Psych. Rating Scales: GAD-7 and PHQ-9

GAD-7 Anxiety

Over the last two weeks, how often have you been bothered by the following problems?

Not at all Several Days More than half the days Nearly early day
1. Feeling nervous, anxious, or on edge 0 1 2 3
2. Not being able to sleep or control
worrying
0 1 2 3
3. Worrying too much about different things 0 1 2 3
4. Trouble relaxing 0 1 2 3
5. Being so restless that it is hard to sit still 0 1 2 3
6. Becoming easily annoyed or irritable 0 1 2 3
7. Feeling afraid, as if something awful might happen 0 1 2 3
Column Totals _____ _____ _____ _____

Total Score: _____

If you checked any problems, how difficult have they made it for you to do your work, take care of things at home, or get along with other people?

    • Not difficult at all
    • Somewhat difficult
    • Very difficult
    • Extremely difficult

Scoring GAD-7 Anxiety Severity. This is calculated by assigning scores of 0, 1, 2, and 3 to the response categories, respectively, of “not at all,” “several days,” “more than half the days,” and “nearly every day.” GAD-7 total score for the seven items ranges from 0 to 21.

  • 0–4: minimal anxiety
  • 5–9: mild anxiety
  • 10–14: moderate anxiety
  • 15–21: severe anxiety
Source: Primary Care Evaluation of Mental Disorders Patient Health Questionnaire (PRIME-MD-PHQ). The PHQ was developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke, and colleagues. For research information, contact Dr. Spitzer at ris8@columbia.edu. PRIME-MD® is a trademark of Pfizer Inc. Copyright© 1999 Pfizer Inc. All rights reserved. Reproduced with permission.

 
 

PHQ-9 Patient Depression Questionnaire

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Not at all Several days More than half the days Nearly every day
1. Little interest or pleasure in doing things 0 1 2 3
2. Feeling down, depressed, or hopeless 0 1 2 3
3. Trouble falling or staying asleep, or sleeping too much 0 1 2 3
4. Feeling tired or having little energy 0 1 2 3
5. Poor appetite or overeating 0 1 2 3
6. Feeling bad about yourself or that you are a failure or have let yourself or your family down 0 1 2 3
7. Trouble concentrating on things, such as reading the newspaper or watching television 0 1 2 3
8. Moving or speaking so slowly that other people could have noticed. Or the opposite being so figety or restless that you have been moving around a lot more than usual 0 1 2 3
9. Thoughts that you would be better off dead, or of hurting yourself 0 1 2 3
Column Totals _____ _____ _____ _____

Total Score: _____

10. If you checked off any problems, how difficult at all have these problems made it for you to do your work, take care of things at home, or get along with other people?

  • Not difficult
  • Somewhat difficult
  • Very difficult
  • Extremely difficult

Scoring: Add up all checked boxes on PHQ-9. For every Not at all = 0; Several days = 1; More than half the days = 2; Nearly every day = 3

Interpretation of Total Score

Total Score Depression Severity
1-4 Minimal depression
5-9 Mild depression
10-14 Moderate depression
15-19 Moderately severe depression
20-27 Severe depression

 
For initial diagnosis:

  1. Patient completes PHQ-9 Quick Depression Assessment.
  2. If there are at least 4 checks in the shaded section (including Questions #1 and #2), consider a depressive disorder. Add score to determine severity.

Consider Major Depressive Disorder:
If there are at least 5 checks in the shaded section (one of which corresponds to Question #1 or #2)

Consider Other Depressive Disorder
if there are 2-4 checks in the shaded section (one of which corresponds to Question #1 or #2)

Note: Since the questionnaire relies on patient self-report, all responses should be verified by the clinician, and a definitive diagnosis is made on clinical grounds taking into account how well the patient understood the questionnaire, as well as other relevant information from the patient. Diagnoses of Major Depressive Disorder or Other Depressive Disorder also require impairment of social, occupational, or other important areas of functioning (Question #10) and ruling out normal bereavement, a history of a Manic Episode (Bipolar Disorder), and a physical disorder, medication, or other drug as the biological cause of the depressive symptoms.

To monitor severity over time for newly diagnosed patients or patients in current treatment for
depression:

  1. Patients may complete questionnaires at baseline and at regular intervals (eg, every 2 weeks) at home and bring them in at their next appointment for scoring or they may complete the questionnaire during each scheduled appointment.
  2. Add up by column. For every: 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 the accompanying PHQ-9 Scoring Box to interpret the TOTAL score.
  5. Results may be included in patient files to assist you in setting up a treatment goal, determining degree of response, as well as guiding treatment intervention.
Questionnaire: Copyright © 1999 Pfizer Inc. All rights reserved. Reproduced with permission. PRIME-MD© is a trademark of Pfizer Inc. A2663B 10-04-2005
Scoring & Description: PHQ9 Copyright © Pfizer Inc. All rights reserved. Reproduced with permission. PRIME-MD ® is a trademark of Pfizer Inc. A2662B 10-04-2005

 


Things that Resonate:

About these ads

10 thoughts on “Psych. Rating Scales: GAD-7 and PHQ-9

  1. I have scored 20 on the first and 24 on the bottom test i am currently not getting any help what so ever – I had people coming round that did bogus assessments on me also abused me in my own home, and were very hostile towards me, i have not left my home since 2011 and currently my brother and sister pay my bills as i get no benefits at all, I have tried getting help, and would like to get a Solicitor but can not talk on the phone! and NHS said when i made a complaint ( just try how you going to get a solicitor when you do not talk on the phone or leave the house?) Am stuck and i do not want to be like this i want my life BACK!! But now feel like giving up completely just had enough.

  2. Pingback: Blog Anniversary: One Year Old | anxiety adventures

  3. Pingback: Build Your Own Mental Health Rating Scale | anxiety adventures

  4. Pingback: Lows & Highs . Highs & Lows | heroes amongst monsters

Share your thoughts

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s