PHQ-4

Patient Health Questionnaire-4

The PHQ-4 is an ultra-brief screen for depression and anxiety, combining the first two items of the PHQ-9 and GAD-7. Four questions, under a minute. Lower scores mean better mood and less anxiety. It is used for quick rechecks between full assessments.

Over the last 2 weeks, how often have you been bothered by the following problems? Answer based on how things have actually been.

0/4

  1. 1. Feeling down, depressed, or hopeless

  2. 2. Trouble falling or staying asleep, or sleeping too much

  3. 3. Feeling nervous, anxious, or on edge

  4. 4. Not being able to stop or control worrying

Kroenke K, Spitzer RL, Williams JBW. J Gen Intern Med. 2016;31(1):51-57.