Page 20 - GHES-2-4

Global Health Economics and
Sustainability
COVID-19 and the burden on healthcare workers

Appendix 2. (Continued)
Symptom screen
Depressive symptoms (patient health questionnaire – 9)
Over the last 2 weeks, how often have you been bothered by any of Not at all Several days More than Nearly every day
the following symptoms? half the days
9. Having thoughts that you would be better off dead, or hurting 0 1 2 3
yourself
Total =
Interpretation If at least four questions were answered in the shaded section, consider a
depressive disorder. Add score to determine the severity:
• If >5 in the shaded area, consider major depressive disorder
• If 2 – 4 in the shaded area, consider another depressive disorder
Severity Total score Depression severity
1 – 4 Minimal depression
5 – 9 Mild depression
10 – 14 Moderate depression
15 – 19 Moderately severe depression
20 – 27 Severe depression
Anxiety symptoms (generalized anxiety disorder – 7)
Over the last 2 weeks, how often have you been bothered by any of Not at all Several days More than Nearly every day
the following problems? half the days
1. Feeling nervous, anxious, or on edge 0 1 2 3
2. Not being able to stop or control worrying 0 1 2 3
3. Worrying too much about different things 0 1 2 3
4. Trouble relaxing 0 1 2 3
5. Being so restless that it is hard to sit still 0 1 2 3
6. Becoming easily annoyed or irritable 0 1 2 3
7. Feeling afraid, as if something awful might happen 0 1 2 3
Total =
Interpretation Total score Anxiety severity
0 – 4 Minimal anxiety
5 – 9 Mild anxiety
10 – 14 Moderate anxiety
15 – 21 Severe anxiety
Insomnia symptoms (insomnia severity index)
Over the last 2 weeks, please describe the severity of your None Mild Moderate Severe Very
insomnia. severe
1. Difficulty falling asleep 0 1 2 3 4
2. Difficulty staying asleep 0 1 2 3 4
3. Problems waking up too early 0 1 2 3 4
4. How satisfied/dissatisfied are you with your CURRENT sleep Very satisfied 0 Satisfied 1 Moderately Dissatisfied 3 Very
pattern? Satisfied 2 dissatisfied
4
5. How noticeable to others do you think your sleep problem is in Not at all noticeable 0 A little 1 Somewhat Much 3 Very much
terms of impairing the quality of your life? 2 noticeable 4
6. How worried/distressed are you about your current sleep problem? Not at all worried 0 A little 1 Somewhat Much 3 Very much
2 worried 4
(Cont’d...)

Volume 2 Issue 4 (2024) 12 https://doi.org/10.36922/ghes.2530