Difference between revisions of "General Symptoms"
From Patient Determinants
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Revision as of 10:06, 9 June 2015
The General Symptoms are based on the Patient Health Questionnaire Physicial Symptoms PHQ-15.
Return to the CDC Health Risk Assessments or Patient Well-Being Assessment
| Over the last 4 weeks, how often have you been bothered by the following problems? | Not bothered at all | Bothered a little | Bothered a lot |
|---|---|---|---|
| 1. Stomach pain | 0 | 1 | 2 |
| 2. Back pain | 0 | 1 | 2 |
| 3. Pain in your arms, legs, or joints (knees, hips, etc.) | 0 | 1 | 2 |
| 4. Menstrual cramps or other problems with your period - WOMEN ONLY | 0 | 1 | 2 |
| 5. Headaches | 0 | 1 | 2 |
| 6. Chest pain | 0 | 1 | 2 |
| 7. Dizziness | 0 | 1 | 2 |
| 8. Fainting spells | 0 | 1 | 2 |
| 9. Feeling your heart pound or race | 0 | 1 | 2 |
| 10. Shortness of breath | 0 | 1 | 2 |
| 11. Pain or problems during sexual intercourse | 0 | 1 | 2 |
| 12. Constipation, loose bowels, or diarrhea | 0 | 1 | 2 |
| 13. Nausea, gas, or indigestion | 0 | 1 | 2 |
| 14. Feeling tired or having low energy | 0 | 1 | 2 |
| 15. Trouble failing or staying asleep, or sleeping too much | 0 | 1 | 2 |
| Total the score | 0 | _____ | +_____ |
| _____ | =Total Score |
If you checked off any problems, how difficult 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 at all
□ Somewhat difficult
□ Very difficult
□ Extremely difficult
Interpreting PHQ-9 Scores
| Diagnosis | Total Score | For Score | Suggested Action |
|---|---|---|---|
| Minimal depression | 0-4 | ≤ 4 | The score suggests the patient may not need depression treatment |
| Mild depression Moderate depression |
5-9 10-14 |
5-14 | Physician uses clinical judgement about treatment, based on patient's duration of symptoms and functional impairment |
| Moderately severe depression Severe depression |
15-19 20-27 |
> 14 | Warrants treatment for depression, using antidepressant, psychotherapy and/or combination of treatment |
The PHQ-9 is described in more detail at the Pfizer website.
