Panel d’outils accessibles en langues française ou anglaise pour l’évaluation de la qualité de vie, du stress, du trauma , de l’anxiété, de la colère, de la dépression de la santé perçue, de la satisfaction…
Patient Stress Questionnaire
*adapted from PhQ 9, GAD7, PC-PTSD and AUDIT 1/24/11
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Patient Depression Questionnaire
PHQ-9
Since the questionnaire relies on patient self-report, all responses should be verified by the clinician
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GAD7
Source: Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety
disorder. Arch Intern Med. 2006;166:1092-1097.
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LIFE EVENT CHECK-LIST
Blake, Weathers, Nagy, Kaloupek, Charney, & Keane, 1995
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K10-SELF REPORT MEASURE
Kessler Psychological Distress Scale (K10)
Source: Kessler R. Professor of Health Care Policy, Harvard Medical
School, Boston, USA.
This is a 10-item questionnaire intended to yield a global measure of
distress based on questions about anxiety and depressive symptoms
that a person has experienced in the most recent 4 week period.
K-10
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Questions 1-8 reproduce the SF-8, Copyright: The Medical Outcomes Trust (MOT), Health Assessment Lab (HAL) and Quality Metric Incorporated
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Patient Satisfaction Survey
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PTSD Checklist – Civilian version (PCL-C)
Lang, A.J., Stein, M.B. (2005) An abbreviated PTSD checklist for use as a screening instrument in primary
care. Behaviour Research and Therapy, 43, 585-594
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DSM-5 LEVEL 2—Anger—Adult
Instructions, scoring, and frequency of use on this page only: Copyright © 2013 American Psychiatric Association.
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DSM-5 LEVEL 2—Sleep Disturbance—Adult
Instructions, scoring, and frequency of use on this page only: Copyright © 2013 American Psychiatric Association
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DSM-5 LEVEL 2—Repetitive Thoughts and Behaviors—Adult
adapted from the
Florida Obsessive-Compulsive Inventory [FOCI] Severity Scale
Rights holder: © 1994 Wayne K. Goodman, MD, and Eric Storch, PhD.
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DSM-5 : LEVEL 2—Depression—Adult
Instructions, scoring, and frequency of use on this page only: Copyright © 2013 American Psychiatric Association
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DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure
This adult version of the measure consists of 23 questions that assess 13 psychiatric domains, including depression, anger,
mania, anxiety, somatic symptoms, suicidal ideation, psychosis, sleep problems, memory, repetitive thoughts and behaviors,
dissociation, personality functioning, and substance use.
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DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure— Child Age 11–17
Each item asks the child, age 11–17, to rate how much (or how often) he or she has
been bothered by the specific symptom during the past 2 weeks.
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Patient Health Questionnaire
PHQ-9 Adolescents
(Spitzer et
al, JAMA, 1999)], Revised PHQ-A (Johnson, 2002), and the Columbia DDS (DISC Development Group, 2000)
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Patient Stress Questionnaire
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PHQ – Questions
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GAD7
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