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Evaluating depression using PHQ-9
Importance of questionnaire of patient health (PHQ-9
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Application
In order to recognize depression, self-rating scales can be useful between groups of patients with the risk increased for the depression. These scales are valuable to discover patients, evaluating the result of treatment and the course of the depression. The scales that they autoappraise are also independent from which doctor the patient they are, hence the result is a more patient ligature compared to a clinical evaluation. If the scale of autoposition indicates that the patient suffers from the depression the diagnostic debit to be confirmed then by a doctor.
The scale of autoposition PHQ-9 (Questionnaire of Patient Health) is extracted of the criteria as DSM-IV for the depression. The previous studies have showed that PHQ-9 are valuable as instruments that find case with a position of severity that allows the purveyor of care to supervise the result of treatment. These scales of autoposition are recommended for the use in the Primary Care. The Questionnaire of Patient Health (PHQ) is designed to facilitate the recognition and the diagnosis of depressive disorders in primary patients of care. For patients with a depressive disorder, a result of Index of Severity of Depression PHQ can be calculated and repeated by the time to supervise the change.
The Primary Care is more often the first contact of the patients with the medical assistance. The elegant primary debit to act as the first platform of prevention, diagnosis, care, treatment, and rehabilitation for all the illnesses in all the categories of age. This one also includes the depression, and the patients with soft to moderate depression more often can be completely handled in the Primary Care. The PHQ-9 is like that an instrument of double use that, with same...
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...riates, and health care utilization on college campuses: Results from a national sample of college students. Department of Psychology, Eastern Michigan University.
Kroenke K., Robert L. & Spitzer, MD. (2002). The Phq -9: A New Depression Diagnostic and Severity Measure. Psychiatric Annals 3 2 : 9.
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Williamson, J. S. (2008). Depression. Phi Kappa Phi Forum, 88(1), 18-18, 24. Retrieved from http://search.proquest.com.library.capella.edu/docview/235187495?accountid=27965
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Depression has many degrees of severity from a passing feeling to a serious illness, which destroys lives and relationships. Major depressive disorder is the most severe form of depression. It is extreme and persistent, rendering the patient inconsolable and helpless (1). Depressed patients often cannot continue working and have difficulty dealing with family and friends. Other symptoms of major depression are deep despair, misery, irritability, low self-esteem, suicidal thoughts, change in eating and sleeping habits, fatigue and inability to concentrate. Other mental illnesses, such as anxiety and alcoholism are also associated with major depression (2). While serious depressive episodes are important to our understanding of mental health, chronic depression is terribly widespread and often undiagnosed or misdiagnosed. Dysthymia is a disorder which has similar, but milder and much longer lasting, symptoms to depression (3). By understanding the characteristics of dysthymia, health professionals can identify a chronic mental illness before it manifests into more serious psychological problems, such as severe depression. Dysthymia is also an interesting disorder from the neurobiological perspective because it is often difficult to discern from other personality disorders, such as a depressed or gloomy personality. This paper explores depression and dysthymia, their symptoms and therapies. In addition, personalities which are depressed will be analyzed and compared to depression and dysthymia. Do all three afflictions stem from the same genetic or environmental causes, and mechanistic origins? Are they all responsive to the same treatment? This comparison will address the difficulty in dis...
"Prevalence of mood disorders in a national sample of young American adults." Soc Psychiatry. Psychiatr Epidemiol 38(11): 618-624. Lee, C. V., S. W. McDermott, et al. a. The '90s.
middle of paper ... ... Retrieved June 16, 2002, from http://nimh.nih.gov/publicat/numbers.cfm. National Mental Health Association. 2000 May 15.
Kaut, K. P., & Dickinson, J.A. (2007). The mental health practitioner and psychopharmacology. Journal of Mental Health Counseling, 29(3), 204–225.
The Beck Anxiety Inventory was designed by Aaron T. Beck and is self report scale that consists of 21 items. The items are short and straightforward, making it easy to read and comprehend. All items are related to anxiety and describe a symptom of anxiety that is rate on a four point likert scale according to severity. The answers range from 0-3 and the responses range from “not at all” to “severely; I could barely stand it” and all items are added for a total score. The instructions on the test ask for the respondent to “indicate how much you have been bothered by each symptom during the past week, including today, by placing an X in the corresponding space in the column next to each symptom” (Dowd, 2008). The assessment is intended for adolescents and adults and can be administered individually or in a group setting. An additional copy of the inventory test is also available in Spanish. It was originally created from a sample of 810 outpatients of that were predominately affected by mood and anxiety disorders and research on the original development is described as informative and thorough.
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American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders: Fourth Edition. Arlington : American Psychiatric Association.
Clinical depression is very common. Over nine million Americans are diagnosed with clinical depression at some point in their lives. Many more people suffer from clinical depression because they do not seek treatment. They may feel that depression is a personal weakness, or try to cope with their symptoms alone. On the other hand, some people are comfortable with admitting their symptoms and seeking help. Such a discrepancy may account for the differences in reported cases of depression between men and women, which indicate that more than twice the numbers of women than men are clinically depressed. According to the numbers of reported cases of depression, 25% of women and 10% of men will have one or more episodes of clinical depression during their lifetimes.
Williams, J. B. (1988) A structured interview guide for the Hamilton depression rating scale. Arch Gen Psychiatry. 45, 742-747.
Kahn, Ada P., and Jan Fawcett. The Encyclopedia of Mental Health. 2nd ed. New York: Facts On File, 2001.
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.
Cassano, P. Fava, M. (2002). Depression and public health: an overview. Journal of Psychosomatic Research, 53, 849–857. Retrieved from http://www.psychology.com/resources/depression.php