Detecting and Evaluating Cognitive Impairment in Heart Failure Patients

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Depression in Heart Failure and the PHQ-2 Screening Tool

Depression is 5 times more prevalent in patients with heart failure than in the general population.

    Heart Failure patients who are depressed have:
  • Reduced function
  • Higher readmission rates
  • High mortality risk
  • Greater severity and decline after 6 months
  • Worsened cognitive impairment and pseudo-dementia*
    • *Pseudo-dementia is severe depression that presents as dementia, but responds to antidepressant treatment with significant improvement of both mood and memory

The Patient Health Questionnaire-2 (PHQ-2) is a shortened version of the Patient Health Questionnaire-9 (PHQ-9) that can help ascertain coexisting depression and cognitive impairment diagnoses. This two-question survey may be administered in conjunction with the Mini-CogTM or AD-8 without taking excessive time out of the patient’s routine assessment.

Click here to access the PHQ-2


Click on the icon below to reveal the clinical tip:


The Module Case Study will show an example of how the PHQ-2 is administered in a clinic setting.