Question
Options
1.Can’t get excited or uninterested when doing something
①Not at all
②For several days
③More than half of the days
④Almost every day
2.Feeling depressed, frustrated or hopeless
①Not at all
②Several days
③More than half of the days
④Almost every day
3.Hard to fall asleep, restless or sleep or more
①Not at all
②Several days
③More than half of the days
④Almost every day
4.Feeling tired or lack of energy
①Not at all
②Several days
③More than half of the days
④Almost every day
5.Loss of appetite or eating too much
①Not at all
②Several days
③More than half of the days
④Almost every day
6.Feeling bad – or feeling like a failure, or letting yourself or your family down
①Not at all
②Several days
③More than half of the days
④Almost every day
7.Have trouble concentrating on things, such as reading the newspaper or watching TV
①Not at all
②For several days
③More than half of the days
④Almost every day
8.Move or talk so slowly that others have noticed? Or just the opposite – more irritable or fidgety, moving around than usual
①Not at all
②For several days
③More than half of the days
④Almost every day
9. The thought of dying or hurting oneself in some way
①Not at all
②Several days
③More than half of the days
④Almost every day
Scoring rules.
①Not at all = 0 points
②Several days = 1 point
③More than half of the days = 2 points
④Almost every day=3 points
Total score 0-27 points
Total score=
Scoring rules of PHQ-9 scale and treatment recommendations
Score
Analysis of results
Treatment recommendation
Score 0-4
No depression
No
5-9 points
Mild depression
Watchful waiting: PHQ-9 reviewed at follow-up
10-14 points
Moderate depression
Develop treatment plan, consider counseling, follow up and/ or medication
15-19 points
Moderate to severe depression
Active medication and/ or psychotherapy
20-27 points
Severe depression
Immediate first choice of medication, if severely impaired or ineffective to treatment, transfer to a psychiatric specialist for psychotherapy and/integrated treatment is recommended.