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. 2018 Jan 17;7(1):e15. doi: 10.2196/resprot.8794

Table 1.

Case identification (screening) instruments for depression and anxiety.

Screening instruments for depression and anxiety Construct Number of items Scoring Published cut points Possible range of values
Patient Health Questionnaire—brief (PHQ-2) [63] (based on the first 2 questions in this scale) Depression (presence of) 2 Items scored 0-3, summed

3 0-6
Patient Health Questionnaire (PHQ-9) [62] Depression (presence of) 9 Items scored 0-3, summed 10 0-27
Generalized Anxiety Disorder 7-Item Scale [64] Anxiety, generalized (severity of) 7 Items scored 0-5, summed 10 0-21
Overall Anxiety and Severity Impairment Scale [65] Anxiety (severity of) 5 Items scored 0-4, summed 8 0-20
Hospital Anxiety and Depression Scale [66] Depression (severity of), anxiety (severity of) 14 (7 for anxiety, 7 for depression) Items scored 0-3, summed 8, 11 0-21
Kessler-6 Distress Scale [67] Nonspecific distress 6 Items scored 1-5, summed 19 6-30 (alternative scoring)
National Institutes of Health Patient-Reported Outcomes Measurement Information System—emotional distress depression—Short Form 8a [68] Depression (severity of) 8 Items scored, summed, and then converted to T score T-score 60 8-40, T score 38.2-81.3
National Institutes of Health Patient-Reported Outcomes Measurement Information System—emotional distress anxiety—Short Form 8a [68] Anxiety (severity of) 8 Items scored, summed, and then converted to T score T score 60 8-40, T score 37.1-83.1