What does PHQ-2 stand for?
The Patient Health Questionnaire 2 (PHQ-2) is used by some clinicians and organizations to screen patients for undiagnosed depression. The PHQ-2 consists of the first two questions asked on the PHQ-9. If the patient responds affirmatively to either of the two items on the PHQ-2,...
How many questions are on the PHQ-2?
The PHQ-2 consists of the first two questions asked on the PHQ-9. If the patient responds affirmatively to either of the two items on the PHQ-2, the following seven questions on the PHQ-9 are asked. This can be a particularly effective way to screen large groups of people for depression.*
Is it free to use the PHQ-2?
It is free to users and available in English and over 30 other languages. The PHQ-2, comprising the first 2 items of the PHQ-9, inquires about the degree to which an individual has experienced depressed mood and anhedonia over the past two weeks.
What is a good PHQ-2 score?
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 a depressive disorder.
What does a PHQ-9 score of 2 mean?
“Several days” = 1 “More than half the days” = 2 “Nearly every day” = 3 3. Add together column scores to get a TOTAL score. 4. Refer to accompanying PHQ-9 Scoring Card to interpret the TOTAL score. 5.
What is the difference between PHQ-2 and PHQ-9?
PHQ-9 items reflect the 9 DSM symptoms of major depression; PHQ-2 items reflect depressed mood and anhedonia. We prioritized major depressive episode over major depressive disorder, if both were provided, because screening attempts to detect episodes, and we prioritized DSM over ICD.
What is a PHQ-2 score of 6?
A score of 0-5 indicates that a patient is likely nonadherent, whereas a score of 6-10 indicates that a patient is likely adherent to his or her medications.
What does PHQ stand for?
Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): A diagnostic meta-analysis. Journal of General Internal Medicine, 22(11), 1596-1602.
What is the purpose of PHQ-2?
The purpose of the PHQ-2 is to provide a brief, initial screening for major depression. Adapted from the PHQ-9, this tool has been used as a first step in depression screening to identify individuals who require additional evaluation. The PHQ-2 covers only major depressive disorder.
Can you bill for PHQ-2?
PHQ-2 may not be billed. Substance use assessment Annually beginning at 11 years of age; use of brief screening tool is recommended. only when a standardized screening tool is used and results documented. may be billed only when a standardized screening tool is used and results documented.
What score is a positive PHQ-2?
For the PHQ-2 a score of 2 or higher detected more cases of depression than a score of 3 or higher. For the PHQ-9 a score of 10 or higher detected more cases of major depression than the PHQ determination of major depression originally described by Spitzer et al in 1999.
What is a high depression score?
0 to 4 points:No depression5 to 9 points:Mild depression10 to 14 points:Moderate depression15 to 19 points:Moderately severe depression20 to 27 points:Severe depression
How often should PHQ-2 be administered?
Monthly until remission or for first 6 months after diagnosis. At least quarterly while on active treatment. At least annually after that.
Who developed the PHQ-2?
The Patient Health Questionnaires (PHQ-2) was developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer, Inc.
How do you interpret PHQ?
A PHQ-9 score total of 0-4 points equals “normal” or minimal depression. Scoring between 5-9 points indicates mild depression, 10-14 points indicates moderate depression, 15-19 points indicates moderately severe depression, and 20 or more points indicates severe depression.
What test is used for depression?
The Beck Depression Inventory (BDI) is widely used to screen for depression and to measure behavioral manifestations and severity of depression. The BDI can be used for ages 13 to 80.
What is the PHQ-9 test?
The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as “0” (not at all) to “3” (nearly every day).
What is a PHQ-9 and how is it scored?
PHQ-9 Depression Severity. 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. PHQ-9 total score for the nine items ranges from 0 to 27.
Who can administer the PHQ-9?
The PHQ 2 and 9 should be completed by the patient, usually in the waiting room, and then scored by a staff person. Often administrative staff or medical assistants score this form and subsequently enter the score into the electronic health record.
Can you bill for PHQ-9?
When you perform a standardized screening such as the PHQ-A or PHQ-9, you should bill for it. This can be used whether you are using it with a well or evaluation and management (E&M) code for the visit.
What is the purpose of PHQ-2?
Its purpose is not to establish final diagnosis or to monitor depression severity , but rather to screen for depression.
What is the PHQ-9?
Description of Measure: The PHQ-9 and PHQ-2, components of the longer Patient Health Questionnaire, offer psychologists concise, self-administered tools for assessing depression. They incorporate DSM-IV depression criteria with other leading major depressive symptoms into a brief self-report instruments that are commonly used for screening and diagnosis, as well as selecting and monitoring treatment.
Is PHQ-9 free?
The PHQ-9 also has been used in many studies in primary care settings, as well as with older individuals and with those who have physically disabling conditions. It is free to users and available in English and over 30 other languages.
What is PHQ 2 and 9?
How are the PHQ 2 and 9 tools used? 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. The PHQ 2 and 9 are validated tools, developed and owned by Pfizer, and are quick and easy to administer. 1, 2.
What age can you use PHQ 2?
The PHQ 2 and 9 are appropriate to be used with individuals 12 years of age and older. Alternative screening tools have been developed and validated for use among special populations including youth and older adults. These alternative tools can be accessed at: https://aims.uw.edu/resource–library/phq–9–depression–scale.
What is the PHQ 9 score?
Each organization will need to identify the PHQ 9 score that necessitates intervention in their particular setting. This is generally a score of 10 or above and/or a positive answer on question 9 of the PHQ 9, which is a screening for suicidal symptoms. 3, 4 A workflow will need to be developed to identify appropriate staff responsibilities and procedures for responding to these scores. This workflow includes review by the team (primary care provider and behavioral health staff, if available). Ideally, this pathway is then embedded into the electronic health record as part of the standard care delivery process.
How to follow up on PHQ 9?
The administration of the PHQ for follow up can be done using phone calls and/or a smartphone application. 5, 6 Results from studies that have analyzed telephonic and electronic administration of the tool have demonstrated that these methods yield similar results to being administered in person.
Is PHQ 2 public?
The PHQ 2 and 9 are both publicly available, and no permission is required to use, reproduce, or distribute the tools. Additionally, the tools are free of cost to use and can be incorporated into electronic health records. |top of page|.
What is the PHQ-2?
The Patient Health Questionnaire 2-item (PHQ-2) is a brief screening tool for major depression. The PHQ-2 consists of the first two questions of the Patient Health Questionnaire-9 (PHQ-9), which target core symptoms of depression (depressed mood and anhedonia). This review identifies psychometric properties of the PHQ-2 for use as a depression screening among youth 12 years through 20 years of age.
What is the purpose of PHQ-2?
The purpose of the PHQ-2 is to provide a brief, initial screening for major depression. Adapted from the PHQ-9, this tool has been used as a first step in depression screening to identify individuals who require additional evaluation.
