PRIME-MD / PHQ Clinical Screening Framework
Auch bekannt als: PRIME-MD · PHQ Framework
Clinical screening framework derived from the Primary Care Evaluation of Mental Disorders (PRIME-MD). Operationalizes DSM-IV diagnostic criteria into brief self-report screeners for depression (PHQ-9/PHQ-2), anxiety (GAD-7), somatization (PHQ-15), and other conditions. Not a diagnostic system — designed to identify probable cases for clinical follow-up.
- Quelle:
- Spitzer, R. L., Kroenke, K., & Williams, J. B. W. (1999). Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA, 282(18), 1737-1744.
Konstrukte
Depression Severity
As operationalized in the PHQ-9 and PHQ-2 (Kroenke, Spitzer & Williams, 2001), depression severity is assessed by the frequency of the nine cardinal symptoms of Major Depressive Disorder specified in DSM-IV: anhedonia, depressed mood, sleep disturbance, fatigue, appetite change, guilt/worthlessness, concentration difficulty, psychomotor change, and suicidal ideation. Scores index symptom burden rather than categorical diagnosis.
Generalized Anxiety Severity
As operationalized in the GAD-7 (Spitzer, Kroenke, Williams & Löwe, 2006), anxiety severity is assessed by the frequency of seven core symptoms of Generalized Anxiety Disorder specified in DSM-IV: nervousness, uncontrollable worry, excessive worry, restlessness, difficulty relaxing, irritability, and fearfulness.
Somatic Symptom Severity
As operationalized in the PHQ-15 (Kroenke, Spitzer & Williams, 2002), somatic symptom severity is assessed by the frequency and bothersomeness of 15 common physical symptoms (headaches, pain, gastrointestinal, cardiovascular, etc.) that account for more than half of all outpatient visits and are often associated with functional impairment.
Instrumente
- Gesundheitsfragebogen für Patienten — 9 Items(PHQ-9)Kroenke, K., Spitzer, R. L., & Williams, J. B. W.2001
- Gesundheitsfragebogen für Patienten — 2 Items(PHQ-2)Kroenke, K., Spitzer, R. L., & Williams, J. B. W.2003
- Gesundheitsfragebogen für Patienten — 15 Items (Schweregrad somatischer Symptome)(PHQ-15)Kroenke, K., Spitzer, R. L., & Williams, J. B. W.2002
- Skala zur Generalisierten Angststörung mit 7 Items(GAD-7)Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B.2006
Tests, die auf dieser Theorie basieren
PHQ-9: Gesundheitsfragebogen für Patienten (Depression)
9-Item-Depressions-Screening basierend auf DSM-Kriterien.
Mehr erfahren →PHQ-2: Ultra-Kurzscreening für Depression
Ultra-kurzes 2-Item-Depressions-Screening für depressive Stimmung und Anhedonie.
Mehr erfahren →PHQ-15: Skala für somatische Symptomschwere
15-Item-Screening zur somatischen Symptomschwere bei körperlichen Beschwerden im Zusammenhang mit psychischer Belastung.
Mehr erfahren →GAD-7: Skala für generalisierte Angststörung
7-Item-Screening zur Angstschwere bei generalisierter Angststörung.
Mehr erfahren →