PRIME-MD / PHQ Clinical Screening Framework
Também conhecida como: 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.
- Fonte:
- 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.
Construtos
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.
Instrumentos
- Questionário sobre a Saúde do Paciente — 9 itens(PHQ-9)Kroenke, K., Spitzer, R. L., & Williams, J. B. W.2001
- Questionário sobre a Saúde do Paciente — 2 itens(PHQ-2)Kroenke, K., Spitzer, R. L., & Williams, J. B. W.2003
- Questionário sobre a Saúde do Paciente — 15 itens (Gravidade de Sintomas Somáticos)(PHQ-15)Kroenke, K., Spitzer, R. L., & Williams, J. B. W.2002
- Escala de Transtorno de Ansiedade Generalizada de 7 itens(GAD-7)Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B.2006
Testes baseados nesta teoria
PHQ-9: Questionário sobre a Saúde do Paciente (Depressão)
Rastreador de gravidade da depressão de 9 itens baseado nos critérios do DSM.
Saiba mais →PHQ-2: Rastreador Ultra-Breve de Depressão
Rastreamento ultra-breve de depressão com 2 itens para humor deprimido e anedonia.
Saiba mais →PHQ-15: Escala de Gravidade de Sintomas Somáticos
Rastreio de gravidade de sintomas somáticos com 15 itens para queixas físicas associadas a sofrimento psicológico.
Saiba mais →GAD-7: Escala de Transtorno de Ansiedade Generalizada
Rastreio de gravidade de ansiedade com 7 itens para transtorno de ansiedade generalizada.
Saiba mais →