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    PHQ 2 PDF

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    naufal12345

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    PHQ 2 PDF

    Uploaded by

    naufal12345
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    PHQ-2.pdf

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    305 views2 pages

    PHQ 2 PDF

    Uploaded by

    naufal12345

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    © All Rights Reserved
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    of 2

    STABLE RESOURCE TOOLKIT

    The Patient Health Questionnaire-2 (PHQ-2) - Overview

    The PHQ-2 inquires about the frequency of depressed mood and anhedonia over the past
    two weeks. The PHQ-2 includes the first two items of the PHQ-9.
    n The purpose of the PHQ-2 is not to establish final a diagnosis or to monitor depression
    severity, but rather to screen for depression in a first step approach.
    n Patients who screen positive should be further evaluated with the PHQ-9 to determine
    whether they meet criteria for a depressive disorder.

    Clinical Utility
    Reducing depression evaluation to two screening questions enhances routine inquiry
    about the most prevalent and treatable mental disorder in primary care.

    Scoring
    A PHQ-2 score ranges from 0-6. The authors1 identified a PHQ-2 cutoff score of 3 as the
    optimal cut point for screening purposes and stated that a cut point of 2 would enhance
    sensitivity, whereas a cut point of 4 would improve specificity.

    Psychometric Properties1
    Major Depressive Disorder (7% prevalence) Any Depressive Disorder (18% prevalence)
    PHQ-2 Sensitivity Specificity Positive PHQ-2 Sensitivity Specificity Positive
    Score Predictive Score Predictive
    Value (PPV*) Value (PPV*)

    1 97.6 59.2 15.4 1 90.6 65.4 36.9


    2 92.7 73.7 21.1 2 82.1 80.4 48.3
    3 82.9 90.0 38.4 3 62.3 95.4 75.0
    4 73.2 93.3 45.5 4 50.9 97.9 81.2
    5 53.7 96.8 56.4 5 31.1 98.7 84.6
    6 26.8 99.4 78.6 6 12.3 99.8 92.9

    * Because the PPV varies with the prevalence of depression, the PPV will be higher in settings with a higher
    prevalence of depression and lower in settings with a lower prevalence.

    1. Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: Validity of a Two-Item Depression
    Screener. Medical Care 2003, (41) 1284-1294.
    STABLE RESOURCE TOOLKIT

    The Patient Health Questionnaire-2 (PHQ-2)

    Patient Name ______________________________________ Date of Visit ________________

    Over the past 2 weeks, how often have Not Several More Nearly
    you been bothered by any of the At all Days Than Half Every
    following problems? the Days Day

    1. Little interest or pleasure in doing things 0 1 2 3

    2. Feeling down, depressed or hopeless 0 1 2 3

    1999 Pfizer Inc. All rights reserved. Used with permission.

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