Over the last two weeks, how often have you been bothered by any of the following problems?
Feeling nervous, anxious or on edge?
Not being able to stop or control worrying
Little interest or pleasure in doing things
Feeling down, depressed or hopeless
Your score is:
12
Anxiety subscale
0
Depression subscale
0
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PHQ-4 Scoring
Total score ranges from 0 to 12, with categories of psychological distress as follows:
| Score | Depression severity | Comments |
|---|---|---|
| 0-2 | Minimal or None | Monitor, may not require treatment |
| 3-5 | Mild | Use clinical judgement (symptom duration, functional impairment) to determine necessity of treatment |
| 6-8 | Moderate | |
| 9-12 | Severe | Warrants active treatment with psychotherapy, medications or combination |
Advice
Final diagnosis should be made with clinical interview and mental status examination including assessment of patient's level of distress and functional impairment.