TY - JOUR
T1 - Feasibility, acceptability and clinical utility of the Cultural Formulation Interview
T2 - Mixed-methods results from the DSM-5 international field trial
AU - Lewis-Fernández, Roberto
AU - Aggarwal, Neil Krishan
AU - Lam, Peter C.
AU - Galfalvy, Hanga
AU - Weiss, Mitchell G.
AU - Kirmayer, Laurence J.
AU - Paralikar, Vasudeo
AU - Deshpande, Smita N.
AU - Díaz, Esperanza
AU - Nicasio, Andel V.
AU - Boiler, Marit
AU - Alarcón, Renato D.
AU - Rohlof, Hans
AU - Groen, Simon
AU - Van Dijk, Rob C.J.
AU - Jadhav, Sushrut
AU - Sarmukaddam, Sanjeev
AU - Ndetei, David
AU - Scalco, Monica Z.
AU - Bassiri, Kavoos
AU - Aguilar-Gaxiola, Sergio
AU - Ton, Hendry
AU - Westermeyer, Joseph
AU - Vega-Dienstmaier, Johann M.
PY - 2017/4/1
Y1 - 2017/4/1
N2 - 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.
AB - 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.
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U2 - 10.1192/bjp.bp.116.193862
DO - 10.1192/bjp.bp.116.193862
M3 - Review article
C2 - 28104738
AN - SCOPUS:85018792168
VL - 210
SP - 290
EP - 297
JO - British Journal of Psychiatry
JF - British Journal of Psychiatry
SN - 0007-1250
IS - 4
ER -