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Patient Health Questionnaire-9

PHQ-9
psychologyhealth sciencesFree for research use

A 9-item self-report instrument for screening and measuring the severity of depression, based on DSM diagnostic criteria.

Items
9
Response format
4-point frequency scale
Version
1.0

Ready-to-cite methods sentence

Depressive symptoms were measured using the PHQ-9 (Kroenke et al., 2001), a 9-item self-report instrument with strong internal consistency (α = .89). Higher scores indicate greater depression severity.

Reliability & validation

Validation population
Primary care patients
Test–retest
0.84
Cronbach's α
0.89

Response anchors

Not at all · Several days · More than half the days · Nearly every day

Known limitations

Validated primarily in primary care settings. A score above 10 warrants clinical follow-up but does not constitute a diagnosis. Item 9 (suicidal ideation) requires clinical judgment independent of total score.

Original citation

Kroenke, K., Spitzer, R. L., Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613.

https://doi.org/10.1046/j.1525-1497.2001.016009606.x

Questions researchers ask

What does the PHQ-9 measure?

A 9-item self-report instrument for screening and measuring the severity of depression, based on DSM diagnostic criteria.

How many items does the PHQ-9 have?

The Patient Health Questionnaire-9 (PHQ-9) has 9 items.

Is the PHQ-9 free to use?

The PHQ-9 is free to use for non-commercial academic research. You don't need to pay a license fee, but you should always cite the original publication.

Is the PHQ-9 reliable?

Validation studies report Cronbach's α of 0.89, test–retest reliability of 0.84. See the reliability section for the population studied and full statistics.

Who developed the PHQ-9, and how do I cite it?

Kroenke, K., Spitzer, R. L., Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x

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Library entry verified January 2024. Metadata is provided for reference; item wording is available inside Folio Surveyor, subject to each instrument's licensing.