[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-mfq":3,"all-assessments-nav":262,"related-assessments-query":942},{"id":4,"title":5,"body":6,"category":197,"categoryTitle":198,"clinicalCitations":199,"copyright":197,"description":208,"disclaimer":197,"downloadLink":197,"extension":209,"faqs":210,"featured":229,"i18nReady":229,"icon":197,"interpreter":230,"lastReviewed":252,"meta":253,"navigation":254,"path":255,"permissionsNote":197,"published":254,"recommendedFrequency":197,"relatedCodes":197,"relatedConditions":197,"reviewedBy":197,"seo":256,"slug":257,"stem":258,"summary":259,"takeaways":197,"timeline":197,"type":260,"usedToDiagnose":197,"__hash__":261},"assessments\u002Fassessments\u002Fmfq.md","MFQ Scoring · Mood and Feelings Questionnaire (Child & Adolescent)",{"type":7,"value":8,"toc":183},"minimark",[9,13,18,30,43,47,50,55,59,66,82,85,89,134,137,141,144,148,151,155,175],[10,11,12],"p",{},"The Mood and Feelings Questionnaire (MFQ) is a free, widely used measure of depressive symptoms in children and adolescents, available as a 33-item long form and a 13-item short form (SMFQ).",[14,15,17],"h3",{"id":16},"about-the-mfq","About the MFQ",[10,19,20,21,25,26,29],{},"The MFQ was developed by Adrian Angold and Jane Costello to measure depressive symptoms in young people aged roughly 6 to 19. Its items map onto the cognitive, affective, and behavioural features of depression described in diagnostic criteria, phrased in plain language a child or adolescent can answer about the past two weeks. Both a ",[22,23,24],"strong",{},"self-report"," (young person) and a ",[22,27,28],{},"parent-report"," version exist, which lets clinicians compare perspectives — useful because children and caregivers often report symptoms differently.",[10,31,32,33,36,37,42],{},"The 13-item ",[22,34,35],{},"Short Mood and Feelings Questionnaire (SMFQ)"," is drawn from the same item set and is the form most often used for routine screening and for tracking symptom change session to session in ",[38,39,41],"a",{"href":40},"\u002Fmbc\u002F","measurement-based care",".",[14,44,46],{"id":45},"what-the-mfq-measures","What the MFQ Measures",[10,48,49],{},"The MFQ assesses the core features of depression in youth — low mood, anhedonia, self-deprecation, fatigue, concentration difficulty, and related symptoms — over the past two weeks. It is a severity and screening measure, not a structured diagnostic interview.",[51,52,54],"h2",{"id":53},"mfq-scoring-interpretation","MFQ Scoring & Interpretation",[14,56,58],{"id":57},"how-to-score-the-mfq","How to Score the MFQ",[10,60,61,62,65],{},"Each item is rated ",[22,63,64],{},"0 (Not True), 1 (Sometimes True), or 2 (True)"," for the past two weeks, and item scores are summed:",[67,68,69,76],"ul",{},[70,71,72,75],"li",{},[22,73,74],{},"Long MFQ (33 items):"," total 0–66.",[70,77,78,81],{},[22,79,80],{},"SMFQ (13 items):"," total 0–26.",[10,83,84],{},"Higher scores indicate greater depressive symptom severity. Use the interpreter above to place an SMFQ total against the common screening cut-points.",[14,86,88],{"id":87},"mfq-smfq-cut-points","MFQ & SMFQ Cut-Points",[90,91,92,108],"table",{},[93,94,95],"thead",{},[96,97,98,102,105],"tr",{},[99,100,101],"th",{},"Form",[99,103,104],{},"Range",[99,106,107],{},"Screening cut-off",[109,110,111,123],"tbody",{},[96,112,113,117,120],{},[114,115,116],"td",{},"SMFQ (13-item)",[114,118,119],{},"0–26",[114,121,122],{},"≥8 (original) \u002F ≥12 (higher specificity)",[96,124,125,128,131],{},[114,126,127],{},"MFQ (33-item)",[114,129,130],{},"0–66",[114,132,133],{},"≈ ≥27–29",[10,135,136],{},"Cut-points vary by setting and population, so they should be applied with clinical judgement. A score above the cut-off is a positive screen that supports referral for a full evaluation — it is not a diagnosis.",[14,138,140],{"id":139},"administration","Administration",[10,142,143],{},"The SMFQ takes 1–2 minutes and the full MFQ about 5 minutes. Where possible, collect both the young person's self-report and a parent-report, and interpret divergence rather than averaging it. Non-clinical staff can administer the form, but a licensed clinician interprets it alongside history and functional impact.",[14,145,147],{"id":146},"psychometric-properties","Psychometric Properties",[10,149,150],{},"Both the MFQ and SMFQ show good-to-excellent internal consistency and strong correlations with clinician-rated depression measures such as the Children's Depression Rating Scale–Revised, supporting their reliability and concurrent validity, and both are sensitive to symptom change over time (Thabrew et al., 2018; Sharp et al., 2006).",[14,152,154],{"id":153},"limitations","Limitations",[67,156,157,163,169],{},[70,158,159,162],{},[22,160,161],{},"Screening, not diagnosis."," A positive MFQ or SMFQ indicates symptoms consistent with depression and warrants full evaluation.",[70,164,165,168],{},[22,166,167],{},"Population-dependent cut-offs."," Optimal thresholds differ across community, help-seeking, and clinical samples.",[70,170,171,174],{},[22,172,173],{},"Informant differences."," Self-report and parent-report can diverge, especially in younger children.",[10,176,177,178,182],{},"For adults, screen depression with the ",[38,179,181],{"href":180},"\u002Fassessments\u002Fphq-9\u002F","PHQ-9","; for co-occurring anxiety in youth, consider pairing with an age-appropriate anxiety measure.",{"title":184,"searchDepth":185,"depth":185,"links":186},"",3,[187,188,189],{"id":16,"depth":185,"text":17},{"id":45,"depth":185,"text":46},{"id":53,"depth":190,"text":54,"children":191},2,[192,193,194,195,196],{"id":57,"depth":185,"text":58},{"id":87,"depth":185,"text":88},{"id":139,"depth":185,"text":140},{"id":146,"depth":185,"text":147},{"id":153,"depth":185,"text":154},null,"Depression & Mood",[200,202,205],{"text":201},"Angold A, Costello EJ, Messer SC, et al. Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. Int J Methods Psychiatr Res. 1995;5:237-249.",{"text":203,"link":204},"Thabrew H, Stasiak K, Bavin LM, Frampton C, Merry S. Validation of the Mood and Feelings Questionnaire (MFQ) and Short Mood and Feelings Questionnaire (SMFQ) in New Zealand help-seeking adolescents. Int J Methods Psychiatr Res. 2018;27(3):e1610.","https:\u002F\u002Fdoi.org\u002F10.1002\u002Fmpr.1610",{"text":206,"link":207},"Sharp C, Goodyer IM, Croudace TJ. The Short Mood and Feelings Questionnaire (SMFQ): a unidimensional item response theory and categorical data factor analysis of self-report ratings from a community sample of 7- through 11-year-old children. J Abnorm Child Psychol. 2006;34(3):379-391.","https:\u002F\u002Fdoi.org\u002F10.1007\u002Fs10802-006-9027-x","MFQ scoring guide — Mood and Feelings Questionnaire for child & adolescent depression. Long form (33 items, 0–66) and Short form SMFQ (13 items, 0–26). Free.","md",[211,214,217,220,223,226],{"question":212,"answer":213},"What is the Mood and Feelings Questionnaire (MFQ)?","The MFQ is a self-report and parent-report measure of depressive symptoms in children and adolescents, developed by Adrian Angold and Elizabeth Jane Costello. It comes in a 33-item long form and a 13-item Short Mood and Feelings Questionnaire (SMFQ), with separate child (self-report) and parent versions, and is free for clinical and research use.",{"question":215,"answer":216},"What is the difference between the MFQ and the SMFQ?","The MFQ is the full 33-item Mood and Feelings Questionnaire (score 0–66); the SMFQ is the 13-item Short Mood and Feelings Questionnaire (score 0–26), drawn from the same item set. The 13 SMFQ items are all included in the long MFQ. The SMFQ is favoured in routine screening because it is brief and sensitive to symptom change, while the full MFQ gives a more detailed symptom profile.",{"question":218,"answer":219},"How is the MFQ scored?","Each item is rated 0 (Not True), 1 (Sometimes True), or 2 (True) for how the young person has felt or acted over the past two weeks. Item scores are summed: the long MFQ ranges 0–66 and the SMFQ ranges 0–26. Higher scores indicate greater depressive symptom severity.",{"question":221,"answer":222},"What is the cut-off score for the MFQ and SMFQ?","Cut-offs vary by population. For the SMFQ, ≥8 is the original screening threshold (Angold); validation studies have supported ≥12 for higher specificity (Thabrew et al., 2018). For the long MFQ, a cut-off of about ≥27–29 has been reported. A score above the cut-off is a positive screen that warrants a full clinical evaluation, not a diagnosis.",{"question":224,"answer":225},"What ages is the MFQ for?","The MFQ and SMFQ are designed for children and adolescents roughly ages 6 to 19, with both a young-person self-report form and a parent-report form. For adult depression screening, use the PHQ-9; for younger children, parent-report is generally more reliable.",{"question":227,"answer":228},"Is the MFQ free to use?","Yes. The MFQ and SMFQ are free for clinical and research use and can be obtained from the Developmental Epidemiology Center without licensing fees.",false,{"heading":231,"scaleLabel":232,"min":233,"max":234,"start":235,"note":236,"source":237,"bands":238},"SMFQ Score Interpreter (13-item, 0–26)","SMFQ total",0,26,8,"Cut-points vary by population. ≥8 is the original screening threshold (Angold); validation studies support ≥12 for higher specificity (Thabrew). A positive screen warrants full evaluation — it is not a diagnosis.","Short Mood and Feelings Questionnaire (Angold & Costello, 1995; Thabrew et al., 2018). Screening reference only.",[239,243,247],{"min":233,"label":240,"note":241,"level":242},"Below screening threshold","Depressive symptoms not elevated on the SMFQ.","success",{"min":235,"label":244,"note":245,"level":246},"Elevated (≥8)","At or above the original screening threshold; review and consider follow-up.","warning",{"min":248,"label":249,"note":250,"level":251},12,"Above clinical cut-off (≥12)","At or above the higher-specificity cut-off; supports referral for full evaluation.","error","2026-06-07",{},true,"\u002Fassessments\u002Fmfq",{"title":5,"description":208},"mfq","assessments\u002Fmfq","MFQ scoring guide — the Mood and Feelings Questionnaire for child and adolescent depression. 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