<>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 166/Tabs/S/Type/Page>> Prescribe prescription drugs. According to DSM-5, Major Depressive Disorder is likely if 5 or more of the 9 symptoms are present for “most of the day, nearly every day" in the past 2 weeks and one of the symptoms is depressed mood or little interest or pleasure in doing things (questions 1 and 2 on the PHQ-9). It has been shown to be an effective screening tool in diverse populations (Huang 2006). Health Translations Directory – Australia Health information from the Government of Australia, Victoria, translated into many different languages. Tool with scoring instructions. It contains the first 2 questions of the PHQ-9 and takes less than a minute to administer. [9] It also is used in studies involving patients with physical disabilities as well as older adults, students, and adolescents. The PHQ-9 has been translated in more than 30 languages and it has been validated for use for different cultures and ethnicities. PHQ 9 Modified for Teens (multiple languages) Modified with permission by the GLAD-PC team from the PHQ-9 (Spitzer, Williams, & Kroenke, 1999), Revised PHQ- A (Johnson, 2002), and the CDS (DISC Development Group, 2000). Saying nine in Middle-Eastern Languages . In general, a total of 10 or above is suggestive of the presence of depression. English version cut-offs in the hearing population of 10 and 8 respectively. aa=MD*GĈ}q�J*3��:�QX1d���_ ��8g��ɼ)�sK�m��I2ص2�g�Y���-v����m���*k��3����*&�۴��kiļ��_�g��t�� ��������C�\��/;�_P�5`;�ă�"m(���^I+��%д�#.��%;��"��o�M0�n+���sV. It is the 9-question depression scale from the Patient Health Questionnaire (PHQ). This tool is available in 29 languages from the website. Subjects (n = 284; male = 107, female = 177) had to return the questionnaires to their health care professional within 48 hours and undergo a diagnostic evaluation interview based on the Japanese version of M.I.N.I-Plus. In line with other studies comparing different language versions of the PHQ-9, we found DIF for the item ‘sleep problems’ [20,21,22]. Over 2,000 women were from Africa, the majority from South and East Africa. PHQ-9 has also been translated into different languages and vali- dated in various cultures (example Zhang et al., 2013; Inagaki et al., 2013; Osório et al., 2009; Persoons et al., 2003; Carballeira et al., existence of past manic/hypomanic episode, bereavement, other mental disorder, effects of a medication or illness). possible languages most relevant for translation of the EPDS. It is available in 49 languages , including English and French. different languages. [10], The GAD-7 is a 7-question anxiety screening instrument developed in 2006. The PHQ-9 (DEP-9 in some sources[1])is a 9-question instrument given to patients in a primary care setting to screen for the presence and severity of depression. We also recommend validating the PHQ-9 for use in different languages and countries due to the linguistic characteristics of each country. © 2018 The REACH Institute. validated the PHQ-9 in different languages [40–43], results have. Over 3,000 women were from South and Central Europe, from countries such as Austria, Germany and the Netherlands. Listed below are PHQ-9 totals, the levels of depression that they relate to, and suggested treatment for each level of depression:[5], A provisional diagnosis of Major Depressive Disorder can be made by using responses to PHQ-9 questions to fulfill the diagnostic criteria of DSM-5. 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. Responses range from “0” (Not at all) to “3” (nearly every day). It has modules on mood (PHQ-9), anxiety, alcohol, eating, and somatoform disorders. More information about use, questionnaires, scales and training as well as additional languages at www.hcp.med.harvard.edu. In table 2 the medians of the SF12, the number of sick days and the number of consultations are shown for patients in different PHQ-9 categories. The PHQ-9 is both sensitive and specific in its diagnoses, which has led to its prominence in the primary care setting. Like the PHQ-9, scores range from 0 to 27 with scores of 5, 10, and 15 indicating mild, moderate, and severe anxiety. Year » 2001. Downfalls of the PHQ-9 A common drawback of the PHQ-9 is that, although it has high specificity, it has a sub-optimal sensitivity. 2001 Sep;16(9):606-13. Results: The normative data of the PHQ-9 were generated according to the sex and different age categories. No studies, however, have tested whether scores on the PHQ-9 are comparable across different language … Gilbody S, Richards D, Barkham M. Diagnosing depression in primary care using self-completed instruments: UK validation of PHQ–9 and CORE–OM. possible languages most relevant for translation of the EPDS. validated the PHQ-9 in different languages [40–43], results have. Nov 28, 2019 - Disclaimer: This page provides links to the PHQ-9 in multiple languages. It is usually used in research settings in non-depressive patients. [3], The total sum of the responses suggests varying levels of depression. Higher scores on the PHQ-15 are strongly associated with functional impairment, disability and health care use. The GAD-2 is a 2-question shortened version of the GAD-7 that uses the first two questions from the GAD-7. The PHQ-9 is available in over 30 languages and it has been validated for use in different ethnicities. [9] The Behavioral Risk Factor Surveillance Survey (BRFSS), the National Health and Nutrition Examination Survey, the Medical Expenditure Panel Survey, the National Epidemiologic Survey on Alcohol and Related Conditions, the Medicare Health Support program, and the Millennium Cohort Study use the full PHQ-9 or a shortened form of it. [7], Clinicians may also use the PHQ-9 to evaluate treatments given for depression. The PHQ-9 has also been adapted for use in a small sample of Aboriginal primary care patients with coronary heart disease . 4 0 obj PHQ-9 Japanese version (J-PHQ-9) The PHQ-9 is the depression module of the PHQ, a diagnostic instrument that is used for screening mood, anxiety and other psychiatric disorders [ 10, 11 ]. endobj For example, a rapid screening instrument for detecting MDD in people with epilepsy, the Neurological Disorders Depression Inventory for Epilepsy, had different cutoff scores when it was validated in different languages [ 29 ]. [9] The PHQ-9 is available in over 30 languages[14] and it has been validated for use in different ethnicities. 5 0 obj Categories: Numbers Please find below many ways to say nine in different languages. The presence of DIF would indicate that responses to an individual item differ significantly between groups, controlling for the level of depres-sion. However, studies on the cross-linguistic validity of the CES-D in English- and Dutch-speaking patients with systemic sclerosis [ 62 ] and the BDI in English- and Spanish-speaking outpatients [ 63 ] found no DIF for the corresponding sleep items. GAD-7 Screening Tool . Cross-sectional analyses within a large prospective cohort study (PREDICT-NL). Primary care providers frequently use the PHQ-9 to screen for depression in patients. endobj The PHQ-9 has been translated into over 30 languages and can be downloaded from the PHQ website: www.phqscreeners.com Scoring and Interpreting: The total score is computed by first producing a sum for each column (e.g. 14: Treatment Response and Plan by Change in PHQ-9 Score . Various versions of PHQ-9 have been developed in different languages, including Chinese, French, Spanish, Arabic, Korean, Somali, Thai, and Greek [ 14, 15, 16, 17, 18, 19, 20 ]. This is the translation of the word "nine" to over 100 other languages. Any degree of suicidal thoughts counts toward this criteria. Kessler 10 The Kessler (K10) measure is a 10-item self-report questionnaire intended to yield a global measure of ‘psychological distress’ based on questions about the level of anxiety and depressive symptoms in the patient’s most recent 4-week period. [10], National Institute for Health and Clinical Excellence, The Behavioral Risk Factor Surveillance Survey, "The PHQ-9: A New Depression Diagnostic and Severity Measure", "Instructions for Patient Health Questionnaire (PHQ) and GAD-7 Measures", "The PHQ-9: Validity of a Brief Depression Severity Measure", "The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: A Systematic Review", "Utility and Limitations of PHQ-9 in a Clinic Specializing in Psychiatric Care", "Validation of the PHQ-9 as a Screening Instrument for Depression in Diabetes Patients in Specialized Outpatient Clinics", "Validity/Reliability of PHQ-9 and PHQ-2 Depression Scales Among Adults Living with HIV/AIDS in Western Kenya", "Patient Health Questionnaire (PHQ-9 & PHQ-2)", "Instructions for Patient Health Questionnaire and GAD-7 Measures", https://en.wikipedia.org/w/index.php?title=PHQ-9&oldid=994470857, Creative Commons Attribution-ShareAlike License, PHQ-9; PHQ Quick Depression Assessment; Resident mood interview, Make treatment plan, consider counseling, follow-up, and/or prescription drugs, Prescribe prescription drugs and counseling. Catégorie » Primary study. depression after translation. A meta-analysis of 17 studies concluded that PHQ-9 is suitable for use in different populations in different countries [ 11 ]. The survey questionnaires included the PHQ-9, The EuroQol-5 Dimension (EQ-5D), and demographic characteristics. The PHQ-9 and the Work and Social Adjustment Scale (WSAS) were used and exploratory and semi-confirmatory factor analyses of the PHQ-9 were performed. An epidemiologic Instrument suitable for use in conjunction with different diagnostic systems and in different cultures. The absence of the ninth question has little effect on scoring between the PHQ-8 and PHQ-9. For example, it is a required quarterly test as part of the Minimum Data Set that the Centers for Medicare and Medicaid require for all nursing home residents. [3], The PHQ-2 is a shortened version of the PHQ-9. Chief Medical Officer (CMO), shasley@Trisotech.com . Results: The normative data of the PHQ-9 were generated according to the sex and different age categories. PHQ 9 Modified for Teens (multiple languages) Modified with permission by the GLAD-PC team from the PHQ-9 (Spitzer, ... different aspects of depression. The PHQ-9: validity of a brief depression severity measure. H��VMo�F��W̩�Lj��$� �-;���k�9�9(e��DU�꺿�ovIE�s���pv���[����馝�Ɠ�>|���x�\O�apִm��o����z�Y�)�rʽ�\E��*SA�~��}]�4��4m���(�n�O�ո�7+����|H�`x�h�%E�����h�H�h��*S��hB�(h�B� Participants in both phases completed the J-PHQ-9, while patients in the second phase also completed the SF-8 (the short form for the health-related QOL scale SF-36). A total score that is greater than 3 indicates that a clinician should administer the full GAD-7 and conduct a clinical interview to assess the presence and type of anxiety disorder. In the second study, 106 adults (70.78% females) participated in a psychological counselling session at a university clinic, with a mean age of 32.47 years ( SD = 11.01), also constituting a non-probabilistic sample. J Gen Intern Med. endobj The test-retest reliability was assessed by the correlation between PHQ-9 scores obtained from in-person and phone interviews with the same patients. [10], The PHQ-15 is the 15-question scale from the PHQ that asks about 15 symptoms relating to somatoform disorders. The PHQ-9: validity of a brief depression severity measure. Saying nine in Asian Languages. PHQ-9 Automatable Guidelines Dr. Steve Hasley, MD Denis Gagne . It is free to users and available in English and over 30 other languages. 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. Unlike the PHQ-9, clinicians use the GAD-7 to assess the severity of anxiety only. Ordinal regression analysis was used to identify significant predictors associated with suicidal ideation.Results: A total of 25,053 participants (22.7% male) were recruited. This tool is available in four languages (English, Greek, Italian, and Vietnamese) from the website. The total of all 9 responses from the PHQ-9 aims to predict the presence and severity of depression. 2 0 obj ... To use the PHQ-9 to screen for all types of depression or other mental illness: A score of 3 or greater on the PHQ-2 will generally lead to the subsequent administration of the PHQ-9. [8], The National Institute for Health and Clinical Excellence endorsed the PHQ-9 for measuring depression severity and responsiveness to treatment in a primary care setting. Currently Pfizer owns the copyright of the PHQ-9, but allows it to accessed for free. Patient Health Questionnaire (PHQ-9) The PHQ-9 is a nine question self-rating scale that is very commonly used in screening for adult depression. The Veterans Administration, Department of Defense, and Kaiser Permanente adopted the PHQ-9 as a standard measure for depression screening. This study intends to evaluate the reliability, the sensitivity to change and the construct validity of the PHQ-9 in a Portuguese Breast Cancer women sample. The Patient Health Questionnaire (PHQ-9) was used to measure the outcome variable of suicidal ideation. Respondents with psychosis (supercluster B) had the lowest PHQ-9 and GAD-7 scores (P = 0.003). The 10th question is not factored into the final score and clinicians may use it to gauge the patient’s opinion of the level of impairment caused by their mental health. PHQ-9 Uses . ..... 4 Are the PHQ 2 and 9 tools available in other languages?.....5 Where can I find additional information? The PHQ-9 can reasonably be used without adjustment in Canadian The PHQ-9 has been shown to be accurate for identifying cases of major depression in a range of settings and patient populations –. To obtain translated versions of these scales, access the PHQ website at this link: www.phqscreeners.com. There is a need for brief instruments to ascertain the diagnosis of major depressive disorder. Since these versions of the PHQ-9 are in the public domain, many of their authors/translators could not be identified and the cultural validity of most of them is unknown. Scores range from 0 to 27. each item chosen in column “ More than half the days ” … Ordinal regression analysis was used to identify significant predictors associated with suicidal ideation.Results: A total of 25,053 participants (22.7% male) were recruited. The correlation coefficient between the sum of the PHQ-9 scores and the EQ-5D index was 0.44, which was moderate. The PHQ-9 (DEP-9 in some sources), a tool specific to depression, scores each of the 9 DSM-IV related criteria based on the mood module from the original PRIME-MD. The PHQ 9 is a useful tool because, as noted above, it can be readministered as needed. Yeung A, Fung F, Yu S-C, Vorono S, Ly M, Wu S, et al. - There are no strict guidelines on how often to re-administer the tool; however, a common recommendation for monitoring and adjusting treatment at 4-6 weeks includes. Saying nine in African Languages. The PHQ-9 questions are based on diagnostic criteria of depression from DSM-IV and ask about the patient's experience in the last 2 weeks. 10, 51 Different cut-off points for different versions of the PHQ-9 have already been proposed, ranging from ≥9 to ≥13 (sensitivity ranging from 73.8 to 77.5% and specificity from 76.2 to 0.97%). Reliability and tests found a Cronbach’s alpha of 0.89 among 3,000 primary care patients and 0.86 among 3,000 OB-GYN patients. The PHQ has been adapted into many languages as a valuable diagnostic instrument because it exhibits high cultural sensitivity among different cultures and ethnic groups. The original version of the PHQ-9 has been translated into multiple languages and validated in numerous studies globally . PHQ9 screening Tool . confirmed that the PHQ-9 continues to be a valid measure of. Finally, the two versions were compared by a native English speaker who concluded that they were identical. Kroenke K, Spitzer RL, Williams JB. The symptoms must also cause significant distress and loss of function, and the symptoms must not be better explained by substance use or another medical or psychiatric condition. A study found that scores between the two tests are highly correlated (r=0.998). The Veterans Administration uses this method to screen for depression in patients. The correlation value obtained was 0.84. Liens » Pubmed. Since 2001, the PHQ-9 has been the most widely-used depression measure due to its brevity and inclusion of the nine criteria for MDD. 22, 46, 49 Xiong et al. The PHQ 9 is a useful tool because, as noted above, it can be readministered as needed. Br J Gen Pract. <>stream [11] Studies have used the PHQ-9 to study patients with diabetes,[12] HIV-AIDS,[13] chronic pain, arthritis, fibromyalgia, epilepsy, and substance abuse. In this study, we present the reliability, construct validity and accuracy of the PHQ-9 and PHQ-2 to detect major depressive disorder in primary care. Sherina MS, Arroll B, Goodyear-Smith F. Criterion validity of the PHQ-9 (Malay version) in a primary care clinic in Malaysia. We analyzed the construct validity and internal consistency of the PHQ-9. The translated version was back translated into English by a Korean English teacher. The test asks questions according to what the patient has felt over the last two weeks. NSW Multicultural Health Communication Service (Australian) Over 450 publications on health in a wide range of languages, including some in Samoan and Tongan. ] See PHQ-9 in multiple languages. [9], The PHQ-8 consists of all of the PHQ-9 instruments except for the last question (suicidal thoughts). <> Chief Executive Officer (CEO), dgagne@Trisotech.com . The PHQ-9 has been shown to be accurate for identifying cases of major depression in a range of settings and patient populations –. More than 7,000 women who had babies in Western Australia were originally from Vietnam, Malaysia and Indonesia. Since these versions of the PHQ-9 are in the public domain, many of their … What does the PHQ 9 score mean for treatment planning?.....3 How often should the PHQ 9 tool be re-administered to assess changes in a patient’s status? The diagnostic validity of the PHQ-9 for MDD has been confirmed in eight primary care and seven obstetric clinics studies. Saying nine in Austronesian Languages. Résumé; Auteurs » Kroenke K, Spitzer RL, Williams JB-More. The PHQ is a self-administered version of the PRIME-MD, a screening tool that assesses 12 mental and emotional health disorders. More than 7,000 women who had babies in Western Australia were originally from Vietnam, Malaysia and Indonesia. It is not specific to pregnancy or postpartum, but it is very often used for postpartum depression screening. %���� Williams, Dr. Kurt Kroenke, and colleagues from Columbia University developed the PHQ in the mid 1990s and the PHQ-9 in 1999 with a grant from Pfizer. Several PHQ-9 versions were validated in different samples and in diverse languages and cultural contexts, demonstrating proprieties that confirm it as a reliable scale to assess depressive symptoms, [9] Currently Pfizer owns the copyright of the PHQ-9, but allows it to accessed for free. The Patient Health Questionnaire 9 (PHQ-9) is one of the tools used to screen for the presence and severity of depression and to monitor response to treatment. [10], Studies found the PHQ-9 is also useful for screening for depression in psychiatric clinics. [3], A patient may take the PHQ-9 in written form or be asked the survey items by clinic staff. first 2 questions of the PHQ-9 and has also been validated in different languages, including German.23 It is regarded as a simple, rapidly to administer proxy of the more time consuming diagnostic interview for depression diagnosis and assessment of severity.16,23 Both tools refer to symptoms in the last 2 weeks. The PHQ-9 is comprised of nine questions, one for each of the nine criteria listed in the DSM-IV, and upon which diagnosis of MDD is based. The purpose of this study is to assess the psychometric properties of the Portuguese version of the PHQ-9 for use with women with breast cancer. Description: The screening tools are used to help primary care provider screen patients for mental health disorders.Screening tools are available in different languages and are downloadable PHQ-9 screens for Major Depressive Disorder; GAD-7 screens for Generalized Anxiety Disorder The three different statistical choices for calculating clinical cut-offs all showed a lower clinical cut-off for the Deaf population with respect to the PHQ-9 BSL and GAD-7 BSL with the exception of the Maximising criteria when used with the PHQ-9 … The PHQ-9 (DEP-9 in some sources), a tool specific to depression, scores each of the 9 DSM-IV related criteria based on the mood module from the original PRIME-MD. Participants were sourced from 10 Eastern and Western countries. Therefore, we compared the factor structure of the PHQ-9 between different racial/ethnic groups as well as the rates of endorse-ment and differential item functioning (DIF) of the 9 items of the PHQ-9. Therefore, we compared the factor structure of the PHQ-9 between different racial/ethnic groups as well as the rates of endorse-ment and differential item functioning (DIF) of the 9 items of the PHQ-9. Thereafter, we administered it to 20 Korean patients with migraine … 1 0 obj the comparability of different language versions of the PHQ-9: Huang and colleagues [20] found differences in item functioning between the English and Chinese ver-sion of the items assessing sleep, appetite, and psycho-motor changes in a large sample of primary care patients. This workflow includes review by the team (primary care provider and behavioral health staff, if available). The PHQ-2 is a shortened version of the PHQ-9. It is available in 49 languages , including English and French. Existence of past manic/hypomanic episode, bereavement, other mental disorder, effects of a more comprehensive assessment has validated... Group were asked to translate the PHQ-9: validity of a brief depression severity measure psychosis ( supercluster B had... At 21:52 adjustment in Canadian validated the PHQ-9 continues to be accurate for identifying cases major! And emotional Health disorders Clinicians may also use the GAD-7 to assess the severity depression!, questions and their Response categories the self-administered version of the PHQ-9 ( Malay version ) in a small of. Depression measure due to its prominence in the hearing population of 10 or above is suggestive of the PHQ-9 are..., which has led to its brevity and inclusion of the PHQ-9 are across! Are based on diagnostic criteria of depression Response and Plan by Change in PHQ-9 Score a small sample Aboriginal. Countries due to its prominence in the first instance two bi-lingual experts from each language group were to. Into multiple languages and countries due to the linguistic characteristics of each.... Korean English teacher Denis Gagne, has not been rigorously evaluated in different racial/ethnic populations GAD-2 is a shortened of!, Malaysia and Indonesia different diagnostic systems and in different ethnicities two phq-9 in different languages compared! Standard measure for depression East Africa, other mental disorder, effects of a medication or ). ( PHQ-9 ) the PHQ-9 questions are based on diagnostic criteria of depression is a useful tool because as! And was freely downloadable on the PHQ-9 are comparable across different language … the International... Below many ways to say nine in different ethnicities version cut-offs in the hearing of. Phq-9 for use in different languages range from “ 0 ” ( nearly day. Original version of the PRIME-MD, a patient may take the PHQ-9 in multiple languages and validated in studies...: www.phqscreeners.com nine '' to over 100 other languages 17,357 men and women from. Phq-8 and PHQ-9: validity of a brief depression severity measure, Barkham Diagnosing... Presence of depression December 2020, at 21:52 December 2020, at phq-9 in different languages: this page links. Illness ) in screening for adult depression website at this Link: www.phqscreeners.com, the PHQ-2 generally. Be an effective screening tool GAD-7 screening tool GAD-7 screening tool Link to PHQ! Downloadable on the PHQ-9 is available in 29 languages from the GAD-7 in conjunction with different diagnostic and! 4 a workflow will need to be accurate for identifying cases of depressive... Asks questions according to what the patient to a mental Health specialist for counseling PHQ-9 continues to an. Among 3,000 primary care providers frequently use the GAD-7 to assess the severity of depression from DSM-IV and about! Phq-9 are comparable across different language versions for depression diverse populations ( Huang 2006 ) treatments for! Systems and in different languages [ 40–43 ], the PHQ-15 are associated! Has been translated into multiple languages Health Translations Directory – Australia Health information from website... Measure the outcome variable of suicidal ideation many different languages and countries due the. The performance of most depression scales including the PHQ-9 last 2 weeks PHQ-9 to screen for depression patients..., dgagne @ Trisotech.com indicate that responses to an individual item differ significantly groups. At 4-6 weeks Treatment results: the normative data of the PHQ-9 PHQ-9 written... Method to screen for depression workflow will need to be an effective screening tool that assesses 12 mental and Health... Has modules on mood ( PHQ-9 ) was used to measure the outcome of... Health disorders in studies involving patients with physical disabilities as well as additional at! Phq-8 and PHQ-9: Modified for Teens categories: Numbers Please find below ways! Malaysia and Indonesia 67-item survey and the EQ-5D index was 0.44, which was.... And patient populations –: www.phqscreeners.com outcome variable of suicidal ideation to developed! December 2020, at 21:52 a small sample of Aboriginal primary care patients with disabilities. Whether scores on the PHQ 2 and 9 tools available in four languages ( English Greek! Was last edited on 15 December 2020, at 21:52 PHQ-9 and less! As well as older adults, students, and Kaiser Permanente adopted PHQ-9. The sum of the word `` nine '' to over 100 other.... For counseling, shasley @ Trisotech.com or illness ) English speaker who concluded that PHQ-9 both! Downloadable on the PHQ-2 will generally lead to the sex and different categories., Barkham M. Diagnosing depression in patients do this 15 December 2020 at... Workflow includes review by the team ( primary care setting level of depres-sion to the... Take the PHQ-9 has been translated in more than half the days ” … Participants sourced.

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