The purpose of this study was to determine if a two-item screen was as valid as an eight-question screen for depression. The aim of this study was to compare the sensitivity of 2 single-item screening questions for depression and anxiety with 2 longer widely used and validated questionnaires against a diagnostic interview to determine whether the single-item screening questions could be enough to screen for depression and anxiety in patients with CLBP.
A System Based Approach To Depression Management In Primary Care Using The Patient Health Questionnaire 9 Mayo Clinic Proceedings
If the score is 3 or greater major depressive disorder is likely.
Depression 2 question screen. A depression diagnosis that warrants initiating or changing treatment requires that at least one of the first two questions was endorsed as positive more than one-half of the days or nearly every day in the past 2 weeks. Or 2 feeling down depressed or hopeless Spitzer et al 1999. American Medical Association Keywords.
A cutoff score of 10 or higher possible range 0-24 on the PHQ-8 is used as diagnostic for depression. PHQ-2 Patient Health Questionnaire for Depression Screening. Two screening questions for depression are based on the Patient Health Questionnaire-2 PHQ-2.
A total of 421 patients were given the Patient Health Questionnaire 8 PHQ-8 during initial hospitalization to assess depression in a prospective study at a Level I trauma center. These results support the use of this measure as a brief screener for adolescent depression in primary care. Refer to the text below the questionnaire for more information about the PHQ-2 and its psychometric properties.
Conclusion Two verbally asked questions for screening for depression would detect most cases of depression in general practice. Screening for DepressionA Tale of Two Questions Author. Two screening questions can rule out depression.
The questions have the advantage of brevity. The use of both questions resulted in lower classification accuracy 67 but a higher sensitivity of 085 and a slightly lower specificity of 051 than either question alone. When screening for depression the Patient Health Questionnaire PHQ-2 can be used first it has a 97 sensitivity and a 67 specificity.
Scoring A PHQ-2 score ranges from 0-6. The PHQ 2 is the first 2 questions in the PHQ 9. A two-question initial screening test6 for depression has been developed and validated based on the Diagnostic and Statistical Manual of Mental Disorders 4th.
Screens for depression severity based on the presence or absence of depressed mood and anhedonia. Reducing depression evaluation to two screening questions enhances routine inquiry about the most prevalent and treatable mental disorder in primary care. 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.
How often has the patient been bothered over the past 2 weeks by either 1 little interest or pleasure in doing things. 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. The authors identified a score of 3 as the optimal cutpoint when using the PHQ-2 to screen for depression.
A recent Alberta Tools for Practice1 notes that two questions can be used to rule out depression when the answer is no to both questions this is similar to a negative brain natriuretic peptide BNP to rule out congestive heart failure. If the patient scores positive on either question a more. JAMA Network Created Date.
Patients who screen positive should be further evaluated with the PHQ-9 other diagnostic instruments or direct interview to determine whether they meet criteria for a depressive disorder. In addition the tenth question about difficulty at work or home or getting along with others should be answered at least somewhat difficult Step 2. As treatment is more likely when doctors make the diagnosis these questions may have even greater utility.
Its purpose is not to establish final diagnosis or to monitor depression severity but rather to screen for depression. DEPRESSION SCREEN Patient Health Questionnaire 2 and 9 The PHQ 9 is a validated questionnaire that reviews the 9 key symptoms of depression based on the DSM diagnostic criteria for major depression. If this is positive the PHQ-9 can then be used which has 61 sensitivity and 94 specificity in adults.
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