How do I assess my patients’ anxiety and depression?
Many tools exist for providers to assess their patients’ depression and anxiety. The tools below have been used in a variety of populations, including women in the perinatal period.
Scales to assess anxiety:
- Generalized Anxiety Disorder Scale (GAD-7) screens for common symptoms of anxiety experienced by the patient over the past two weeks (Spitzer, et. al., 2006).
- PRIME MD 2A (GAD-2) is a brief screen for anxiety, using the first two questions of the GAD-7 (Kroenke, et. al., 2007).
- State-Trait Anxiety Inventory (STAI) assesses levels of anxiety related to how the respondent "typically feels" (Spielberger, et. al., 1983).
Scales to assess depression:
- Edinburgh Postnatal Depression Scale (EPDS) is a brief screen for postpartum depression (Cox, et. al., 1987).
- Patient Health Questionnaire (PHQ-9) is used to measure depression. Question 9 on the scale measures suicidal ideation (Kroenke, et. al., 2001).
- Patient Health Questionnaire -2 (PHQ -2) measures depressed mood and lack of interest in doing things over the past two weeks, using the first two questions of the PHQ-9 (Kroenke, et. al., 2003).