Feasibility, acceptability and clinical utility of the Cultural Formulation Interview: Mixed-methods results from the DSM-5 international field trial

Roberto Lewis-Fernández, Neil Krishan Aggarwal, Peter C. Lam, Hanga Galfalvy, Mitchell G. Weiss, Laurence J. Kirmayer, Vasudeo Paralikar, Smita N. Deshpande, Esperanza Díaz, Andel V. Nicasio, Marit Boiler, Renato D. Alarcón, Hans Rohlof, Simon Groen, Rob C.J. Van Dijk, Sushrut Jadhav, Sanjeev Sarmukaddam, David Ndetei, Monica Z. Scalco, Kavoos BassiriSergio Aguilar-Gaxiola, Hendry Ton, Joseph Westermeyer, Johann M. Vega-Dienstmaier

Research output: Contribution to journalReview article

25 Scopus citations

Abstract

Background: There is a need for clinical tools to identify cultural issues in diagnostic assessment. Aims: To assess the feasibility, acceptability and clinical utility of the DSM-5 Cultural Formulation Interview (CFI) in routine clinical practice. Method: Mixed-methods evaluation of field trial data from six countries. The CFI was administered to diagnostically diverse psychiatric out-patients during a diagnostic interview. In post-evaluation sessions, patients and clinicians completed debriefing qualitative interviews and Likert-scale questionnaires. The duration of CFI administration and the full diagnostic session were monitored. Results: Mixed-methods data from 318 patients and 75 clinicians found the CFI feasible, acceptable and useful. Clinician feasibility ratings were significantly lower than patient ratings and other clinician-assessed outcomes. After administering one CFI, however, clinician feasibility ratings improved significantly and subsequent interviews required less time. Conclusions: The CFI was included in DSM-5 as a feasible, acceptable and useful cultural assessment tool. Declaration of interest R.L.-F., N.K.A. and L.J.K. receive royalties from an edited book on the Cultural Formulation Interview, published by American Psychiatric Publishing, Inc.

Original languageEnglish (US)
Pages (from-to)290-297
Number of pages8
JournalBritish Journal of Psychiatry
Volume210
Issue number4
DOIs
StatePublished - Apr 1 2017

ASJC Scopus subject areas

  • Psychiatry and Mental health

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    Lewis-Fernández, R., Aggarwal, N. K., Lam, P. C., Galfalvy, H., Weiss, M. G., Kirmayer, L. J., Paralikar, V., Deshpande, S. N., Díaz, E., Nicasio, A. V., Boiler, M., Alarcón, R. D., Rohlof, H., Groen, S., Van Dijk, R. C. J., Jadhav, S., Sarmukaddam, S., Ndetei, D., Scalco, M. Z., ... Vega-Dienstmaier, J. M. (2017). Feasibility, acceptability and clinical utility of the Cultural Formulation Interview: Mixed-methods results from the DSM-5 international field trial. British Journal of Psychiatry, 210(4), 290-297. https://doi.org/10.1192/bjp.bp.116.193862