PHYSICAL SYMPTOMS PHQ-15

PHYSICAL SYMPTOMS

(PHQ-15)

PATIENT HEALTH QUESTIONNAIRE (PHQ-SADS)

This questionnaire is an important part of providing you with the best health care possible. Your answers will help in understanding problems that you may have. Please answer every question to the best of your ability.

 0= Not bothered‚ 1= Bothered a little‚ 3= Bothered a lot

 

A. During the last 4 weeks‚ how much have you been bothered by any of the following problems?

1.      Stomach pain....................................………………..

1

2

3

2.      Back pain.....................................….………………..

 

 

 

3.      Pain in your arms‚ legs‚ or joints (knees‚ hips‚ etc.)…….

 

 

 

4.      Feeling tired or ha‎ving little energy..............…………

 

 

 

5.      Trouble falling or staying asleep‚ or sleeping too much ……………

 

 

 

6.      Menstrual cramps or other problems with your periods ……(women only)

 

 

 

7.       Pain or problems during sexual intercourse………….

 

 

 

8.       Headaches.........................................……………….

 

 

 

9.       Chest pain........................................…………………

 

 

 

10.   Dizziness..…......................................……………….

 

 

 

11.   Fainting spells..................................…………………

 

 

 

12.   Feeling your heart pound or race....…………………...

 

 

 

13.  13. Shortness of breath.......................……………………

 

 

 

14.   Constipation‚ loose bowels‚ or diarrhea………………

 

 

 

15.   Nausea‚ gas‚ or indigestion..............…………………

 

 

 

سایت روان سنجی : منابع عدیده ای این تست را ارائه کرده اند . برای نمونه به منابع زیر مراجعه کنید.

لازم به یادآوری است که PATIENT HEALTH QESTIONAIRE تحت نسخه های PHQ-4 ‚ PHQ-9  نیز وجود دارد که در تارنما ارائه شده است.

توجه داشته باشید که این ابزار با آزمون  Generalized anxiety disorder به کار گرفته می شود.

 

http://www.healthplus-ny.org/data/bh_phq.pdf

http://www.goodmedicine.org.uk