PHQ-4 – Anxiety and Depression Screen

Over the last two weeks, how often have you been bothered by 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 :

The PHQ-4 is a validated tool to assess for anxiety and depression.

Formula :

Points are given for each variable.

Explanation of Result :

Anxiety Section :
1. Feeling nervous, anxious or on edge:
2. Not being able to stop worrying:

Score of 3 or more is positive and should be further evaluated by GAD-7 or a mental health referral should be made.

Depression Section :
1. Little interest or pleasure in doing things:
2. Feeling down, depressed or hopeless:

Score of 3 or more is positive and should be further evaluated by PHQ-9 or a mental health referral should be made.

* Please verify all calculations prior to clinical use.

References

  • Kroenke K, Spitzer RL, Williams JB, Löwe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009 Nov-Dec;50(6):613-21. PMID: 19996233.