The Cultural Formulation Interview since DSM-5: Prospects for training, research, and clinical practice.

While social science research has demonstrated the importance of culture in shaping psychiatric illness, clinical methods for assessing the cultural dimensions of illness have not been adopted as part of routine care. Reasons for limited integration include the impression that attention to culture r...

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Publicado en:Transcultural Psychiatry Vol. 57; no. 4; pp. 496 - 515
Autores principales: Aggarwal, Neil Krishan, Jarvis, G. Eric, Gómez-Carrillo, Ana, Kirmayer, Laurence J., Lewis-Fernández, Roberto
Formato: research systematic review tables/charts Journal Article
Publicado: Sage Publications, Ltd. Aug2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications, Ltd.
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        atl: The Cultural Formulation Interview since DSM-5: Prospects for training, research, and clinical practice.
      aug:
        au:
          Aggarwal, Neil Krishan
          Jarvis, G. Eric
          Gómez-Carrillo, Ana
          Kirmayer, Laurence J.
          Lewis-Fernández, Roberto
        affil: New York State Psychiatric Institute
      sug:
        subj:
          DSM
          Culture
          Mental Disorders Ethnology
          Interview Guides
          Human
          Implementation Science
          Cultural Sensitivity
          Computerized Literature Searching
          Peer Review
          Descriptive Statistics
      ab: While social science research has demonstrated the importance of culture in shaping psychiatric illness, clinical methods for assessing the cultural dimensions of illness have not been adopted as part of routine care. Reasons for limited integration include the impression that attention to culture requires specialized skills, is only relevant to a subset of patients from unfamiliar backgrounds, and takes too much time to be useful. The DSM-5 Cultural Formulation Interview (CFI), published in 2013, was developed to provide a simplified approach to collecting information needed for cultural assessment. It offers a 16-question interview protocol that has been field tested at sites around the world. However, little is known about how CFI implementation has affected training, health services, and clinical outcomes. This article offers a comprehensive narrative review that synthesizes peer-reviewed, published studies on CFI use. A total of 25 studies were identified, with sample sizes ranging from 1 to 460 participants. In all pilot CFI studies 960 unique subjects were enrolled, and in final CFI studies 739 were enrolled. Studies focused on how the CFI affects clinical practice; explored the CFI through research paradigms in medical communication, implementation science, and family psychiatry; and examined clinician training. In most studies, patients and clinicians reported that using the CFI improved clinical rapport. This evidence base offers an opportunity to consider implications for training, research, and clinical practice and to identify crucial areas for further research.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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