{"id":28883,"date":"2022-06-22T10:12:27","date_gmt":"2022-06-22T08:12:27","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=28883"},"modified":"2022-06-22T10:12:27","modified_gmt":"2022-06-22T08:12:27","slug":"phq-9-patient-health-questionnaire-9","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/en\/digital-doctors-bag\/phq-9-patient-health-questionnaire-9\/","title":{"rendered":"PHQ-9 (Patient Health Questionnaire-9)"},"content":{"rendered":"<p>The Patient Health Questionnaire-9 (PHQ-9) is used to screen for depression and provides an assessment of the severity of depression. The questionnaire is a module of other health questionnaires developed for psychological assessment. The items are based on the diagnostic criteria of the DSM IV (\u00abDiagnostic and Statistical Manual of Mental Disorders\u00bb).<\/p>\n    <div class=\"medical-calculator phq9\" id=\"medical-calculator-phq9\">\r\n        <form>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Little interest or pleasure in doing things\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"little-interest-in-activities\" id=\"medical-calculator-phq9-little-interest-in-activities-1\" value=\"1\" tabindex=\"1\" autocomplete=\"off\">\r\n                                                        Not at all (0)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"little-interest-in-activities\" id=\"medical-calculator-phq9-little-interest-in-activities-2\" value=\"2\" tabindex=\"2\" autocomplete=\"off\">\r\n                                                        Several days (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"little-interest-in-activities\" id=\"medical-calculator-phq9-little-interest-in-activities-3\" value=\"3\" tabindex=\"3\" autocomplete=\"off\">\r\n                                                        More than half the days (+2)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"little-interest-in-activities\" id=\"medical-calculator-phq9-little-interest-in-activities-4\" value=\"4\" tabindex=\"4\" autocomplete=\"off\">\r\n                                                        Nearly every day (+3)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Feeling down, depressed, or hopeless\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"abjectness\" id=\"medical-calculator-phq9-abjectness-1\" value=\"1\" tabindex=\"5\" autocomplete=\"off\">\r\n                                                        Not at all (0)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"abjectness\" id=\"medical-calculator-phq9-abjectness-2\" value=\"2\" tabindex=\"6\" autocomplete=\"off\">\r\n                                                        Several days (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"abjectness\" id=\"medical-calculator-phq9-abjectness-3\" value=\"3\" tabindex=\"7\" autocomplete=\"off\">\r\n                                                        More than half the days (+2)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"abjectness\" id=\"medical-calculator-phq9-abjectness-4\" value=\"4\" tabindex=\"8\" autocomplete=\"off\">\r\n                                                        Nearly every day (+3)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Trouble falling or staying asleep, or sleeping too much\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"sleep-problems\" id=\"medical-calculator-phq9-sleep-problems-1\" value=\"1\" tabindex=\"9\" autocomplete=\"off\">\r\n                                                        Not at all (0)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"sleep-problems\" id=\"medical-calculator-phq9-sleep-problems-2\" value=\"2\" tabindex=\"10\" autocomplete=\"off\">\r\n                                                        Several days (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"sleep-problems\" id=\"medical-calculator-phq9-sleep-problems-3\" value=\"3\" tabindex=\"11\" autocomplete=\"off\">\r\n                                                        More than half the days (+2)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"sleep-problems\" id=\"medical-calculator-phq9-sleep-problems-4\" value=\"4\" tabindex=\"12\" autocomplete=\"off\">\r\n                                                        Nearly every day (+3)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Feeling tired or having little energy\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"fatigue\" id=\"medical-calculator-phq9-fatigue-1\" value=\"1\" tabindex=\"13\" autocomplete=\"off\">\r\n                                                        Not at all (0)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"fatigue\" id=\"medical-calculator-phq9-fatigue-2\" value=\"2\" tabindex=\"14\" autocomplete=\"off\">\r\n                                                        Several days (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"fatigue\" id=\"medical-calculator-phq9-fatigue-3\" value=\"3\" tabindex=\"15\" autocomplete=\"off\">\r\n                                                        More than half the days (+2)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"fatigue\" id=\"medical-calculator-phq9-fatigue-4\" value=\"4\" tabindex=\"16\" autocomplete=\"off\">\r\n                                                        Nearly every day (+3)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Poor appetite or overeating\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"anorexia-gluttony\" id=\"medical-calculator-phq9-anorexia-gluttony-1\" value=\"1\" tabindex=\"17\" autocomplete=\"off\">\r\n                                                        Not at all (0)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"anorexia-gluttony\" id=\"medical-calculator-phq9-anorexia-gluttony-2\" value=\"2\" tabindex=\"18\" autocomplete=\"off\">\r\n                                                        Several days (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"anorexia-gluttony\" id=\"medical-calculator-phq9-anorexia-gluttony-3\" value=\"3\" tabindex=\"19\" autocomplete=\"off\">\r\n                                                        More than half the days (+2)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"anorexia-gluttony\" id=\"medical-calculator-phq9-anorexia-gluttony-4\" value=\"4\" tabindex=\"20\" autocomplete=\"off\">\r\n                                                        Nearly every day (+3)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Feeling bad about yourself \u2013 or that you\u2019re a failure or have let yourself or your family down\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"inferiority-feeling\" id=\"medical-calculator-phq9-inferiority-feeling-1\" value=\"1\" tabindex=\"21\" autocomplete=\"off\">\r\n                                                        Not at all (0)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"inferiority-feeling\" id=\"medical-calculator-phq9-inferiority-feeling-2\" value=\"2\" tabindex=\"22\" autocomplete=\"off\">\r\n                                                        Several days (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"inferiority-feeling\" id=\"medical-calculator-phq9-inferiority-feeling-3\" value=\"3\" tabindex=\"23\" autocomplete=\"off\">\r\n                                                        More than half the days (+2)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"inferiority-feeling\" id=\"medical-calculator-phq9-inferiority-feeling-4\" value=\"4\" tabindex=\"24\" autocomplete=\"off\">\r\n                                                        Nearly every day (+3)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Trouble concentrating on things, such as reading the newspaper or watching television\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"concentration-difficulties\" id=\"medical-calculator-phq9-concentration-difficulties-1\" value=\"1\" tabindex=\"25\" autocomplete=\"off\">\r\n                                                        Not at all (0)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"concentration-difficulties\" id=\"medical-calculator-phq9-concentration-difficulties-2\" value=\"2\" tabindex=\"26\" autocomplete=\"off\">\r\n                                                        Several days (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"concentration-difficulties\" id=\"medical-calculator-phq9-concentration-difficulties-3\" value=\"3\" tabindex=\"27\" autocomplete=\"off\">\r\n                                                        More than half the days (+2)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"concentration-difficulties\" id=\"medical-calculator-phq9-concentration-difficulties-4\" value=\"4\" tabindex=\"28\" autocomplete=\"off\">\r\n                                                        Nearly every day (+3)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Moving or speaking so slowly that other people could have noticed. Or, the opposite \u2013 being so fidgety or restless that you have been moving around a lot more than usual\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"lethargic-hyperactive\" id=\"medical-calculator-phq9-lethargic-hyperactive-1\" value=\"1\" tabindex=\"29\" autocomplete=\"off\">\r\n                                                        Not at all (0)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"lethargic-hyperactive\" id=\"medical-calculator-phq9-lethargic-hyperactive-2\" value=\"2\" tabindex=\"30\" autocomplete=\"off\">\r\n                                                        Several days (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"lethargic-hyperactive\" id=\"medical-calculator-phq9-lethargic-hyperactive-3\" value=\"3\" tabindex=\"31\" autocomplete=\"off\">\r\n                                                        More than half the days (+2)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"lethargic-hyperactive\" id=\"medical-calculator-phq9-lethargic-hyperactive-4\" value=\"4\" tabindex=\"32\" autocomplete=\"off\">\r\n                                                        Nearly every day (+3)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Thoughts that you would be better off dead or of hurting yourself in some way\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"suicidal-thoughts\" id=\"medical-calculator-phq9-suicidal-thoughts-1\" value=\"1\" tabindex=\"33\" autocomplete=\"off\">\r\n                                                        Not at all (0)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"suicidal-thoughts\" id=\"medical-calculator-phq9-suicidal-thoughts-2\" value=\"2\" tabindex=\"34\" autocomplete=\"off\">\r\n                                                        Several days (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"suicidal-thoughts\" id=\"medical-calculator-phq9-suicidal-thoughts-3\" value=\"3\" tabindex=\"35\" autocomplete=\"off\">\r\n                                                        More than half the days (+2)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"suicidal-thoughts\" id=\"medical-calculator-phq9-suicidal-thoughts-4\" value=\"4\" tabindex=\"36\" autocomplete=\"off\">\r\n                                                        Nearly every day (+3)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/form>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12\">\r\n                <div id=\"medical-calculator-phq9-result-text\" class=\"result-text\">\r\n                    <p><h5>\r\n                                                PHQ-9 Score:\r\n                         <span id=\"medical-calculator-phq9-result-value\"><\/span><\/h5><\/p>\r\n                    <p id=\"medical-calculator-phq9-result-value-text\"><\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div id=\"medical-calculator-phq9-suicidal-warning-wrapper\" class=\"d-none\">\r\n            <div class=\"row\">\r\n                <div class=\"col-sm-12\">\r\n                    <div class=\"result-text red\">\r\n                        <p class=\"pt-3\">\r\n                                                            The patient expresses suicidal or self-harming thoughts. Immediate psychiatric evaluation is strongly recommended.\r\n                                                    <\/p>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            Interpretation\r\n                                    <\/h5>\r\n                <div class=\"table-responsive-sm\">\r\n                    <table class=\"table table-bordered\">\r\n                        <thead>\r\n                            <tr>\r\n                                <th>\r\n                                                                            Score\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Interpretation\r\n                                                                    <\/th>\r\n                            <\/tr>\r\n                        <\/thead>\r\n                        <tbody>\r\n                            <tr class=\"table-row-a\">\r\n                                <td>\r\n                                                                            &le; 4\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            No or minimal depressive disorder\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-b\">\r\n                                <td>\r\n                                                                            5-9\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            Mild depressive disorder\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-c\">\r\n                                <td>\r\n                                                                            10\u201314\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            Moderate depressive disorder\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-d\">\r\n                                <td>\r\n                                                                            15\u201319\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            Moderately severe depressive disorder\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-e\">\r\n                                <td>\r\n                                                                            &ge; 20\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            Severe depressive disorder\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                        <\/tbody>\r\n                    <\/table>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            References\r\n                                    <\/h5>\r\n                <ol class=\"references\">\r\n                    <li id=\"phq9-cite-note-1\">Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613. doi:10.1046\/j.1525-1497.2001.016009606.x<\/li>\r\n                    <li id=\"phq9-cite-note-2\">Arroll B, Goodyear-Smith F, Crengle S, et al. Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Ann Fam Med. 2010;8(4):348-353. doi:10.1370\/afm.1139<\/li>\r\n                    <li id=\"phq9-cite-note-3\">L\u00f6we B, Spitzer RL, Zipfel S, Herzog W. PHQ-D, Gesundheitsfragebogen f\u00fcr Patienten, Manual. Medizinische Universita\u0308tsklinik Heidelberg 2002;1\u201311.<\/li>\r\n                <\/ol>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <script type=\"text\/javascript\">\r\n                var medical_calculator_phq9_messages = {\r\n            'result_le_4' : 'No or minimal depressive disorder',\r\n            'result_5_to_9' : 'Mild depressive disorder',\r\n            'result_10_to_14' : 'Moderate depressive disorder',\r\n            'result_15_to_19' : 'Moderately severe depressive disorder',\r\n            'result_ge_20' : 'Severe depressive disorder',\r\n            'point' : 'point',\r\n            'points' : 'points'\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>The Patient Health Questionnaire-9 (PHQ-9) is used to screen for depression and provides an assessment of the severity of depression. The questionnaire is a module of other health questionnaires developed for psychological assessment. The items are based on the diagnostic criteria of the DSM IV (\u00abDiagnostic and Statistical Manual of Mental Disorders\u00bb).<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":28833,"menu_order":121,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-28883","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28883","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/comments?post=28883"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28883\/revisions"}],"predecessor-version":[{"id":28884,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28883\/revisions\/28884"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28833"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/media?parent=28883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}