https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa by Ade Adeniran, Adrian Wieczorek and Lydia Zamblera en-us 2021-06-23 14:35:24 UTC 2025-10-19 05:46:43 UTC hello@padlet.com lzamblera30_2 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1621967593 The Patient Health Questionnaire (PHQ-9) is a screening tool which can be used to make a preliminary diagnosis of depression, to assess the severity of depression or to monitor patients receiving treatment for depression. Our project involved completing a number of role plays using the screening tool, in different settings and with the patient displaying different levels of severity in low mood.]]> 2021-06-23 16:17:44 UTC https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1621967593 lzamblera30_2 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1621976814 Patient Health Questionnaire PHQ-9]]> 2021-06-23 16:23:29 UTC https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1621976814 lzamblera30_2 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1621983591 The PHQ-9 is well validated as a screening tool and research has show a strong correlation between higher scores and a later diagnosis of clinical depression.]]> 2021-06-23 16:28:16 UTC https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1621983591 lzamblera30_2 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1621990162 The PHQ-9 is shorter and simpler than some other screening tools for depression such as Beck's Depression Inventory and the Hospital Anxiety and Depression Scale (HADS) and can be administered in many settings in person, over the telephone or self-administered.]]> 2021-06-23 16:32:56 UTC https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1621990162 lzamblera30_2 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1621998568 Following the assessment of a patient using the PHQ-9 questionnaire, little advice is provided on next steps based on the results of the test and on the futher management or treatment of the patient. The comment on treatment for patients assessed as having mild or moderate depression suggests using clinical judgement, for example, symptom duration and functional impairment which would need further investigation.]]> 2021-06-23 16:38:30 UTC https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1621998568 lzamblera30_2 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1622022157 As a quick screening tool for depression the PHQ-9 has been shown to be effective but as it is limited by focusing on a timeframe of two weeks it could perhaps be improved by including a question on the duration of the symptoms to aid clinical judgement on treatment.]]> 2021-06-23 16:53:21 UTC https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1622022157 awieczorek828_2 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1623266684 PHQ-9 tool is not taking under consideration pre-existing conditions which could affect person's score such as  experiencing insomnia or eating disorders which could lead to higher score on some of the questions  and in process receive higher total score and could be misdiagnose with more severe depression.]]> 2021-06-24 08:29:10 UTC https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1623266684 awieczorek828_2 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1623284871 Tool would be great to monitor people with diagnosed depression and help determine the effectiveness of treatment. Due to it's simplicity, it doesn't require any training and could be used as self reporting 2 weekly assessment for patients and sent to clinicians who could than review progress of illness. ]]> 2021-06-24 08:45:36 UTC https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1623284871 awieczorek828_2 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1623288635 Some of the questions could be very sensitive and make people reluctant to answer truthfully. The example could be the question 9 which asks about thought to end your life. There is still a lot of stigma about suicide and people might not want to admit that they ever considered it. In some religions suicide is a sin and sign of weakness. ]]> 2021-06-24 08:49:01 UTC https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1623288635 awieczorek828_2 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1623291756 When scoring there is not much advice about what treatment should be offered and is just concluded with use clinical judgment which is very vague and not helpful. It could be that same patient seen by different nurses could end up with different treatment plans or no treatment at all. Also there is no differentiation between mild and moderate depression.]]> 2021-06-24 08:51:45 UTC https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1623291756 awieczorek828_2 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1623303172 Due to its simplicity and only 9 questions asked it could miss some of the symptoms which are not included in test and would be relevant to tested people. Also it's simplicity could mean the patient finds some questions ambiguous. It is important to ask the patient to expand on their answers where necessary.]]> 2021-06-24 09:02:56 UTC https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1623303172 aa809 https://padlet.com/lzamblera30_2/1f1c2rc0zd5k7lwa/wish/1623371130 Further more, the use of PHQ -9 should include a section for the past medical history of the patient. This would assist in getting an accurate assessment for the depression level . 

Poor appetite or over eating on question 4 might not be as a result of the depression but rather as a result of the medications taken at the moment. The tool could be improved by taking into account the patient's current prescribed medication and any side effects.





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