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Assessment

PHQ-4 anxiety and depression check (PHQ-4)

Four questions combining the two core anxiety items (GAD-2) and the two core depression items (PHQ-2). A very short first check that points to the fuller GAD-7 or PHQ-9 when either part is raised.

Public domain No permission needed. Free to use, reproduce and translate.
Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.

Four questions combining the two core anxiety items (GAD-2) and the two core depression items (PHQ-2). A very short first check that points to the fuller GAD-7 or PHQ-9 when either part is raised.

You can take it privately on PsychologyOrbit: PHQ-4 self-check. Answers are scored once and never stored. A screening result is not a diagnosis.

Primary reference

Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ-4. Psychosomatics, 50(6), 613-621.

At a glance

MeasuresCore anxiety and depression symptoms over the last two weeks
PopulationAdults
Format Self report
Items4
Timeabout 1 minutes
LanguagesEnglish
PublisherPfizer Inc. (educational grant)
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