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Perspectives of family members participating in cultural assessment of psychiatric disorders: Findings from the DSM-5 International Field Trial

Hinton, L; Aggarwal, N; Iosif, A-M; Weiss, M; Paralikar, V; Deshpande, S; Jadhav, S; ... Lewis-Fernández, R; + view all (2015) Perspectives of family members participating in cultural assessment of psychiatric disorders: Findings from the DSM-5 International Field Trial. International Review of Psychiatry , 27 (1) pp. 3-10. 10.3109/09540261.2014.995072. Green open access

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Abstract

Despite the important roles families play in the lives of many individuals with mental illness across cultures, there is a dearth of data worldwide on how family members perceive the process of cultural assessment as well as to how to best include them. This study addresses this gap in our knowledge through analysis of data collected across six countries as part of a DSM-5 Field Trial of the Cultural Formulation Interview (CFI). At clinician discretion, individuals who accompanied patients to the clinic visit (i.e. patient companions) at the time the CFI was conducted were invited to participate in the cultural assessment and answer questions about their experience. The specific aims of this paper are (1) to describe patterns of participation of patient companions in the CFI across the six countries, and (2) to examine the comparative feasibility, acceptability, and clinical utility of the CFI from companion perspectives through analysis of both quantitative and qualitative data. Among the 321 patient interviews, only 86 (at four of 12 sites) included companions, all of whom were family members or other relatives. The utility, feasibility and acceptability of the CFI were rated favourably by relatives, supported by qualitative analyses of debriefing interviews. Cross-site differences in frequency of accompaniment merit further study.

Type: Article
Title: Perspectives of family members participating in cultural assessment of psychiatric disorders: Findings from the DSM-5 International Field Trial
Open access status: An open access version is available from UCL Discovery
DOI: 10.3109/09540261.2014.995072
Publisher version: http://dx.doi.org/10.3109/09540261.2014.995072
Language: English
Additional information: This is an Accepted Manuscript of an article published by Taylor & Francis in the International Review of Psychiatry on 4 March 2015, available online: http://www.tandfonline.com/10.3109/09540261.2014.995072.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/1527450
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