Healthcare professional: For interpretation of TOTAL,TOTAL:
please refer to accompanying scoring card).
10. If you checked off any problems, how difficult
have these problems made it for you to do
your work, take care of things at home, or get
alongwith other people?
Not difficult at all
Somewhat difficult
Very difficult
Extremely difficult
Copyright 1999 Pfizer Inc. All rights reserved. Reproduced with permission. PRIME-MD is atrademark of Pfizer Inc.
A2663B 10-04-2005
PHQ-9 Patient Depression Questionnaire
For initial diagnosis:
1.
Patient completes PHQ-9 Quick Depression Assessment.
2. If there are at least 4 s inthe shaded section (including Questions #1 and #2), consider a depressive
disorder. Add score to determine severity.
Consider Major Depressive Disorder
- if there are at least 5
s in the...
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