Iris Mini: PHQ-4
Over the last 2 weeks, how often have you been bothered by the following problems? | Not at all | Several days | More than half the days | Nearly every day |
Feeling nervous, anxious, or on edge | 0 | 1 | 2 | 3 |
Not being able to stop or control worrying | 0 | 1 | 2 | 3 |
Little interest or pleasure in doing things | 0 | 1 | 2 | 3 |
Feeling down, depressed, or hopeless | 0 | 1 | 2 | 3 |
Scoring
PHQ-412 total score ranges from 0 to 12, with categories of psychological distress being:
None 0-2
Mild 3-5
Moderate 6-8
Severe 9-12
Anxiety sub-scale = sum of items 1 and 2 (score range, 0 to 6)
Depression sub-scale = sum of items 3 and 4 (score range, 0 to 6)
On each sub-scale, a score of 3 or greater is considered positive for screening purposes.
Kroenke K, Spitzer RL, Williams JBW, Löwe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4 Psychosomatics 2009;50:613-621.
