PDF(Pubmed)
Abstract：
UNASSIGNED: Cultural and contextual factors affect communication and how psychiatric symptoms are presented, therefore psychiatric assessments need to include awareness of the patients\' culture and context. The Cultural Formulation Interview (CFI) in DSM-5 is a person-centred tool developed to support the exploration of cultural and contextual factors in an individualized and non-stereotypic way.
UNASSIGNED: The aim of this qualitative study was to find out what information the DSM-5 CFI revealed when used with native Swedish-speaking patients as part of routine clinical psychiatric assessment at an outpatient clinic. An additional aim was to enhance understanding of what kind of information the questions about background and identity yielded. The CFI was added to the psychiatric assessment of 62 native Swedish-speaking patients at an outpatient psychiatric clinic in Stockholm.
UNASSIGNED: From the thematic analysis of the documented CFI answers, six central themes were found; Descriptions of distress and dysfunction, Managing problems and distress, Current life conditions affecting the person, Perceived failure in meeting social expectations, Making sense of the problem, and Experiences of, and wishes for, help. The CFI questions about identity yielded much information, mainly related to social position and feelings of social failure.
UNASSIGNED: For further refinement of the CFI, we see a need for re-framing the questions about cultural identity and its impact on health so that they are better understood. This is needed for majority population patients as direct questions about culture may be difficult to understand when cultural norms are implicit and often unexamined. For clinical implications, our findings suggest that for cultural majority patients the DSM-5 CFI can be a useful person-centred tool for exploring cultural and, in particular, social factors and patients\' perception and understanding of distress.
UNASSIGNED: The aim of this qualitative study was to find out what information the DSM-5 CFI revealed when used with native Swedish-speaking patients as part of routine clinical psychiatric assessment at an outpatient clinic. An additional aim was to enhance understanding of what kind of information the questions about background and identity yielded. The CFI was added to the psychiatric assessment of 62 native Swedish-speaking patients at an outpatient psychiatric clinic in Stockholm.
UNASSIGNED: From the thematic analysis of the documented CFI answers, six central themes were found; Descriptions of distress and dysfunction, Managing problems and distress, Current life conditions affecting the person, Perceived failure in meeting social expectations, Making sense of the problem, and Experiences of, and wishes for, help. The CFI questions about identity yielded much information, mainly related to social position and feelings of social failure.
UNASSIGNED: For further refinement of the CFI, we see a need for re-framing the questions about cultural identity and its impact on health so that they are better understood. This is needed for majority population patients as direct questions about culture may be difficult to understand when cultural norms are implicit and often unexamined. For clinical implications, our findings suggest that for cultural majority patients the DSM-5 CFI can be a useful person-centred tool for exploring cultural and, in particular, social factors and patients\' perception and understanding of distress.
摘要：
■文化和背景因素会影响交流以及精神症状的呈现方式，因此，精神病学评估需要包括对患者文化和背景的认识。DSM-5中的文化制定访谈（CFI）是一种以人为本的工具，旨在以个性化和非刻板的方式支持对文化和背景因素的探索。
■这项定性研究的目的是找出DSM-5CFI与讲瑞典语的本地患者一起使用时所揭示的信息，作为门诊常规临床精神病评估的一部分。另一个目的是加强对有关背景和身份的问题产生了哪种信息的理解。CFI被添加到斯德哥尔摩一家门诊精神病诊所对62名讲瑞典语的本土患者的精神病学评估中。
■从记录的CFI答案的主题分析中，发现了六个中心主题；痛苦和功能障碍的描述，管理问题和痛苦，当前影响人的生活条件，感知到未能达到社会期望，理解这个问题，和经验，和祝愿，帮助。CFI关于身份的问题产生了很多信息，主要与社会地位和社会失败的感受有关。
■为了进一步完善CFI，我们认为有必要重新界定有关文化认同及其对健康的影响的问题，以便更好地理解它们。对于大多数人群患者来说，这是需要的，因为当文化规范是隐含的并且经常未经检查时，有关文化的直接问题可能很难理解。对于临床意义，我们的研究结果表明，对于文化多数患者，DSM-5CFI可以成为探索文化和，特别是,社会因素与患者对痛苦的感知和理解。
■这项定性研究的目的是找出DSM-5CFI与讲瑞典语的本地患者一起使用时所揭示的信息，作为门诊常规临床精神病评估的一部分。另一个目的是加强对有关背景和身份的问题产生了哪种信息的理解。CFI被添加到斯德哥尔摩一家门诊精神病诊所对62名讲瑞典语的本土患者的精神病学评估中。
■从记录的CFI答案的主题分析中，发现了六个中心主题；痛苦和功能障碍的描述，管理问题和痛苦，当前影响人的生活条件，感知到未能达到社会期望，理解这个问题，和经验，和祝愿，帮助。CFI关于身份的问题产生了很多信息，主要与社会地位和社会失败的感受有关。
■为了进一步完善CFI，我们认为有必要重新界定有关文化认同及其对健康的影响的问题，以便更好地理解它们。对于大多数人群患者来说，这是需要的，因为当文化规范是隐含的并且经常未经检查时，有关文化的直接问题可能很难理解。对于临床意义，我们的研究结果表明，对于文化多数患者，DSM-5CFI可以成为探索文化和，特别是,社会因素与患者对痛苦的感知和理解。
