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Click ‘Get Form’ to open it in the editor.
Begin by reviewing the 'Woman’s Feelings' section, which provides context for understanding the EPDS and PHQ-9 scores.
Fill in the EPDS scoring section. Note that scores of 9 or less indicate no depression, while scores from 10 to 12 suggest modest concern. Scores between 13 and 18 indicate moderate concern, and a score of 19 or above suggests likely depression and potential suicide risk.
Next, complete the PHQ-9 Severity Tool. Enter your score based on the severity levels: below 5 is normal, 5-9 indicates mild symptoms, 10-14 shows moderate symptoms, 15-19 represents moderately severe symptoms, and a score of 20 or higher indicates severe symptoms.
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What does EPDS measure?

The Edinburgh Postnatal Depression Scale (EPDS) is one of the most widely used screening instruments for assessing symptoms of perinatal depression and anxiety [3, 4]. It assesses emotional experiences over the past seven days using ten Likert-scale items (See Additional file 1).

What is a positive EPDS screen?

A score of 10 to 12 on the EPDS or 5 - 14 on PHQ-9 is a sign of possible depression and may not require immediate referral; use your professional judgement and provide interventions described in the next section. Any positive score on item #10 on the EPDS or #9 on the PHQ-9 requires a referral.

What is the difference between PHQ-9 and EPDS?

The EPDS focuses on psychological manifestations and excludes the three physical symptoms of major depression (fatigue, changes in weight or appetite, and psychomotor arousal/delay). The PHQ-9 not only screens for depression but also shows its severity (Kroenke et al., 2001).

What to do with PHQ-9 results?

The PHQ 2 and 9 should be completed by the patient, usually in the waiting room, and then scored by a staff person. Often administrative staff or medical assistants score this form and subsequently enter the score into the electronic health record.

When do you use the EPDS?

All women should complete the EPDS at least once, preferably twice, in both the antenatal period and the postnatal period (ideally 612 weeks after the birth).

phq 9 score interpretation

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Key to help staff remember EPDS and PHQ-9 scores 2026

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