The PHQ-9: A New Depression Diagnostic and Severity Measure

Kurt Kroenke; Robert L Spitzer

doi:10.3928/0048-5713-20020901-06

journal article Sep 01, 2002

The PHQ-9: A New Depression Diagnostic and Severity Measure

Kurt Kroenke Robert L Spitzer

Psychiatric Annals Vol. 32 No. 9 pp. 509-515 · SLACK, Inc.

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References

31

[1]

1. Mulrow CD Williams JW Gerety MB Ramirez G Montiel OM Kerber C. Case-finding instruments for depression in primary care settings. Ann Intern Med. 1995;122:913-921. 10.7326/0003-4819-122-12-199506150-00004

[2]

2. Whooley MA Avins AL Miranda J Browner WS. Casefinding instruments for depression: two questions are as good as many. J Gen Intern Med. 1997;12:439-445. 10.1046/j.1525-1497.1997.00076.x

[3]

3. Keller MB Kocsis JH Thase ME Gelenberg AJ Rush AJ Koran L et al. Maintenance phase efficacy of sertraline for chronic depression: a randomized controlled trial. JAMA. 1998; 280:1665-1672. 10.1001/jama.280.19.1665

[4]

4. McDowell I Kristjansson E Newell C. Depression. In: McDowell I Newell C eds. Measuring Health: A Guide to Rating Scales and Questionnaires. New York: Oxford University Press 1996:238-286.

[5]

5. Spitzer RL Williams JBW Kroenke K Linzer M deGruy FV Hahn SR et al. Utility of a new procedure for diagnosing mental disorders in primary care: the PRIME-MD 1000 study. iAMA. 1994; 272:1749-1756. 10.1001/jama.272.22.1749

[6]

6. Hahn SR Kroenke K Williams JBW Spitzer RL. Evaluation of mental disorders with the PRIME-MD. In: Maruish M ed. Handbook of Psychological Assessment in Primary Care Settings. Mahwah NJ: Lawrence Erlbaum; 2000:191-253.

[7]

7. Spitzer RL Kroenke K Williams JBW and the Patient Health Questionnaire Study Group. Validity and utility of a self-report version of PRIME-MD: the PHQ Primary Care Study. JAMA 1999;282:1737-1744. 10.1001/jama.282.18.1737

[8]

8. Spitzer RL Williams JBW Kroenke K. Validity and utility of the Patient Health Questionnaire in assessment of 3000 obstetric-gynecologic patients: the PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study. Am J Obstet Gynecol. 2000;183:759-769. 10.1067/mob.2000.106580

[9]

The PHQ-9

Kurt Kroenke, Robert L. Spitzer, Janet B. W. Williams

Journal of General Internal Medicine 10.1046/j.1525-1497.2001.016009606.x

[10]

10. Berwick DM Murphy JM Goldman PA Ware JE Barsky AJ Weinstein MC. Performance of a five-item mental health screening test. Med Care. 1991;29:169-176. 10.1097/00005650-199102000-00008

[11]

11. Pasacreta JV. Measuring depression. In: Frank-Stromborg M Olsen SJ eds. Instruments for Clinical Health-Care Research. Sudbury MA: Jones and Bartlett Publishers 1997: 342-360.

[12]

12. Montgomery SA Asberg M. A new depression scale designed to be sensitive to change. Br J Psychiatry. 1979; 134:382-389. 10.1192/bjp.134.4.382

[13]

13. Davidson J Turnbull CD Strickland R et al. The Montgomery-Asberg Depression Scale: reliability and validity. Acta Psychiatr Sconci. 1986;73:544-548. 10.1111/j.1600-0447.1986.tb02723.x

[14]

14. Lambert MJ Hatch DR Kingston MD et al. Zung Beck and Hamilton rating scales as measures of treatment outcome: a meta-analytic comparison. J Consult Clin Psychology. 1986;54:54-59. 10.1037/0022-006x.54.1.54

[15]

15. Katon W Robinson P Von Korff M et al. A multifaceted intervention to improve treatment of depression in primary care. Arch Gen Psychiatry. 1996;53:924-932. 10.1001/archpsyc.1996.01830100072009

[16]

16. Katon W Von Korff M Lin E et al. Collaborative management to achieve treatment guidelines: impact on depression in primary care. JAMA. 1995;273:1026-1031. 10.1001/jama.273.13.1026

[17]

17. Williams JW Jr Barrett J Oxman T Frank E Katon W Sullivan M et al. Treatment of dysthymia and minor depression in primary care: a randomized controlled trial in older adulte. JAMA. 2000;284:1519-1526. 10.1001/jama.284.12.1519

[18]

18. Unutzer J Williams JW Jr Callahan CM et al. Improving primary care for depression in late life: the design of a multicenter randomized trial. Med Care. 2001;39:785-799. 10.1097/00005650-200108000-00005

[19]

19. Simon GE Revicki D Von Korff M. Telephone assessment of depression severity. J Psychiatr Res. 1993;27:247-252. 10.1016/0022-3956(93)90035-z

[20]

20. Kazis LE Anderson JJ Meenan RF. Effect sizes for interpreting changes in health status. Med Care. 1989;27:S178-S189. 10.1097/00005650-198903001-00015

[21]

21. Pendergast KB West SL Wilson AE Swindle R Kroenke K. Development and use of a suicidal assessment algorithm for telephone interviewers. Pharmacoepidemiol Drug Safety. 2000;9(suppl 1):101.

[22]

22. Luoma JB Martin CE Pearson JL. Contact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry. 2002;159:909-916. 10.1176/appi.ajp.159.6.909

[23]

23. US Preventive Services Task Force. Screening for depression: recommendations and rationale. Ann Intern Med. 2002;136:760-764. 10.7326/0003-4819-136-10-200205210-00012

[24]

24. Klinkman MS. Competing demands in psychosocial care: a model for the identification and treatment of depressive disorders in primary care. Gen Hosp Psychiatry. 1997;19:98-111. 10.1016/s0163-8343(96)00145-4

[25]

25. Williams JW Jr. Competing demands: does care for depression fit in primary care? J Gen intern Med. 1998;13:137-139. 10.1046/j.1525-1497.1998.00032.x

[26]

26. Kroenke K. Discovering depression in medical patients: reasonable expectations. Ann Intern Med. 1997;126:463-465. 10.7326/0003-4819-126-6-199703150-00008

[27]

27. Williams JW Jr. Noel PH Cordes JA Pvamirez G Pignone M. Is this patient clinically depressed? JAMA. 2002;287:1160-1170. 10.1001/jama.287.9.1160

[28]

28. Kroenke K Taylor-Vaisey A Dietrich AJ Oxman TE. Interventions to improve provider diagnosis and treatment of mental disorders in primary care: a critical review of the literature. Psychosomatics. 2000;41:39-52. 10.1016/s0033-3182(00)71172-8

[29]

29. Simon GE. Can depression be managed appropriately in primary care? J Clin Psychiatry. 1998;59 (suppl 2):3-8.

[30]

30. Hunkeler EM Meresman J Hargreaves WA et al. Efficacy of nurse telehealth care and peer support in augmenting treatment of depression in primary care. Arch Fam Med. 2000;9:700-708. 10.1001/archfami.9.8.700

[31]

31. Kobak KA Taylor LvH Dotti SL Greist JH Jefferson JW Burroughs D et al. A computer-administered telephone interview to identify mental disorders. JAMA. 1997;278:905-910. 10.1001/jama.278.11.905

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Details

Published: Sep 01, 2002
Vol/Issue: 32(9)
Pages: 509-515

Authors

K

Kurt Kroenke

Center for Health Information and Communication, Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana; Department of Medicine, Indiana University School of Medicine, Indianapolis; Regenstrief Institute, Indianapolis, Indiana

R

Robert L Spitzer

Cite This Article

Kurt Kroenke, Robert L Spitzer (2002). The PHQ-9: A New Depression Diagnostic and Severity Measure. Psychiatric Annals, 32(9), 509-515. https://doi.org/10.3928/0048-5713-20020901-06

The PHQ-9: A New Depression Diagnostic and Severity Measure

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