Feasibility, acceptability and clinical utility of the Cultural Formulation Interview: Mixed-methods results from the DSM-5 international field trial. (April 2017)

• Record Type: Journal Article
• Authors: 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.
• Is Part Of: British journal of psychiatry. Volume 210:Number 4(2017)
• Page Start: 290
• Page End: 297
• Publication Date: 2017-04
• Subjects: Psychiatry -- Periodicals; Psychology, Pathological -- Periodicals; 616.89005
• DOI: 10.1192/bjp.bp.116.193862
• Languages: English
• ISSNs: 0007-1250

Abstract

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.