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Feasibility, acceptability and clinical utility of the Cultural Formulation Interview: mixed-methods results from the DSM-5 international field trial.
Lewis-Fernández, Roberto; Aggarwal, Neil Krishan; Lam, Peter C; Galfalvy, Hanga; Weiss, Mitchell G; Kirmayer, Laurence J; Paralikar, Vasudeo; Deshpande, Smita N; Díaz, Esperanza; Nicasio, Andel V; Boiler, Marit; Alarcón, Renato D; Rohlof, Hans; Groen, Simon; van Dijk, Rob C J; Jadhav, Sushrut; Sarmukaddam, Sanjeev; Ndetei, David; Scalco, Monica Z; Bassiri, Kavoos; Aguilar-Gaxiola, Sergio; Ton, Hendry; Westermeyer, Joseph; Vega-Dienstmaier, Johann M.
Afiliação
  • Lewis-Fernández R; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Aggarwal NK; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Lam PC; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Galfalvy H; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Weiss MG; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Kirmayer LJ; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Paralikar V; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Deshpande SN; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Díaz E; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Nicasio AV; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Boiler M; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Alarcón RD; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Rohlof H; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Groen S; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • van Dijk RC; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Jadhav S; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Sarmukaddam S; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Ndetei D; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Scalco MZ; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Bassiri K; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Aguilar-Gaxiola S; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Ton H; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Westermeyer J; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
  • Vega-Dienstmaier JM; Roberto Lewis-Fernández, MD, MTS, Department of Psychiatry, Columbia University and New York State Center of Excellence for Cultural Competence, Anxiety Disorders Clinic, and Hispanic Treatment Program, at the New York State Psychiatric Institute, New York, New York, USA; Neil Krishan Aggarwal, MD,
Br J Psychiatry ; 210(4): 290-297, 2017 04.
Article em En | MEDLINE | ID: mdl-28104738
ABSTRACT
BackgroundThere is a need for clinical tools to identify cultural issues in diagnostic assessment.AimsTo assess the feasibility, acceptability and clinical utility of the DSM-5 Cultural Formulation Interview (CFI) in routine clinical practice.MethodMixed-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.ResultsMixed-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.ConclusionsThe CFI was included in DSM-5 as a feasible, acceptable and useful cultural assessment tool.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Escalas de Graduação Psiquiátrica / Aceitação pelo Paciente de Cuidados de Saúde / Manual Diagnóstico e Estatístico de Transtornos Mentais / Assistência à Saúde Culturalmente Competente / Entrevista Psicológica / Transtornos Mentais Tipo de estudo: Clinical_trials / Diagnostic_studies / Prognostic_studies / Qualitative_research Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Psychiatry Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Moldávia

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Escalas de Graduação Psiquiátrica / Aceitação pelo Paciente de Cuidados de Saúde / Manual Diagnóstico e Estatístico de Transtornos Mentais / Assistência à Saúde Culturalmente Competente / Entrevista Psicológica / Transtornos Mentais Tipo de estudo: Clinical_trials / Diagnostic_studies / Prognostic_studies / Qualitative_research Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Psychiatry Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Moldávia