Plain-language definition
The PHQ-9 is a short, nine-question form used to screen for and measure depression. The letters stand for Patient Health Questionnaire 9-item scale.
This term is specific to research interpretation and is defined on AnxietyResearch. Shrinktionary, the network's language layer, doesn't currently carry a canonical entry for it.
In more detail
The PHQ-9 asks how often, over the last two weeks, a person was bothered by symptoms of depression, such as low mood, loss of interest, sleep changes, and low energy. Each item is scored 0 to 3, for a total of 0 to 27. It's the depression counterpart to the GAD-7, and the two are often used together.
Why it matters in anxiety research
Anxiety and depression overlap often, so anxiety research and anxiety clinics frequently track depression at the same time. Pairing the PHQ-9 with the GAD-7 gives a fuller picture than either alone. The PHQ-9 also includes a question about thoughts of self-harm, which makes it useful for safety screening.
An example
A clinic treating a person for anxiety also has them complete the PHQ-9, because comorbid depression would change the treatment plan.
What to watch for
Like the GAD-7, the PHQ-9 is a screening and tracking tool, not a diagnosis. The self-harm question should always be reviewed by a clinician when a person endorses it. A score is a starting point for a conversation, not an endpoint.
Related terms
Related reports or summaries
Related on this site
Anxiety and depression overlap; Measurement-based care
Source
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001. PMID: 11556941. https://pubmed.ncbi.nlm.nih.gov/11556941/
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