CCP Depression Screening & PHQ-9 4

Question 1

Compared to the Hamilton Rating Scale for Depression (HAM-D), the PHQ-9 has which key advantage in primary care settings?

Accepted Answer

Patient self-administration reducing clinician burden

Answer

The PHQ-9 is patient-self-administered, making it practical for busy primary care settings unlike the clinician-administered HAM-D.

Question 2

What recall period does the PHQ-9 reference for its symptom questions?

Accepted Answer

Past 2 weeks

Answer

PHQ-9 items ask how often the patient has been bothered by each problem 'over the last 2 weeks,' aligning with DSM criteria for major depressive episode.

Question 3

A PHQ-9 score of 5 indicates which level of depression severity?

Accepted Answer

Mild depression

Answer

The PHQ-9 severity ranges are: 0–4 minimal, 5–9 mild, 10–14 moderate, 15–19 moderately severe, 20–27 severe.

Question 4

Which sensitivity and specificity are closest to the established performance of the PHQ-9 at the ≥10 cutoff for major depression?

Accepted Answer

Sensitivity 88%, specificity 88%

Answer

At the ≥10 cutoff, the PHQ-9 demonstrates approximately 88% sensitivity and 88% specificity for major depressive disorder.

Question 5

Which DSM-5 criteria domain is NOT directly assessed by an individual PHQ-9 item?

Accepted Answer

Social withdrawal

Answer

Social withdrawal is not directly queried as a standalone PHQ-9 item; the tool maps to 8 of the 9 DSM-5 symptom criteria plus a functional impairment item.

(CCP) Chronic Care Professional Certification Practice Test

(CCP) Chronic Care Professional Certification Practice Test

CCP Depression Screening & PHQ-9 4