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Sample پرسشنامه افسردگی PHQ-9

پرسشنامه سلامت بیمار PHQ-9 برای سنجش شدت علائم افسردگی با ۹ سؤال؛ نمره‌ی ۰ تا ۲۷ و سطحِ شدت خودکار حساب می‌شود و پاسخ به سؤال ۹ پیامِ حمایتی و شماره‌ی کمک نشان می‌دهد.

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About this template

“پرسشنامه افسردگی PHQ-9” has 10 questions; 9 are required and 1 optional. Question types: Single choice (10). 40 ready-made options across 10 choice questions, all editable in the online version.

Related:Standard questionnairesBuild an online questionnaireCronbach's alpha calculatorSample size calculation

Questions in this template

  1. 1.

    علاقه یا لذتِ کم در انجامِ کارها *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  2. 2.

    احساسِ غمگینی، افسردگی یا ناامیدی *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  3. 3.

    مشکل در به خواب رفتن یا خواب ماندن، یا خوابیدنِ بیش از حد *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  4. 4.

    احساسِ خستگی یا کم‌انرژی بودن *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  5. 5.

    کم‌اشتهایی یا پرخوری *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  6. 6.

    احساسِ بد درباره‌ی خودتان — یا اینکه آدمِ شکست‌خورده‌ای هستید یا خودتان یا خانواده‌تان را ناامید کرده‌اید *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  7. 7.

    مشکل در تمرکز روی کارها، مثلاً خواندنِ روزنامه یا تماشای تلویزیون *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  8. 8.

    آن‌قدر آهسته حرکت کردن یا حرف زدن که دیگران متوجه شده باشند؛ یا برعکس، آن‌قدر بی‌قرار و ناآرام بودن که خیلی بیشتر از معمول این‌طرف و آن‌طرف رفته‌اید *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  9. 9.

    فکرِ اینکه بهتر است بمیرید یا به نوعی به خودتان آسیب بزنید *

    (Single choice)
    • اصلاً
    • چند روز
    • بیش از نیمی از روزها
    • تقریباً هر روز
  10. 10.

    اگر هر یک از این مشکلات را داشته‌اید، این مشکلات انجامِ کار، رسیدگی به امورِ خانه یا کنار آمدن با دیگران را برایتان چقدر دشوار کرده است؟

    (Single choice)
    • اصلاً دشوار نبوده
    • تا حدی دشوار بوده
    • خیلی دشوار بوده
    • بی‌نهایت دشوار بوده

What does the PHQ-9 measure?

The severity of depressive symptoms over the last two weeks. Its nine items match the nine DSM-IV criteria for major depression; it is used in primary care, research and to monitor treatment. An unscored tenth question asks how difficult the symptoms have made work and daily life.

Number of items
9
Time to complete
2–3 minutes
Score range
0 to 27
Reversed items
None
Response scale
Four options: not at all (0), several days (1), more than half the days (2), nearly every day (3)
Authors
Kurt Kroenke, Robert Spitzer and Janet Williams, 2001

This questionnaire is a screening tool, not a diagnosis; only a qualified mental-health professional can diagnose. If you feel severe distress or have thoughts of harming yourself, call Iran's social emergency line 123 or the counselling line 1480 now, or go to the nearest medical centre.

Scoring the PHQ-9

  1. Not at all = 0, several days = 1, more than half the days = 2, nearly every day = 3.
  2. The total is the sum of the nine items, from 0 to 27.
  3. The tenth question (difficulty at work and home) is not scored and only appears when at least one problem was checked.
  4. Any answer other than "not at all" on item 9 (thoughts of death or self-harm) needs prompt follow-up regardless of the total; this template immediately shows a supportive message with help lines and a separate ending screen.

Interpreting PHQ-9 scores

ScoreLevelSuggested action
0–4Minimal or none—
5–9MildWatch and re-assess
10–14ModerateProfessional assessment recommended
15–19Moderately severeProfessional assessment recommended
20–27SeverePrompt professional assessment recommended

Kroenke et al. (2001) proposed 5, 10, 15 and 20 as the thresholds for mild, moderate, moderately severe and severe depression. A score of 10 or more is the most common cut-off for further assessment.

PHQ-9 validity and reliability

  • Validation data came from 6,000 patients in 8 primary-care clinics and 7 obstetrics–gynaecology clinics.
  • Cronbach's alpha was .89 and .86 in the two studies, and the 48-hour test–retest correlation was .84.
  • A score of 10 or more had 88% sensitivity and 88% specificity for major depression.

Using the PHQ-9 in your thesis with Porsino

  1. Sign up for free and click "Build a form from this template"; the items, options and every option's score (reversed items included) are ready.
  2. If you need demographic questions (age, gender, education), add them on a separate page; keep the item wording and order unchanged so the scoring stays valid.
  3. Publish the form and send its short link or QR code to your research sample; respondents fill it in without signing up and see their score and its interpretation at the end.
  4. Each respondent's total score and level are saved automatically in separate columns; export to Excel or SPSS from the responses page and go straight to analysis.
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Source and translation

Original instrument: Kurt Kroenke, Robert Spitzer and Janet Williams, 2001

  • Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.

The PHQ-9 was developed with a grant from Pfizer; no permission is required to reproduce, translate, display or distribute it.

Translated by Porsino; for formal research, cite a validated (normed) Persian version.

Frequently asked questions about the PHQ-9

How many questions does the PHQ-9 have?

Nine scored questions with four options (0–3) and an unscored tenth question about difficulty at work and home; the total runs from 0 to 27.

How is the PHQ-9 score interpreted?

0–4 minimal, 5–9 mild, 10–14 moderate, 15–19 moderately severe and 20–27 severe. A score of 10 or more usually means a professional assessment is needed.

Does the PHQ-9 diagnose depression?

No. It is a screening and severity tool; only a clinical assessment by a professional can diagnose.

Printable or online?

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you
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Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too
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How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “پرسشنامه افسردگی PHQ-9”.
  3. Change the questions as you like, publish the form and send the link.

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