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|.|Patient Health Questionnaire - 9 (PHQ-9)||Date Given: <.Date_Given.>|Clinician: <.Staff_Ordered_By.>|Location: <.Location.>||Veteran: <.Patient_Name_Last_First.>|SSN: <.Patient_SSN.>|DOB: \r\n<.Patient_Date_Of_Birth.> (<.Patient_Age.>)|G
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ender: <.Patient_Gender.>|| PHQ-9 Depression Scale Score: <-PHQ9->| <*Answer_7771*> | \r\n|The total score may range from 0 to 27.| Total Score Depression Severity| ----------- -------------------| 1-4 Minimal
depression|
\r\n 5-9 Mild depression| 10-14 Moderate depression| 15-19 Moderately severe depression| 20-27 Severe depression| \r\n|Questions and Answers||Over the last 2 weeks, how often have you been b
othered by any of the \r\nfollowing problems?|1. Little interest or pleasure in doing things| <*Answer_3374*>|2. Feeling down, depressed, or hopeless| <*Answer_3375*>|3. Trouble falling or staying asleep, or sleeping \r\ntoo much|
<*Answer_3376*>|4. Feeling tired or having little energy| <*Answer_3377*>|5. Poor appetite or overeating| <*Answer_3378*>|6. Feeling bad about yourself or that you are a failure or \r\nhave let yourself or your family down| <*Answe
r_3379*>|7. Trouble concentrating on things, such as reading the newspaper or watching television| <*Answer_3380*>|8. Moving or speaking so slowly \r\nthat other people could have noticed. Or the opposite being so fidgety or restless tha
t you have been moving around a lot more than usual| <*Answer_3381*>|9. Thoughts that you would be better off \r\ndead or of hurting yourself in some way| <*Answer_3382*>|10. If you checked off any problems, how DIFFICULT have these p
roblems made it for you to do your work, take care of things at home or get \r\nalong with other people?| <*Answer_4019*>||Information contained in this note is based on a self report assessment and is not sufficient to use alone for dia
gnostic purposes. Assessment results \r\nshould be verified for accuracy and used in conjunction with other diagnostic activities.||Copyright 2001 Pfizer Inc.|All rights reserved. Reproduced with permission of Pfizer Inc.|PRIME-MD is a \r\n
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