PHQ-9 consists of nine items evaluating the nine DSM criteria of MDD over the past 2 weeks [25]. This self-rating scale does not focus on symptoms of anxiety. Each item is rated from 0 to 3, giving a total score of 0–27. Higher scores reflect a higher likelihood of MDD. The Chinese version of PHQ-9 has been validated for primary care adults in Taiwan [26]. PHQ-9 scores of 10 or higher displayed a sensitivity of 0.86 and specificity of 0.94 for detecting MDD.
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