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Clinical: mood, anxiety and stress

Patient Health Questionnaire-4.

PHQ-4

Clinical: mood, anxiety and stressOpen licence4 (2 anxiety + 2 depression)

Ultra-brief combined core screen for anxiety and depression: the GAD-2 (anxiety) and PHQ-2 (depression) items together, giving an anxiety subscale, a depression subscale and a total distress score (past 2 weeks)

Length and format
4 (2 anxiety + 2 depression). 4-point frequency (0-3), total 0-12; bands 0-2 normal, 3-5 mild, 6-8 moderate, 9-12 severe; subscale cut-off >=3 each (self-report questionnaire)
Language versions
Inherits the PHQ/GAD multi-language set (many languages); German and US norms established
Licence
public-domain / open

Licence classification is a research judgement by the catalogue’s authors, not legal advice, and it can be out of date. Confirm terms with the copyright holder or publisher before using an instrument, especially for commercial use.

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

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