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January 1, 2025Collabra PsychologyOpen Access

Measuring Depression and Anxiety With 4 Items? Adaptation of the PHQ-4 to Increase Its Sensitivity to Subclinical Variability

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Authors

DMDominique MakowskiSKStephanie KirkANAna Neves

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Overview

Pilot study improved sensitivity to subclinical changes in depression and anxiety using an expanded PHQ-4 response option.

Key Points

  • The refined PHQ-4 showed improved sensitivity to subclinical variability in depression and anxiety.
  • Pilot study with 485 participants indicated frequent use of the new response option by subjects.
  • Validation study involving 836 participants confirmed enhanced sensitivity compared to the original scale.
  • Adding a simple response option improves the PHQ-4's utility for general population research by capturing milder symptoms.

Cite This Study

Makowski et al. (2025) studied this question.

synapsesocial.com/papers/68af73567567bf4f94fecabahttps://doi.org/10.1525/collabra.143431
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Also Consider

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