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2010 Neurological Institute Outcomes - Cleveland Clinic

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The Patient Health Questionnaire (PHQ-9) is a nine-item, validated, self-reported measure of depression that is based<br />

on the nine diagnostic criteria for depressive disorders according to the DSM-IV and yields a measure of depression<br />

severity. Scores range from 0 to 27 and scores of 5, 10, 15 and 20 reflect mild, moderate, moderately severe and severe<br />

depression, respectively.<br />

Depressive Symptoms by <strong>Neurological</strong> Disease Category<br />

<strong>2010</strong><br />

<strong>Neurological</strong> <strong>Institute</strong><br />

Cerebrovascular Disease (N = 2,862)<br />

Epilepsy (N = 4,460)<br />

Spinal Disease (N = 19,628)<br />

Multiple Sclerosis (N = 7,164)<br />

Neuromuscular Disorders (N = 4,437)<br />

Movement Disorders (N = 4,805)<br />

Headache (N = 7,653)<br />

Cognitive Disorders (N = 655)<br />

Sleep Disorders (N = 5,201)<br />

Psychiatric & Psychological Disorders (N = 10,986)<br />

Chronic Pain (N = 1,768)<br />

<strong>Neurological</strong> Disease Category<br />

0 5 10<br />

Mean PHQ-9 Score<br />

A cross-sectional analysis of depressive symptoms across multiple neurological disease categories suggests at least mild<br />

depression in all neurological diseases, with the most severe depression in those with chronic pain.<br />

15<br />

15

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