PHQ 4

The PHQ-4 is a four questionnaire answered on a four point Likert-type scale. Its purpose is to allow for ultra brief and accurate measurement of core symptoms/signs of depression and anxiety by combining the two-item measure (PHQ–2), consisting of core criteria for depression, as well as a two-item measure for anxiety (GAD–2), both of which have independently been shown to be good brief screening tools.

 

The total PHQ–4 score complements the subscale scores as an overall measure of symptom burden, as well as functional impairment and disability. An elevated PHQ–4 score is not diagnostic, but is, instead, an indicator for further inquiry to establish the presence or absence of a clinical disorder warranting treatment.

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Previous research has established that a score of 3 or greater on the Depression subscale represents a reasonable cut off point for identifying potential cases of depression. A score of 3 or more is positive and should be further evaluated by PHQ-9 or a mental health referral should be made.

 

Likewise, a score of 3 or greater on the Anxiety subscale represents a reasonable cut off point. A score of 3 or more is positive and should be further evaluated by GAD-7 or a mental health referral should be made.