QUICK INVENTORY OF DEPRESSIVE SYMPTOMATOLOGY (SELF-REPORT)

(QIDS-SR)

NAME: ________________________________________________ TODAY’S DATE _______________

Please circle the one response to each item that best describes you for the past seven days.

1. Falling Asleep: 6. Decreased Appetite:

0 I never take longer than 30 minutes to fall 0 There is no change in my usual appetite.
asleep. 1 I eat somewhat less often or lesser
1 I take at least 30 minutes to fall asleep, amounts of food than usual.
less than half the time. 2 I eat much less than usual and only with
2 I take at least 30 minutes to fall asleep, personal effort.
more than half the time. 3 I rarely eat within a 24-hour period, and
3 I take more than 60 minutes to fall asleep, only with extreme personal effort or when
more than half the time. others persuade me to eat.

2. Sleep During the Night: 7. Increased Appetite:

0 I do not wake up at night. 0 There is no change from my usual

1 I have a restless, light sleep with a few appetite.
brief awakenings each night. 1 I feel a need to eat more frequently than
2 I wake up at least once a night, but I go usual.
back to sleep easily. 2 I regularly eat more often and/or greater
3 I awaken more than once a night and stay amounts of food than usual.
awake for 20 minutes or more, more than 3 I feel driven to overeat both at mealtime
half the time. and between meals.

3. Waking Up Too Early: 8. Decreased Weight (Within the Last Two

Weeks):
0 Most of the time, I awaken no more than
30 minutes before I need to get up. 0 I have not had a change in my weight.
1 More than half the time, I awaken more 1 I feel as if I've had a slight weight loss.
than 30 minutes before I need to get up. 2 I have lost 2 pounds or more.
2 I almost always awaken at least one hour 3 I have lost 5 pounds or more.
or so before I need to, but I go back to
sleep eventually.
3 I awaken at least one hour before I need 9. Increased Weight (Within the Last Two
to, and can't go back to sleep. Weeks):

4. Sleeping Too Much: 0 I have not had a change in my weight.

1 I feel as if I've had a slight weight gain.
0 I sleep no longer than 7-8 hours/night, 2 I have gained 2 pounds or more.
without napping during the day. 3 I have gained 5 pounds or more.
1 I sleep no longer than 10 hours in a 24-
hour period including naps.
2 I sleep no longer than 12 hours in a 24- 10. Concentration/Decision Making:
hour period including naps.
3 I sleep longer than 12 hours in a 24-hour 0 There is no change in my usual capacity to
period including naps. concentrate or make decisions.
1 I occasionally feel indecisive or find that
5. Feeling Sad: my attention wanders.
2 Most of the time, I struggle to focus my
0 I do not feel sad attention or to make decisions.
1 I feel sad less than half the time. 3 I cannot concentrate well enough to read
2 I feel sad more than half the time. or cannot make even minor decisions.
3 I feel sad nearly all of the time.
11. View of Myself: 14. Energy Level:

0 I see myself as equally worthwhile and 0 There is no change in my usual level of

deserving as other people. energy.
1 I am more self-blaming than usual. 1 I get tired more easily than usual.
2 I largely believe that I cause problems for 2 I have to make a big effort to start or finish
others. my usual daily activities (for example,
3 I think almost constantly about major and shopping, homework, cooking or going to
minor defects in myself. work).
3 I really cannot carry out most of my usual
12. Thoughts of Death or Suicide:
daily activities because I just don't have
0 I do not think of suicide or death. the energy.
1 I feel that life is empty or wonder if it's
15. Feeling slowed down:
worth living.
2 I think of suicide or death several times a 0 I think, speak, and move at my usual rate
week for several minutes. of speed.
3 I think of suicide or death several times a 1 I find that my thinking is slowed down or
day in some detail, or I have made specific my voice sounds dull or flat.
plans for suicide or have actually tried to 2 It takes me several seconds to respond to
take my life. most questions and I'm sure my thinking is
slowed.
13. General Interest:
3 I am often unable to respond to questions
0 There is no change from usual in how without extreme effort.
interested I am in other people or
16. Feeling restless:
activities.
1 I notice that I am less interested in people 0 I do not feel restless.
or activities. 1 I'm often fidgety, wringing my hands, or
2 I find I have interest in only one or two of need to shift how I am sitting.
my formerly pursued activities. 2 I have impulses to move about and am
3 I have virtually no interest in formerly quite restless.
pursued activities. 3 At times, I am unable to stay seated and
need to pace around.
To Score:

1. Enter the highest score on any 1 of the

4 sleep items (1-4) ____ Scoring Criteria

2. Item 5 ____ 0–5 Normal

3. Enter the highest score on any 1 6–10 Mild

appetite/weight item (6-9) ____ 11–15 Moderate
4. Item 10 ____ 16–20 Severe
5. Item 11 ____ ≥21 Very Severe
6. Item 12 ____
7. Item 13 ____
8. Item 14 ____
9. Enter the highest score on either of
the 2 psychomotor items (15 and 16) ____

TOTAL SCORE (Range 0-27) ____

©2000, A. John Rush, M.D. Revised 5/1/00